The Challenge of Choosing the Right Stimulation Target for Dystonic Tremor-A Series of Instructive Cases.
Steffen PaschenJos S BecktepeMarkus A HobertKirsten E ZeunerAnn-Kristin HelmersDaniela BergGuenther DeuschlPublished in: Movement disorders clinical practice (2023)
The diagnosis of dystonic tremor alone is not a sufficient predictor to establish the differential indication of GPi- or Vim-DBS. Further criteria (eg, proximal-distal distribution of tremor/dystonia) are needed to avoid rescue surgery in the future. On the other hand, the course of our patients encourages rescue surgery in such severely disabled patients if the first target fails.