%0 Case Reports
%T Deep brain stimulation for essential tremor in patients with ventriculomegaly.
%A Bouttelgier R
%A Vandamme S
%A Ververken F
%A Maenhoudt W
%A Du Four S
%A Van Lerbeirghe J
%A Vanhauwaert D
%A Van Damme O
%J Surg Neurol Int
%V 15
%N 0
%D 2024
%M 39108400
暂无%R 10.25259/SNI_979_2023
%X <B>UNASSIGNED: </B>Deep brain stimulation of the nucleus ventralis intermedius (VIM-DBS) is considered a safe and effective treatment for medically intractable essential tremor (ET). However, ventriculomegaly can provide a surgical challenge, as there is an increased risk of breaching the ventricle during the procedure, with potential risk of intraventricular hemorrhage and target displacement.<BR><B>UNASSIGNED: </B>In this case series, we report successful bilateral VIM-DBS in a 72-year-old and 69-year-old female ET patient with significant ventriculomegaly. VIM-DBS therapy provided an excellent tremor response. After 5 years, a ventriculoperitoneal shunt was implanted in the first patient due to an incomplete Hakim-Adams triad, with significant improvement in gait and cognition.<BR><B>UNASSIGNED: </B>To the best of our knowledge, we present the first report on VIM-DBS in ET patients with ventriculomegaly and illustrate that VIM-DBS can provide an excellent tremor response in patients with medically intractable ET, even in the context of marked ventriculomegaly.