Sweet spots of standard and directional leads in patients with refractory essential tremor: white matter pathways associated with maximal tremor improvement.

Publication

Sweet spots of standard and directional leads in patients with refractory essential tremor: white matter pathways associated with maximal tremor improvement.

Journal Paper/Review - Apr 29, 2022

Avecillas-Chasin Josue M, Honey Christopher R, Heran Manraj K S, Krüger Marie T

Citation

Avecillas-Chasin J, Honey C, Heran M, Krüger M. Sweet spots of standard and directional leads in patients with refractory essential tremor: white matter pathways associated with maximal tremor improvement. J Neurosurg 2022; 137:1811-1820.

Type

Journal Paper/Review (English)

Journal

J Neurosurg 2022; 137

Publication Date

Apr 29, 2022

Issn Electronic

1933-0693

Pages

1811-1820

Brief description/objective

In patients with essential tremor (ET) treated with standard deep brain stimulation (sDBS) whose ET had progressed and who no longer received optimal benefit from sDBS, directional deep brain stimulation (dDBS) may provide better tremor control. Current steering may provide better coverage of subcortical structures related to tremor control in patients with ET and significant progression without optimal response to sDBS.