Case Reports
Orthostatic Tremor Responds to Bilateral Thalamic Deep Brain Stimulation
Authors:
- Mark K. LyonsEmail Mark K. Lyons
- Mandana Behbahani
- Orland K. Boucher
- John N. Caviness
- Virgilio Gerald H. Evidente
Abstract
Background: Orthostatic tremor (OT) is a disabling movement disorder manifested by postural and gait disturbance. Primarily a condition of elderly people, it can be progressive in up to 15% of patients. The primary treatments are medications that are often ineffective.
Case Report: A 75-year-old male presented with a 10-year history of progressive and disabling OT. He had tried various medications without significant benefits. He underwent bilateral thalamic Vim deep brain stimulation (DBS). At 30-month follow-up, he has had continued significant improvement of his OT.
Discussion: Bilateral thalamic DBS may be a viable option for medically refractory OT.
- Year: 2012
- Volume: 2
- Page/Article: tre-02-30-85-9
- DOI: 10.5334/tohm.98
- Submitted on 28 Apr 2011
- Accepted on 27 May 2011
- Published on 20 Feb 2012
- Peer Reviewed