Median time between the 2 videotapes was 11.5 months (range, 3-14 months). The median preoperative Fahn-Tolosa-Marin tremor scale score was 17 (range, 11-21) the tremor scale score at the last videotaped follow-up was 1 (range, 0-6). At last follow-up at a median of 4 years post-DBS, 7 patients were tremor free, 6 had only trace tremor, and 2 were definitely improved but with residual tremor. Results Of the 15 patients, 8 underwent unilateral thalamic nucleus ventralis intermedius (VIM), 4 bilateral VIM, and 3 bilateral subthalamic nucleus DBS. Main Outcome Measures Tremor status after DBS, preoperative vs postoperative scores on the Fahn-Tolosa-Marin tremor scale, and the presence of adverse events. Patients Twelve men and 3 women with BTP who underwent DBS for levodopa-refractory tremor. Objectives To assess the clinical outcomes and surgical complications of patients with BTP who underwent DBS. Deep brain stimulation (DBS) should be efficacious for this condition, but there is no previously published experience. This disorder has an uncertain pathophysiologic relationship to idiopathic Parkinson disease.
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Shared Decision Making and Communicationīackground Benign tremulous parkinsonism (BTP) is characterized by prominent resting plus action tremor, mild parkinsonism with limited disability or progression apart from tremor, and a less-robust response to levodopa therapy.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.