Evolution of Movement Disorders Surgery Leading to Contemporary Focused Ultrasound Therapy for Tremor

Evolution of Movement Disorders Surgery Leading to Contemporary Focused Ultrasound Therapy for Tremor
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DOI:
10.1016/j.mric.2015.05.008
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发表时间:
2015-11-01
影响因子:
1.6
通讯作者:
Tierney, Travis S.
Tierney, Travis S.
中科院分区:
医学4区
文献类型:
--
作者:
Ahmed, Hena;Field, Wesley;Tierney, Travis S.

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Progressively less invasive neurosurgical approaches for the treatment of movement disorders have evolved, beginning with open craniotomy for placement of lesions within pyramidal structures followed by refined stereotactic ablation of extrapyramidal targets that encouraged nondestructive electrode stimulation of deep brain structures. A noninvasive approach using transcranial high-energy focused ultrasound has emerged for the treatment of intractable tremor. The ability to target discreet intracranial sites millimeters in size through the intact skull using focused acoustic energy marks an important milestone in movement disorders surgery. This article describes the evolution of magnetic resonance-guided focused ultrasound for ventrolateral thalamotomy for tremor.