Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor

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Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor

Postby admin » Tue Aug 16, 2016 6:55 am

A new study has been published on the use of Spinal Cord Stimulation (SCS) and OT.

Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor

“Medical treatment frequently is unsatisfactory, thus in selected cases, surgical treatment, such as spinal cord stimulation (SCS) or thalamic deep brain stimulation has been proposed. We report the long-term results (follow-up (FU) 34–133 months) of SCS in four patients with medically intractable OT. Outcome was assessed by recording the time tolerated to stand still ….

The mean standing time improved from 51 s (SD 47 s, range 4–120 s) pre-operatively to 220 s (SD 184 s, range 10–480 s) with SCS at last available FU. Tremor activity in the EMG of the anterior tibial muscle was reduced by 30–60 % with SCS compared with off SCS. PSR score was 4 or 5 in three patients and 3 in the other. In conclusion, SCS is an effective long-term treatment option in patients with otherwise intractable OT.”

SCS is a less invasive alternative to DBS, and even though the results reported were limited to a small sample of patients, the outcome was similar to the results reported from DBS.

Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor
Christian Blahak, Tamara Sauer, Hansjoerg Baezner, Marc E. Wolf, Assel Saryyeva, Christoph Schrader, Hans-Holger Capelle, Michael G. Hennerici, Joachim K. Krauss

Blahak, C., Sauer, T., Baezner, H. et al. J Neurol (2016). doi:10.1007/s00415-016-8239-4
LINK TO ARTICLE ABSTRACT

The new report above is a followup to a study from 2006 which can be found here - Link to 2006 study

click on "Post Reply" below to discuss this report
francis
Posts: 1
Joined: Fri Jul 01, 2016 11:49 pm

Re: Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor

Postby francis » Wed Aug 17, 2016 4:04 am

DEAR SIRS,
WHERE CAN I GET ANY HELP IN ENGLAND?

I START TO TREMOR WITH IN A FEW SECONDS OF STANDING.
YOURS TRULY BRIAN ANDREWARTHA.
admin
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Re: Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor

Postby admin » Wed Aug 17, 2016 8:11 am

Hi Brian

Welcome to the OT forum. I would be good to post your question about specialists in England in the main forum for new introductions.

LINK TO NEW INTRODUCTIONS DISCUSSION

After you click on the link above, click on "Post Reply" and hopefully other members that live in England can further assist you with ideas of whom to see.

best regards,
annettarn
Posts: 6
Joined: Thu Nov 01, 2007 4:33 pm
Location: Ohio

Re: Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor

Postby annettarn » Thu Jan 19, 2017 12:49 pm

I had spinal cord stimulation trial implanted for one week, it was very successful. Allowing me to go from 20 secs standing still to 5 mins, that is 15 times longer than before, and once I moved a dew steps, I had another 5 mins. Big improvement in my life. Permanent implant was scheduled to be following month. But was denied by Medicare. There is no code for the device to used for tremors, only intractable pain. The doctors are fighting this with little progress. We need a larger group in the US to have this done,and outcome published. Medicare must be aware of diagnosis, so this can be coded correctly and paid for.

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