Deep brain stimulation of CM/PF of thalamus could be the new elective target for tremor in advanced Parkinson's Disease?

Parkinsonism Relat Disord. 2008 Aug;14(6):501-4. doi: 10.1016/j.parkreldis.2007.11.005. Epub 2008 Mar 11.

Abstract

Aim of this study was to investigate whether Deep Brain Stimulation (DBS) of the Centre Median Nucleus/Parafascicular (CM/PF) Complex is useful in reducing extrapyramidal symptoms in advanced Parkinson's Disease (PD) patients. In particular, we compared the action of CM/PF and subthalamic nucleus (STN) DBS on resting hand tremor using EMG surface of ulnar and radial right-hand muscles. Our results show that C/M DBS is very effective in reducing tremor, indicating this complex as a new target in advanced PD patients.

MeSH terms

  • Adult
  • Antiparkinson Agents / therapeutic use
  • Basal Ganglia Diseases / etiology
  • Basal Ganglia Diseases / therapy
  • Deep Brain Stimulation*
  • Electrodes, Implanted
  • Electromyography
  • Female
  • Humans
  • Intralaminar Thalamic Nuclei / physiology*
  • Levodopa / therapeutic use
  • Male
  • Middle Aged
  • Neurosurgical Procedures
  • Parkinson Disease / complications*
  • Tremor / etiology
  • Tremor / therapy*

Substances

  • Antiparkinson Agents
  • Levodopa