Functional tremor developing after successful MRI-guided focused ultrasound thalamotomy for essential tremor

© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ..

OBJECTIVE: To describe a case of functional tremor occurring after a successful MR-guided focused ultrasound thalamotomy (MRgFUS) for essential tremor.

METHODS: A 71-year-old right-handed man with essential tremor was referred to us for consideration of deep brain stimulation surgery for worsening bilateral upper limb tremor after a successful left MRgFUS for essential tremor.

RESULTS: On clinical exam, signs compatible with a functional tremor were noted, including entertainability and suppressibility. Electrophysiological studies were consistent with essential tremor and superimposed tremor fulfilling the laboratory-supported criteria for functional tremor.

DISCUSSION: We describe the first reported case of a functional movement disorder occurring after successful MRgFUS procedure for essential tremor. Recognising this entity and its development after such therapeutic interventions is essential to avoid further unnecessary invasive therapies.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - year:2022

Enthalten in:

Journal of neurology, neurosurgery, and psychiatry - (2022) vom: 26. Apr.

Sprache:

Englisch

Beteiligte Personen:

Alshimemeri, Sohaila [VerfasserIn]
Vargas-Méndez, Daniel [VerfasserIn]
Chen, Robert [VerfasserIn]
Lipsman, Nir [VerfasserIn]
Schwartz, M L [VerfasserIn]
Lozano, Andres M [VerfasserIn]
Fasano, Alfonso [VerfasserIn]

Links:

Volltext

Themen:

FUNCTIONAL NEUROLOGICAL DISORDER
Journal Article
TREMOR

Anmerkungen:

Date Revised 20.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1136/jnnp-2021-327524

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM340026952