• World Neurosurg · Dec 2020

    Case Reports

    Effect of cycling thalamo-subthalamic stimulation on tremor habituation and rebound in Parkinson's disease.

    • Rei Enatsu, Mayumi Kitagawa, Takashi Morishita, Ayaka Sasagawa, Tomoyoshi Kuribara, Tsukasa Hirano, Masayasu Arihara, Takeshi Mikami, and Nobuhiro Mikuni.
    • Department of Neurosurgery, Sapporo Medical University School of Medicine, Sapporo, Japan. Electronic address: enatsur@sapmed.ac.jp.
    • World Neurosurg. 2020 Dec 1; 144: 64-67.

    BackgroundDeep brain stimulation is an effective treatment for severe tremor in essential tremor and Parkinson disease (PD). However, progressive loss of the beneficial effects of deep brain stimulation may occur due to several factors.Case DescriptionWe assessed the effects of different temporal patterns of cycling stimulation in the posterior subthalamic area, subthalamic nucleus, and the ventral intermediate nucleus of the thalamus in 3 PD patients with early decline of tremor suppression associated with severe tremor rebound.ConclusionsCertain temporal patterns of cycling (10 seconds on/1 second off or 30 seconds on/5 seconds off, soft start off) were useful for treating tremor habituation and rebound and showed long-term tremor suppression. Cycling stimulation may prevent tremor habituation in PD patients with severe tremor rebound.Copyright © 2020 Elsevier Inc. All rights reserved.

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