Case report, case study
https://doi.org/10.3325/cmj.2024.65.59
Gamma knife thalamotomy in treating refractory tremor: initial clinical experience in Croatia
Slaven Lasić
; Department of Neurology, University Hospital Dubrava, Zagreb, Croatia
Sergej Marasanov
; Division of Stereotactic, Functional Neurosurgery and Radiosurgery, Department of Neurosurgery, Zagreb University Hospital Center, Zagreb, Croatia
Marjan Rožanković
; Department of Neurosurgery, Zagreb University Hospital Center, Zagreb, Croatia
Petra Bago Rožanković
; School of Medicine, Catholic University of Croatia, Zagreb, Croatia
*
* Corresponding author.
Abstract
Tremor refractory to pharmacological therapy significantly
reduces the patient´s quality of life, often leading to early
retirement and social isolation. Gamma knife (GK) stereotactic radiosurgery of the unilateral thalamic ventral intermediate nucleus is an advanced, minimally invasive surgical procedure for symptomatic tremor suppression. Due
to the restricted availability of this type of treatment, literature data on its efficacy and safety are lacking. We present two patients with severe, disabling tremor (one with
parkinsonian and one with essential tremor) successfully
treated with GK thalamotomy, performed in Croatia for
the first time. GK thalamotomy should be considered in
patients with refractory tremors and contraindications for
deep brain stimulation.
Keywords
Hrčak ID:
331936
URI
Publication date:
22.2.2024.
Visits: 167 *