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Cervical spinal cord stimulation for the treatment of essential tremor
Open accessAbstract
A patient with refractory essential tremor of the hands and head/neck refused deep brain stimulation and requested consideration for spinal cord stimulation (SCS). Trial of a cervical SCS system using a basic tonic waveform produced positive outcomes in hand tremor, head-nodding and daily functioning. The patient proceeded to implant and received regular programming sessions. Outcomes were recorded at follow-ups (1, 3, 6, 12, 23 months postimplant) and included patient self-reported changes, clinical observations, handwriting assessments and The Essential Tremor Rating Assessment Scale scores. Trial of a paraesthesia-free burst waveform programme produced a small improvement in head-nodding, without uncomfortable paraesthesias. With continued programming, the patient reported further improvements to tremor and functionality, with minimal tremor remaining at 12–23 months. No major side effects were reported.
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Case reports of spinal cord stimulation treatment for essential tremor and Parkinson's disease have shown effectiveness in reducing tremor.
“Some case reports of SCS treatment for ET (47) and PD (48, 49) have shown its effectiveness in reducing tremor in these patients.”
From A Review on Wearable Technologies for Tremor Suppression (2021) · cites this paper as [47]
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A Review on Wearable Technologies for Tremor Suppression
Lora-Millan, J. S., Delgado-Oleas, G., Benito-León, J., & Rocon, E. (2021) · Frontiers in Neurology · doi:10.3389/fneur.2021.700600 · Cited by 62
“Some case reports of SCS treatment for ET (47) and PD (48, 49) have shown its effectiveness in reducing tremor in these patients.”
Background
Metadata
- Authors
- Russo, M., Santarelli, D. M., & Smith, U.
- Affiliations
- Boston Scientific (United States) (US)
- Corresponding author
- Russo, Marc
- Venue
- BMJ Case Reports
- Publisher
- BMJ
- Published
- 2018-08-01
- Volume
- 2018
- Pages
- bcr-2018-224347
- ISSN
- 1757-790X (ISSN-L)
- PMC
- PMC6078261
- OpenAlex
- W2885874007
- Cited by
- 5
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 3
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- BMJ Case Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Clinical Neurology › Botulinum Toxin and Related Neurological Disorders
- Keywords
- cervical spinal cord stimulation, essential tremor, refractory tremor, deep brain stimulation alternative, head nodding, hand tremor, tremor rating scale
- MeSH terms
- Treatment Adherence and Compliance, Aged, Electrodes, Implanted, Female, Humans, Writing, Treatment Outcome, Patient Satisfaction, Outcome Assessment, Health Care, Essential Tremor, Self Report, Spinal Cord Stimulation
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