TY - JOUR
T1 - 3-T MR-guided focused ultrasound thalamotomy for tremor in patients with a cardiac pacemaker
T2 - case series and review of the literature
AU - Gonzalez-Quarante, Lain H.
AU - Gonzalez-Crespo, Antonio
AU - Arcadi, Alana
AU - Macias-de-la-Corte, Marta
AU - Aviles-Olmos, Iciar
AU - Sanchez-Catasus, Carlos A.
AU - Cacho-Asenjo, Elena
AU - Honorato-Cia, Cristina
AU - Martinez-Simon, Antonio
AU - Gorospe, Arantza
AU - Martin-Bastida, Antonio
AU - Corral-Alonso, Paula
AU - Rodriguez-Oroz, Maria C.
AU - Guridi, Jorge
N1 - Publisher Copyright:
© AANS 2024, except where prohibited by US copyright law
PY - 2024/10
Y1 - 2024/10
N2 - MR-guided focused ultrasound (MRgFUS) has proven its efficacy and safety for the treatment of essential tremor (ET) and/or Parkinson’s disease (PD). However, having a cardiac pacemaker has been considered an exclusion criterion for the use of MRgFUS. Only 2 patients with a cardiac pacemaker treated with MRgFUS have been previously reported, both treated using 1.5-T MRI. In this paper, the authors present their experience performing 3-T MRgFUS thalamotomy in 4 patients with an implanted cardiac pacemaker. Treatments were uneventful regarding complications or severe side effects. MRgFUS using 3-T MRI was found to be an efficient and safe treatment for ET and/or PD in patients with an MRI-compatible pacemaker.
AB - MR-guided focused ultrasound (MRgFUS) has proven its efficacy and safety for the treatment of essential tremor (ET) and/or Parkinson’s disease (PD). However, having a cardiac pacemaker has been considered an exclusion criterion for the use of MRgFUS. Only 2 patients with a cardiac pacemaker treated with MRgFUS have been previously reported, both treated using 1.5-T MRI. In this paper, the authors present their experience performing 3-T MRgFUS thalamotomy in 4 patients with an implanted cardiac pacemaker. Treatments were uneventful regarding complications or severe side effects. MRgFUS using 3-T MRI was found to be an efficient and safe treatment for ET and/or PD in patients with an MRI-compatible pacemaker.
KW - cardiac pacemaker
KW - essential tremor
KW - magnetic resonance–guided focused ultrasound
KW - MRgFUS
KW - Parkinson’s disease
KW - thalamotomy
UR - http://www.scopus.com/inward/record.url?scp=85202998340&partnerID=8YFLogxK
U2 - 10.3171/2024.6.FOCUS24171
DO - 10.3171/2024.6.FOCUS24171
M3 - Article
C2 - 39217637
AN - SCOPUS:85202998340
SN - 1092-0684
VL - 57
JO - Neurosurgical focus
JF - Neurosurgical focus
IS - 3
M1 - E5
ER -