Are we on the right track in DBS surgery for dystonic head tremor?: Polymyography is a promising answer

Naomi I Kremer; D L Marinus Oterdoom; Anthony R Absalom; David W Ten Cate; J Marc C van Dijk; Martje E van Egmond; Gea Drost

doi:10.1016/j.parkreldis.2021.11.013

Are we on the right track in DBS surgery for dystonic head tremor? Polymyography is a promising answer

Naomi I Kremer, D L Marinus Oterdoom, Anthony R Absalom, David W Ten Cate, J Marc C van Dijk, Martje E van Egmond, Gea Drost^*

^*Corresponding author for this work

Research output: Contribution to journal › Letter › Academic › peer-review

Abstract

The clinical benefit of Deep Brain Stimulation (DBS) is associated with electrode positioning accuracy. Intraoperative assessment of clinical effect is therefore key. Evaluating this clinical effect in patients with dystonic head tremor, as opposed to limb tremor, is challenging because the head is fixed in a stereotactic frame. To clinically assess head tremor during surgery, surface electromyography (EMG) electrodes were bilaterally applied to the sternocleidomastoid and cervical paraspinal muscles. This case shows that intraoperative polymyography is an easy and useful tool to assess the clinical effect of DBS electrode positioning.

Original language	English
Pages (from-to)	74-76
Number of pages	3
Journal	Parkinsonism & Related Disorders
Volume	93
Early online date	17-Nov-2021
DOIs	https://doi.org/10.1016/j.parkreldis.2021.11.013
Publication status	Published - Dec-2021

Keywords

Deep brain stimulation
Dystonia
Tremor
Polymyography
EMG
DEEP BRAIN-STIMULATION

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Are we on the right track in DBS surgery for dystonic head tremor
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@article{772b3436836e40a6b1d8fcd06cc3b82d,

title = "Are we on the right track in DBS surgery for dystonic head tremor?: Polymyography is a promising answer",

abstract = "The clinical benefit of Deep Brain Stimulation (DBS) is associated with electrode positioning accuracy. Intraoperative assessment of clinical effect is therefore key. Evaluating this clinical effect in patients with dystonic head tremor, as opposed to limb tremor, is challenging because the head is fixed in a stereotactic frame. To clinically assess head tremor during surgery, surface electromyography (EMG) electrodes were bilaterally applied to the sternocleidomastoid and cervical paraspinal muscles. This case shows that intraoperative polymyography is an easy and useful tool to assess the clinical effect of DBS electrode positioning.",

keywords = "Deep brain stimulation, Dystonia, Tremor, Polymyography, EMG, DEEP BRAIN-STIMULATION",

author = "Kremer, {Naomi I} and Oterdoom, {D L Marinus} and Absalom, {Anthony R} and {Ten Cate}, {David W} and {van Dijk}, {J Marc C} and {van Egmond}, {Martje E} and Gea Drost",

note = "Copyright {\textcopyright} 2021. Published by Elsevier Ltd.",

year = "2021",

month = dec,

doi = "10.1016/j.parkreldis.2021.11.013",

language = "English",

volume = "93",

pages = "74--76",

journal = "Parkinsonism & Related Disorders",

issn = "1353-8020",

publisher = "Elsevier",

}

Are we on the right track in DBS surgery for dystonic head tremor? Polymyography is a promising answer. / Kremer, Naomi I ; Oterdoom, D L Marinus ; Absalom, Anthony R; Ten Cate, David W; van Dijk, J Marc C ; van Egmond, Martje E ; Drost, Gea.

In: Parkinsonism & Related Disorders, Vol. 93, 12.2021, p. 74-76.

Research output: Contribution to journal › Letter › Academic › peer-review

TY - JOUR

T1 - Are we on the right track in DBS surgery for dystonic head tremor?

T2 - Polymyography is a promising answer

AU - Kremer, Naomi I

AU - Oterdoom, D L Marinus

AU - Absalom, Anthony R

AU - Ten Cate, David W

AU - van Dijk, J Marc C

AU - van Egmond, Martje E

AU - Drost, Gea

PY - 2021/12

Y1 - 2021/12

N2 - The clinical benefit of Deep Brain Stimulation (DBS) is associated with electrode positioning accuracy. Intraoperative assessment of clinical effect is therefore key. Evaluating this clinical effect in patients with dystonic head tremor, as opposed to limb tremor, is challenging because the head is fixed in a stereotactic frame. To clinically assess head tremor during surgery, surface electromyography (EMG) electrodes were bilaterally applied to the sternocleidomastoid and cervical paraspinal muscles. This case shows that intraoperative polymyography is an easy and useful tool to assess the clinical effect of DBS electrode positioning.

AB - The clinical benefit of Deep Brain Stimulation (DBS) is associated with electrode positioning accuracy. Intraoperative assessment of clinical effect is therefore key. Evaluating this clinical effect in patients with dystonic head tremor, as opposed to limb tremor, is challenging because the head is fixed in a stereotactic frame. To clinically assess head tremor during surgery, surface electromyography (EMG) electrodes were bilaterally applied to the sternocleidomastoid and cervical paraspinal muscles. This case shows that intraoperative polymyography is an easy and useful tool to assess the clinical effect of DBS electrode positioning.

KW - Deep brain stimulation

KW - Dystonia

KW - Tremor

KW - Polymyography

KW - EMG

KW - DEEP BRAIN-STIMULATION

U2 - 10.1016/j.parkreldis.2021.11.013

DO - 10.1016/j.parkreldis.2021.11.013

M3 - Letter

C2 - 34826764

VL - 93

SP - 74

EP - 76

JO - Parkinsonism & Related Disorders

JF - Parkinsonism & Related Disorders

SN - 1353-8020

ER -