丘脑深部脑刺激治疗高热引起的小脑功能障碍导致的姿势性震颤：病例报告

Q3 Neuroscience

eNeurologicalSci Pub Date : 2024-11-17 DOI:10.1016/j.ensci.2024.100536

Mitsuyoshi Tamura , Shigeki Hirano , Yoshihisa Kitayama , Marie Morooka , Tomoki Suichi , Kazumoto Shibuya , Yoshinori Higuchi , Satoshi Kuwabara

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引用次数: 0

摘要

背景脑深部刺激（DBS）治疗小脑疾病震颤症状的疗效尚不明确。病例介绍一名47岁的女性因患碎石性肾盂肾炎导致脓毒性休克，在发烧>40 °C四天后出现颈部和手臂震颤以及共济失调性言语/步态。据我们所知，这是丘脑 DBS 治疗高热引起的小脑功能障碍的首次报道。小脑损伤导致的姿势性震颤患者可从丘脑 DBS 中获益，从而改善日常生活活动。

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Thalamic deep brain stimulation for postural tremor caused by hyperthermia-induced cerebellar dysfunction: A case report

Background

The efficacy of deep brain stimulation (DBS) in treating tremor symptoms in cerebellar disorders remains unclear.

Case presentation

A 47-year-old woman presented with neck and arm tremor and ataxic speech/gait after four days of >40 °C fever due to septic shock attributed to lithiasis-pyelonephritis. Left ventral intermediate nucleus thalamus DBS alleviated contralateral postural arm tremor, although the action tremor and terminal oscillation remained unchanged.

Discussion

To our knowledge, this is the first report of thalamic DBS for hyperthermia-induced cerebellar dysfunction. Patients with postural tremor resulting from cerebellar damage can benefit from thalamic DBS, leading to improved activities of daily living.

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来源期刊

eNeurologicalSci Neuroscience-Neurology

CiteScore

3.50

自引率

0.00%

发文量

审稿时长

62 days

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