Bollu Pradeep C, Rupareliya Chintan
Department of Neurology, University of Missouri, Columbia, Missouri.
Cureus. 2017 Oct 16;9(10):e1777. doi: 10.7759/cureus.1777.
Essential tremor (ET) is the commonest adult-onset movement disorder, and its prevalence increases with age. About 10% of the patients with ET can be severely handicapped by it. Medical management is the first line of treatment for ET. In the past, refractory cases of ET underwent thalamotomy, a neurosurgical procedure that caused selective thalamic lesions. We describe a case of an elderly woman with ET that showed a dramatic improvement of her tremor after sustaining an acute stroke in bilateral thalamic and subthalamic regions. This ischemic insult essentially served the purpose of thalamotomy resulting in an improvement in her tremor.
特发性震颤（ET）是最常见的成人起病的运动障碍，其患病率随年龄增长而增加。约10%的特发性震颤患者会因此严重致残。药物治疗是特发性震颤的一线治疗方法。过去，难治性特发性震颤病例会接受丘脑切开术，这是一种造成选择性丘脑损伤的神经外科手术。我们描述了一例患有特发性震颤的老年女性病例，该患者在双侧丘脑和丘脑底核区域发生急性中风后，震颤得到了显著改善。这种缺血性损伤起到了丘脑切开术的作用，从而改善了她的震颤。
