Transcranial magnetic resonance-guided focused ultrasound thalamotomy as a safe treatment option in multiple sclerosis patients with essential tremor.
Cesare GagliardoPaolo RagoneseGerardo Domenico IacopinoGiuseppe SalemiMassimo MidiriMarco D'AmelioPublished in: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2020)
Transcranial magnetic resonance-guided focused ultrasound is a recently introduced incisionless treating option for essential tremor and tremor-dominant idiopathic Parkinson disease. There is preliminary evidence that it may result in a promising effective treatment option for other movement disorders too. Here, we report on two patients with multiple sclerosis with medication refractory debilitating essential tremor comorbidity who successfully underwent unilateral Vim tcMRgFUS thalamotomy for tremor control. Patients' clinical condition and expanded disability status scale scores showed no changes during the 1-year follow-up period with no evidence of multiple sclerosis activity or progression.
Keyphrases
- parkinson disease
- deep brain stimulation
- multiple sclerosis
- magnetic resonance
- newly diagnosed
- end stage renal disease
- healthcare
- white matter
- magnetic resonance imaging
- emergency department
- computed tomography
- combination therapy
- prognostic factors
- replacement therapy
- cerebral blood flow
- smoking cessation
- electronic health record