@article{TCR3432,
author = {Ronald F. Young and Robert D. Hesselgesser and Eugene Ahn and Sandra Vermeulen and Francisco Li and Jesse Lee},
title = {Bilateral Gamma Knife thalamotomy for treatment of axial tremor},
journal = {Translational Cancer Research},
volume = {3},
number = {6},
year = {2014},
keywords = {},
abstract = {Objective: The objective of this report is to describe the effect of both unilateral and bilateral Gamma Knife thalamotomy (GKT) on axial tremor.
Methods: Sixty-eight patients with essential tremor (ET) either only or predominantly affecting axial structures, including the head and neck, voice or lower jar, underwent staged bilateral GKT using previously described methods. A single lesion was made during each GKT procedure in the ventral intermediate (VIM) thalamic nucleus using one 4-mm collimator isocenter, and a maximum radiosurgical dose of 140 Gy. All patients had failed prior medical management. Tremor was graded on a five step scale [0-4] by a comprehensive movement disorder team before treatment, after unilateral thalamotomy and again after bilateral thalamotomy.
Results: There were statistically significant improvements in head, voice and lower jaw tremor after bilateral GKT (P},
issn = {2219-6803}, url = {https://tcr.amegroups.org/article/view/3432}
}