体位性震颤对双侧丘脑深部脑刺激有反应：两例睡眠中实施手术的报告
Orthostatic Tremor is Responsive to Bilateral Thalamic Deep Brain Stimulation: Report of Two Cases Performed Asleep.
作者信息
Evidente Virgilio Gerald H, Baker Zachary J, Evidente Maris H, Garrett Robin, Lambert Margaret, Ponce Francisco A
机构信息
Movement Disorders Center of Arizona, Scottsdale, AZ, USA.
Barrow Neurological Institute, Phoenix, AZ, USA.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2018 Jul 27;8:566. doi: 10.7916/D8KS882G. eCollection 2018.
BACKGROUND
Orthostatic tremor (OT) is a hyperkinetic movement disorder characterized by rapid tremor in the lower extremities or trunk upon standing.
CASE REPORT
We report two patients presenting with OT, whose symptoms improved markedly following asleep bilateral thalamic deep brain stimulation (DBS) surgery.
DISCUSSION
Medically refractory OT can respond favorably to asleep bilateral DBS surgery similar to awake surgery, and may have the advantages of less psychological trauma to the patient, shorter procedure times, and less exposure to anesthesia.
背景
直立性震颤（OT）是一种运动亢进性疾病，其特征为站立时下肢或躯干出现快速震颤。
病例报告
我们报告了两名患有OT的患者，他们在双侧丘脑睡眠状态下进行脑深部电刺激（DBS）手术后症状明显改善。
讨论
药物难治性OT对睡眠状态下的双侧DBS手术反应良好，类似于清醒手术，并且可能具有对患者心理创伤较小、手术时间较短以及麻醉暴露较少的优点。
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