Neurological adverse event profile of magnetic resonance imaging–guided focused ultrasound thalamotomy for essential tremor
ABSTRACT Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereota...
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| Published in | Movement disorders Vol. 33; no. 5; pp. 843 - 847 |
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| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Wiley Subscription Services, Inc
01.05.2018
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| Online Access | Get full text |
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| Abstract | ABSTRACT
Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery.
Objective: To determine the safety profile of magnetic resonance imaging–guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events.
Methods: Analysis of safety data for magnetic resonance imaging–guided focused ultrasound thalamotomy (186 patients, five studies).
Results: Procedure‐related serious adverse events were very infrequent (1.6%), without intracerebral hemorrhages or infections. Adverse events were usually transient and were commonly rated as mild (79%) and rarely severe (1%). As previously reported, abnormalities in sensation and balance were the commonest thalamotomy‐related adverse events.
Conclusion: The overall safety profile of magnetic resonance imaging–guided focused ultrasound thalamotomy supports its role as a new option for patients with medically refractory essential tremor. © 2018 International Parkinson and Movement Disorder Society |
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| AbstractList | ABSTRACT
Background:
Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery.
Objective:
To determine the safety profile of magnetic resonance imaging–guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events.
Methods:
Analysis of safety data for magnetic resonance imaging–guided focused ultrasound thalamotomy (186 patients, five studies).
Results:
Procedure‐related serious adverse events were very infrequent (1.6%), without intracerebral hemorrhages or infections. Adverse events were usually transient and were commonly rated as mild (79%) and rarely severe (1%). As previously reported, abnormalities in sensation and balance were the commonest thalamotomy‐related adverse events.
Conclusion:
The overall safety profile of magnetic resonance imaging–guided focused ultrasound thalamotomy supports its role as a new option for patients with medically refractory essential tremor. © 2018 International Parkinson and Movement Disorder Society ABSTRACT Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery. Objective: To determine the safety profile of magnetic resonance imaging–guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events. Methods: Analysis of safety data for magnetic resonance imaging–guided focused ultrasound thalamotomy (186 patients, five studies). Results: Procedure‐related serious adverse events were very infrequent (1.6%), without intracerebral hemorrhages or infections. Adverse events were usually transient and were commonly rated as mild (79%) and rarely severe (1%). As previously reported, abnormalities in sensation and balance were the commonest thalamotomy‐related adverse events. Conclusion: The overall safety profile of magnetic resonance imaging–guided focused ultrasound thalamotomy supports its role as a new option for patients with medically refractory essential tremor. © 2018 International Parkinson and Movement Disorder Society BACKGROUNDMagnetic resonance imaging-guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery. OBJECTIVETo determine the safety profile of magnetic resonance imaging-guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events. METHODSAnalysis of safety data for magnetic resonance imaging-guided focused ultrasound thalamotomy (186 patients, five studies). RESULTSProcedure-related serious adverse events were very infrequent (1.6%), without intracerebral hemorrhages or infections. Adverse events were usually transient and were commonly rated as mild (79%) and rarely severe (1%). As previously reported, abnormalities in sensation and balance were the commonest thalamotomy-related adverse events. CONCLUSIONThe overall safety profile of magnetic resonance imaging-guided focused ultrasound thalamotomy supports its role as a new option for patients with medically refractory essential tremor. © 2018 International Parkinson and Movement Disorder Society. Magnetic resonance imaging-guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery. To determine the safety profile of magnetic resonance imaging-guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events. Analysis of safety data for magnetic resonance imaging-guided focused ultrasound thalamotomy (186 patients, five studies). Procedure-related serious adverse events were very infrequent (1.6%), without intracerebral hemorrhages or infections. Adverse events were usually transient and were commonly rated as mild (79%) and rarely severe (1%). As previously reported, abnormalities in sensation and balance were the commonest thalamotomy-related adverse events. The overall safety profile of magnetic resonance imaging-guided focused ultrasound thalamotomy supports its role as a new option for patients with medically refractory essential tremor. © 2018 International Parkinson and Movement Disorder Society. Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor. Although this incisionless technology creates an ablative lesion, it potentially avoids serious complications of open stereotactic surgery.Objective: To determine the safety profile of magnetic resonance imaging–guided focused ultrasound unilateral thalamotomy for essential tremor, including frequency, and severity of adverse events, including serious adverse events.Methods: Analysis of safety data for magnetic resonance imaging–guided focused ultrasound thalamotomy (186 patients, five studies).Results: Procedure‐related serious adverse events were very infrequent (1.6%), without intracerebral hemorrhages or infections. Adverse events were usually transient and were commonly rated as mild (79%) and rarely severe (1%). As previously reported, abnormalities in sensation and balance were the commonest thalamotomy‐related adverse events.Conclusion: The overall safety profile of magnetic resonance imaging–guided focused ultrasound thalamotomy supports its role as a new option for patients with medically refractory essential tremor. © 2018 International Parkinson and Movement Disorder Society |
| Author | Chang, Jin W. Rezai, Ali Kashima, Haruhiko Fishman, Paul S. Tierney, Travis S. Cosgrove, Rees Schwartz, Michael Eisenberg, Howard M. Ghanouni, Pejman Taira, Takaomi Krishna, Vibhor Igase, Keiji Gwinn, Ryder Yamada, Kazumichi Kaplitt, Michael G. Elias, W. Jeffrey Lipsman, Nir |
| Author_xml | – sequence: 1 givenname: Paul S. surname: Fishman fullname: Fishman, Paul S. email: pfishman@som.umaryland.edu organization: University of Maryland School of Medicine – sequence: 2 givenname: W. Jeffrey surname: Elias fullname: Elias, W. Jeffrey organization: University of Virginia Health Sciences Center – sequence: 3 givenname: Pejman surname: Ghanouni fullname: Ghanouni, Pejman organization: Stanford University School of Medicine – sequence: 4 givenname: Ryder surname: Gwinn fullname: Gwinn, Ryder organization: Swedish Neuroscience Institute – sequence: 5 givenname: Nir surname: Lipsman fullname: Lipsman, Nir organization: Sunnybrook Health Sciences Center – sequence: 6 givenname: Michael surname: Schwartz fullname: Schwartz, Michael organization: Sunnybrook Health Sciences Center – sequence: 7 givenname: Jin W. surname: Chang fullname: Chang, Jin W. organization: Yonsei University College of Medicine – sequence: 8 givenname: Takaomi surname: Taira fullname: Taira, Takaomi organization: Tokyo Women's Medical University – sequence: 9 givenname: Vibhor surname: Krishna fullname: Krishna, Vibhor organization: Ohio State University Medical Center – sequence: 10 givenname: Ali surname: Rezai fullname: Rezai, Ali organization: Ohio State University Medical Center – sequence: 11 givenname: Kazumichi surname: Yamada fullname: Yamada, Kazumichi organization: Kumamoto University Hospital, Kumamoto and Hokuto Hospital – sequence: 12 givenname: Keiji surname: Igase fullname: Igase, Keiji organization: Washoukai Sadamoto Hospital – sequence: 13 givenname: Rees surname: Cosgrove fullname: Cosgrove, Rees organization: Brigham and Women's Hospital – sequence: 14 givenname: Haruhiko surname: Kashima fullname: Kashima, Haruhiko organization: Osaka University Hospital – sequence: 15 givenname: Michael G. surname: Kaplitt fullname: Kaplitt, Michael G. organization: Weil Cornell School of Medicine – sequence: 16 givenname: Travis S. surname: Tierney fullname: Tierney, Travis S. organization: Brigham and Women's Hospital – sequence: 17 givenname: Howard M. surname: Eisenberg fullname: Eisenberg, Howard M. organization: University of Maryland School of Medicine |
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Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of... Magnetic resonance imaging-guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential tremor.... ABSTRACT Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of... Background: Magnetic resonance imaging–guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential... BACKGROUNDMagnetic resonance imaging-guided focused ultrasound thalamotomy is approved by the U.S. Food and Drug Administration for treatment of essential... |
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| SubjectTerms | Adult Cohort Studies Data processing DBS essential tremor Essential Tremor - diagnostic imaging Essential Tremor - surgery Female focused ultrasound Humans Japan Magnetic Resonance Imaging Male Middle Aged Movement disorders MRgFUS Nervous System Diseases - etiology NMR Nuclear magnetic resonance Parkinson's disease Patients Postoperative Complications - etiology Safety Severity of Illness Index Surgery thalamotomy Thalamus - diagnostic imaging Thalamus - surgery Tremor Ultrasonic imaging Ultrasonography, Interventional Ultrasound United States |
| Title | Neurological adverse event profile of magnetic resonance imaging–guided focused ultrasound thalamotomy for essential tremor |
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