Stereotactic robot-assisted MRI-guided laser interstitial thermal therapy thalamotomy for medically intractable Parkinson's disease tremor: technical note and preliminary effects on 2 cases.

Journal: Acta neurochirurgica
PMID:

Abstract

BACKGROUND: Medically intractable Parkinson's disease (PD) tremor is a common difficult clinical situation with major impact on patient's quality of life (QOL). Deep brain stimulation (DBS) is an effective therapy but is not an option for many patients. Less invasive lesional brain surgery procedures, such as thalamotomy, have proven to be effective in these indications. Here, we describe the technical nuances and advantages of stereotactic robot-assisted MRI-guided laser interstitial thermal therapy (MRIg-LITT) thalamotomy for medically intractable PD tremor.

Authors

  • Mickael Aubignat
    Department of Neurology and Expert Center for Parkinson's disease, Amiens Picardie University Hospital, 1 rue du Professeur Christian Cabrol, 80054, Amiens, France. aubignat.mickael@chu-amiens.fr.
  • Mélissa Tir
    Department of Neurology and Expert Center for Parkinson's disease, Amiens Picardie University Hospital, 1 rue du Professeur Christian Cabrol, 80054, Amiens, France.
  • Martial Ouendo
    Department of Anaesthesiology and Critical Care Medicine, Amiens Picardie University Hospital, Amiens, France.
  • Jean-Marc Constans
    Department of Radiology, Amiens Picardie University Hospital, Amiens, France.
  • Michel Lefranc