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Thalamotomy information


Thalamotomy
Thalamus
ICD-9-CM01.41
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Thalamotomy (Greek: θάλαμος, romanized: thalamus, lit. 'chamber'; Greek: τομή, romanized: tomē, lit. 'cut, slice') is a surgical procedure in which a functional lesion is made into the thalamus to improve the overall brain function in patients. First introduced in the 1950s, it is primarily effective for tremors such as those associated with Parkinson's disease, where a selected portion of the thalamus is surgically destroyed (ablated). Neurosurgeons use specialized equipment to precisely locate an area of the thalamus, usually choosing to work on only one side (the side opposite that of the worst tremors). Bilateral procedures are poorly tolerated because of increased complications and risk, including vision and speech problems. The positive effects on tremors are immediate. Other less destructive procedures are sometimes preferred, such as subthalamic deep brain stimulation, since this procedure can also improve tremors and other symptoms of PD.[1][2][3]

  1. ^ Fields, Julie A; Tröster, Alexander I (2000). "Cognitive Outcomes after Deep Brain Stimulation for Parkinson's Disease: A Review of Initial Studies and Recommendations for Future Research". Brain and Cognition. 42 (2): 268–293. doi:10.1006/brcg.1999.1104. PMID 10744924. S2CID 2042799.
  2. ^ Bruce, Beau B; Foote, Kelly D; Rosenbek, John; Sapienza, Christine; Romrell, Janet; Crucian, Greg; Okun, Michael S (2004). "Aphasia and Thalamotomy: Important Issues". Stereotactic and Functional Neurosurgery. 82 (4): 186–190. doi:10.1159/000082207. PMID 15557767. S2CID 34923492.
  3. ^ Cetas, Justin S; Saedi, Targol; Burchiel, Kim J (2008). "Destructive procedures for the treatment of nonmalignant pain: A structured literature review". Journal of Neurosurgery. 109 (3): 389–404. doi:10.3171/JNS/2008/109/9/0389. PMID 18759567. S2CID 23274820.

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