Acute insomnia following surgery of the ventralis intermedius nucleus of the thalamus for tremor

Mark Quigg; Robert C Frysinger; Madaline Harrison; W Jeffrey Elias

Acute insomnia following surgery of the ventralis intermedius nucleus of the thalamus for tremor

J Clin Sleep Med. 2007 Feb 15;3(1):58-9.

Authors

Mark Quigg¹, Robert C Frysinger, Madaline Harrison, W Jeffrey Elias

Affiliation

¹ Department of Neurology, University of Virginia, Charlottesville, VA 22908, USA. [email protected]

PMID: 17557455

Abstract

Stereotactic surgery with lesioning or deep brain stimulation directed to the ventralis intermedius nucleus of the thalamus is a well-recognized treatment for medically intractable tremor. A patient developed the rare complication of severe insomnia, easy awakening, and lack of slow-wave sleep after thalamotomy/deep brain stimulation implantation. This complication underscores the role of thalamic regulation on initiation and maintenance of sleep.

Publication types

Case Reports

MeSH terms

Acute Disease
Aged
Humans
Magnetic Resonance Imaging
Male
Midline Thalamic Nuclei / anatomy & histology*
Midline Thalamic Nuclei / surgery*
Neurosurgical Procedures / methods
Polysomnography
Postoperative Complications*
Sleep Initiation and Maintenance Disorders / diagnosis
Sleep Initiation and Maintenance Disorders / etiology*
Sleep Stages / physiology
Tremor / diagnosis
Tremor / physiopathology*
Tremor / surgery*
Ventral Thalamic Nuclei / anatomy & histology*
Ventral Thalamic Nuclei / surgery*