Tremor Tedavisinde Cerrahi Girişimler

Tremor çeşitli nedenlerle ortaya çıkabilir. Bazı tip tremorlarda medikal tedavinin yetersiz kaldığı hallerde cerrahi tedavi uygulanabilmektedir. Esansiyel tremor, Parkinson hastalığı tremoru, Holmes tremoru, Multipl skleroz tremoru cerrahi tedavinin uygulanabildiği bazı tremor tipleridir. Cerrahi tedavide radyofrekans talamotomi, talamik derin beyin stimulasyonu ve gamma knife ile talamotomi uygulanabilen cerrahi yöntemlerdir. Esansiyel tremor ve Parkinson hastalığına bağlı tremorda uzun dönemli başarı oranları yüksek iken diğer tip tremorlarda başarı oranı daha düşüktür. Günümüzde cerrahiye bağlı komplikasyon oranları da kabul edilebilir sınırlar içindedir

Surgical Interventions For The Treatment of Tremor

Many etiological factors may cause tremor. Surgical treatment can be used in some forms of tremor if medical therapy fails. Essential tremor, Parkinson’s disease tremor, Holmes tremor and multiple sclerosis tremor can be treated by surgery. Surgical methods are radiofrequency thalamotomy, thalamic deep brain stimulation and gamma knife thalamotomy. The success rate is high in essential tremor and Parkinsons disease tremor. However in other types of tremor surgical results are not very satisfactory. The complication rates after surgery are within acceptable limits nowadays

Keywords:

deep brain stimulation, gamma knife, surgery thalamotomy, tremor,

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