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Cited by 478

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

High‐frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor

Koller, William, Pahwa, Rajesh, Busenbark, Karen, Hubble, Jean, Wilkinson, Steve, Lang, Anthony, Tuite, Paul, Sime, Elspeth, Lazano, Andres, Hauser, Robert, Malapira, Teresita, Smith, Donald, Tarsy, Daniel, Miyawaki, Edison, Norregaard, Thorkild, Kormos, Theresa, Olanow, C. Warren·1997·Annals of Neurology

Abstract

Pharmacologic treatment for essential tremor and the tremor of Parkinson's disease is often inadequate. Stereotaxic surgery, such as thalamotomy, can effectively reduce tremors. We performed a multicenter trial of unilateral high‐frequency stimulation of the ventral intermedius nucleus of the thalamus in 29 patients with essential tremor and 24 patients with Parkinson's disease, using a blinded assessment at 3 months after surgery to compare clinical rating of tremor with stimulation ON with stimulation OFF and baseline and a 1‐year follow‐up. Six patients were not implanted because of lack of intraoperative tremor suppression (2 patients), hemorrhage (2 patients), withdrawal of consent (1 patient), and persistent microthalamotomy effect (1 patient). A significant reduction in both essential and parkinsonian tremor occurred contralaterally with stimulation. Patients reported a significant reduction in disability. Measures of function were significantly improved in patients with essential tremor. Complications related to surgery in implanted patients were few. Stimulation was commonly associated with transient paresthesias. Other adverse effects were mild and well tolerated. Efficacy was not reduced at 1 year. Chronic high‐frequency stimulation is safe and highly effective in ameliorating essential and parkinsonian tremor.

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Metadata

Authors
Koller, W., Pahwa, R., Busenbark, K., Hubble, J., Wilkinson, S., Lang, A., Tuite, P., Sime, E., Lazano, A., Hauser, R., Malapira, T., Smith, D., Tarsy, D., Miyawaki, E., Norregaard, T., Kormos, T., & Olanow, C. W.
Venue
Annals of Neurology
Publisher
Wiley
Published
1997-09
Volume
42
Issue
3
Pages
292-299
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
OpenAlex
W2139071033
Cited by
478
References
25
FWCI
15.36
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: High‐frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor. https://app.cochat.ai/papers/10.1002/ana.410420304
The paper
Koller, W., Pahwa, R., Busenbark, K., Hubble, J., Wilkinson, S., Lang, A., Tuite, P., Sime, E., Lazano, A., Hauser, R., Malapira, T., Smith, D., Tarsy, D., Miyawaki, E., Norregaard, T., Kormos, T., & Olanow, C. W. (1997). High‐frequency unilateral thalamic stimulation in the treatment of essential and parkinsonian tremor. Annals of Neurology. https://doi.org/10.1002/ana.410420304

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