Disappearance of resting tremor after “stereotaxic” thalamic stroke
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Both stereotaxic thalamotomy and deep brain stimulation have been shown to be effective treatment for drug-resistant resting tremor in selected patients.1 The preferred targets of surgical intervention are the thalamic nucleus ventralis intermedius (Vim) and an area a millimeter anterior to the nucleus ventrocaudalis (Vc), which have been associated with relief of tremor with contralateral paresthesia and hypesthesia the commonest side effects.2
We report a patient with Parkinson disease (PD) with disappearance of contralateral resting tremor after a pure sensory stroke involving the posterolateral part of the left thalamus.
Case report.
A 67-year-old man suddenly developed numbness in the right lower lip, the right part of the tongue, and the right hand. He had been followed by our department for PD for 7 years, and initially …
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Letters: Rapid online correspondence
- Disappearance of resting tremor after "stereotaxic" thalamic stroke
- EK Tan, Department of Neurology, Singapore General Hospital, National Neuroscience Institute, SingHealth, Department of Neurology, Singapore General Hospital, Outram road, Singapore 169608gnrtek@sgh.com.sg
- LL Chan, J Thomas
Submitted December 04, 2003 - Reply to Tan
- Stefan Probst-Cousin, Department of Neurology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, GermanyStefan.Probst-Cousin@neuro.imed.uni-erlangen.de
Submitted December 04, 2003
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