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Tremor

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Fundamentals and Clinics of Deep Brain Stimulation

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Abstract

Tremor is the most common movement disorder. Although it is often benign or easily manageable with medications, patients refractory to these treatments suffer from a disabling condition heavily impacting their quality of life. In these circumstances, surgical treatment can be considered, as it is highly effective. Currently, there are four surgical treatments available: deep brain stimulation, thalamotomy procedures with radiofrequency, radiosurgery, and focused ultrasound. Surgical treatment of tremor needs expertise with respect to the choice of procedure, patient selection, management in the postoperative course, and in tackling sometimes unforeseeable side effects. For the time being, DBS remains the most valid treatment option with respect to efficacy and safety.

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Authors and Affiliations

  1. Edmond J. Safra Program in Parkinson’s Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, UHN, Toronto, ON, Canada

    Alfonso Fasano

  2. Division of Neurology, University of Toronto, Toronto, ON, Canada

    Alfonso Fasano

  3. Krembil Brain Institute, Toronto, ON, Canada

    Alfonso Fasano

  4. CenteR for Advancing Neurotechnological Innovation to Application (CRANIA), Toronto, ON, Canada

    Alfonso Fasano

  5. Department of Stereotactic and Functional Neurosurgery, University Hospital Freiburg, Freiburg, Germany

    Volker Arnd Coenen

  6. Medical Faculty, Freiburg University, Freiburg, Germany

    Volker Arnd Coenen

Authors
  1. Alfonso Fasano
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  2. Volker Arnd Coenen
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Correspondence to Alfonso Fasano .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Maastricht University Medical Centre, Maastricht, The Netherlands

    Yasin Temel

  2. Department of Psychiatry, Maastricht University Medical Centre, Maastricht, The Netherlands

    Albert F.G. Leentjens

  3. Department of Neurology, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, Noord-Holland, The Netherlands

    Rob M.A. de Bie

  4. Department of Neurosurgery, Grenoble University Hospital Center, Grenoble, France

    Stephan Chabardes

  5. Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Toronto, ON, Canada

    Alfonso Fasano

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Fasano, A., Coenen, V.A. (2020). Tremor. In: Temel, Y., Leentjens, A., de Bie, R., Chabardes, S., Fasano, A. (eds) Fundamentals and Clinics of Deep Brain Stimulation. Springer, Cham. https://doi.org/10.1007/978-3-030-36346-8_13

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  • DOI: https://doi.org/10.1007/978-3-030-36346-8_13

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