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Holmes' Tremor with Shoulder Pain Treated by Deep Brain Stimulation of Unilateral Ventral Intermediate Thalamic Nucleus and Globus Pallidus Internus
Journal of Movement Disorders ; : 92-95, 2017.
Artículo en Inglés | WPRIM | ID: wpr-38086
ABSTRACT
A 21-year-old male was admitted with severe right arm and hand tremors after a thalamic hemorrhage caused by a traffic accident. He was also suffering from agonizing pain in his right shoulder that manifested after the tremor. Neurologic examination revealed a disabling, severe, and irregular kinetic and postural tremor in the right arm during target-directed movements. There was also an irregular ipsilateral rest tremor and dystonic movements in the distal part of the right arm. The amplitude was moderate at rest and extremely high during kinetic and intentional movements. The patient underwent left globus pallidum internus and ventral intermediate thalamic nucleus deep brain stimulation. The patient improved by more than 80% as rated by the Fahn-Tolosa-Marin Tremor Rating Scale and Visual Analog Scale six months after surgery.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Brazo / Hombro / Temblor / Accidentes de Tránsito / Felodipino / Dolor de Hombro / Estimulación Encefálica Profunda / Escala Visual Analógica / Globo Pálido / Mano Límite: Humanos / Masculino Idioma: Inglés Revista: Journal of Movement Disorders Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Brazo / Hombro / Temblor / Accidentes de Tránsito / Felodipino / Dolor de Hombro / Estimulación Encefálica Profunda / Escala Visual Analógica / Globo Pálido / Mano Límite: Humanos / Masculino Idioma: Inglés Revista: Journal of Movement Disorders Año: 2017 Tipo del documento: Artículo