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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.
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Is DBS an option for Essential Tremor patients who have already received Focus Ultrasound Thalamotomy?

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2 Answers
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Mednet MemberInvited Expert
Neurology · University of Pittsburgh School of Medicine
Answered on

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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Mednet Member
Mednet MemberInvited Expert
Neurology · University of Miami Miller School of Medicine
Answered on

I agree with Dr. @Dr. First Last. 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,...

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