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thalamotomy

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Thalamotomy

First introduced in the 1950s, thalamotomy is an invasive procedure, primarily effective for tremors such as those associated with Parkinson's disease (PD), where a selected portion of the thalamus is surgically destroyed (ablated).

The proton density MRI was demonstrated to be very useful to determine the safest trajectory and tentative target point. However, as a detailed functional localization of the thalamic subnuclei cannot be yet obtained by MRI, the final target should be decided on the basis of electrophysiological findings 1).

Bilateral procedures are poorly tolerated because of increased complication and risk, including vision and speech problems. The positive effects on tremors are immediate. Other less destructive procedures are sometimes preferred, such as subthalamic deep brain stimulation (DBS), since this procedure can also improve tremors and other symptoms of PD.

Classification

Outcome

1)
Kawashima Y, Chen HJ, Takahashi A, Hirato M, Ohye C. Application of magnetic resonance imaging in functional stereotactic thalamotomy for the evaluation of individual variations of the thalamus. Stereotact Funct Neurosurg. 1992;58(1-4):33-8. PubMed PMID: 1439346.
thalamotomy.txt · Last modified: 2019/06/25 14:07 by administrador