본태성 진전증 환자의 뇌정위전 시상핵 파괴술에 대한 임상적 고찰
Clinical Andlysis of Stereotactic Thalamotomy for Medically Intractable Essential Tremor
소속 상세정보
노재석
김영보/이언/박철완/안성기/강동수
KMID : 0359819960250010099
Abstract
Stereotactic ventrolateral thalamotomy has been successful in treating a wide spectrum of involuntary movement disorders. But very little has been reported concerning their application in essential tremor.
Twenty three patients with medically refractory disabling essential tremor underwent ventralis lateralis (VL) thalamotomies. The procedure was unilateral in twenty three cases.
Contralateral tremor remained abscent or markedly reduced in 22 patients at the time of the most recent follow-up examinations. At a mean of 2.9 months after surgery.
Disability was determined by a modified form of an estabilished rating scale for tremor reported by Fahn. And was reduced from a mean score of 11 to 3 (P<0.0001) after the operation.
Persistent surgical morbidity was limited to three patients with mild dysarthria and two with a mild cognitive impairment Tnere were no surgically related deaths.
It is concluded that stereotactic VL thalamotomy is a treatment option for medically intractable disabling essential tremor.
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