{"title":"Stereotactic Radiofrequency Lesioning for Movement Disorders.","authors":"Takaomi Taira, Shiro Horisawa, Nobuhiko Takeda, Prajakta Ghate","doi":"10.1159/000481079","DOIUrl":null,"url":null,"abstract":"<p><p>During the past 2 decades, deep brain stimulation (DBS) took over the position of radiofrequency (RF) lesioning of thalamic or pallidal targets for control of movement disorders. Superiority of DBS over RF lesioning is widely accepted, and most neurosurgeons even regard RF lesioning to be old-fashioned and dangerous. Such concepts emerged from the data of old stereotactic operations with ventriculography and without computerized planning. Hardware-related complications are not negligible in long-term DBS therapy, and DBS only controls the symptoms. Living with an implanted device is also a burden for patients. With modern stereotactic techniques, RF lesioning is safe and effective. Indication of RF lesioning includes various types of tremor, focal hand dystonia, and even generalized or segmental dystonias. Neurosurgeons armed with both the procedures can choose the best treatment modality for patients.</p>","PeriodicalId":39342,"journal":{"name":"Progress in neurological surgery","volume":"33 ","pages":"107-119"},"PeriodicalIF":0.0000,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000481079","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Progress in neurological surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1159/000481079","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/12 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 9
Abstract
During the past 2 decades, deep brain stimulation (DBS) took over the position of radiofrequency (RF) lesioning of thalamic or pallidal targets for control of movement disorders. Superiority of DBS over RF lesioning is widely accepted, and most neurosurgeons even regard RF lesioning to be old-fashioned and dangerous. Such concepts emerged from the data of old stereotactic operations with ventriculography and without computerized planning. Hardware-related complications are not negligible in long-term DBS therapy, and DBS only controls the symptoms. Living with an implanted device is also a burden for patients. With modern stereotactic techniques, RF lesioning is safe and effective. Indication of RF lesioning includes various types of tremor, focal hand dystonia, and even generalized or segmental dystonias. Neurosurgeons armed with both the procedures can choose the best treatment modality for patients.
期刊介绍：
Published since 1966, this series has become universally recognized as the most significant group of books serving neurological surgeons. Volumes feature contributions from distinguished international surgeons, who brilliantly review the literature from the perspective of their own personal experience. The result is a series of works providing critical distillations of developments of central importance to the theory and practice of neurological surgery.
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