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Topics:
Neurology • Movement disorders
Do you consider DBS for Essential Tremor in patients who already underwent Focused Ultrasound Thalamotomy?
For example, if their tremor recurs over time or initial benefit is inadequate.
Answer from: at Community Practice
In patients with medication-refractory essential tremor, ablative thalamotomy (with focused ultrasound stereotactic surgery, or gamma knife) and deep brain stimulation (DBS) are effective methods for the management of tremor. Ablative thalamotomy with focused ultrasound uses acoustic energy for remo...
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Answer from: at Academic Institution
I agree with Dr. @Homayoun. Patient decisions need to be individualized. And if the DBS target is already ablated by FUS, then considering alternative locations of lead placement, like subthalamic zone/zona incerta, could be considered with neurosurgical planning discussion. This is off-label, of co...