Long-term follow-up of chronic spinal cord stimulation for medically intractable orthostatic tremor
Posted: Tue Aug 16, 2016 7:55 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
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