Cervical spinal cord stimulation for the treatment of essential tremor. (1st August 2018)

• Record Type: Journal Article
• Authors: Russo, Marc; Santarelli, Danielle M; Smith, Ushtana
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-08-01
• Subjects: movement disorders (other than parkinsons) -- spinal cord; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-224347
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A patient with refractory essential tremor of the hands and head/neck refused deep brain stimulation and requested consideration for spinal cord stimulation (SCS). Trial of a cervical SCS system using a basic tonic waveform produced positive outcomes in hand tremor, head-nodding and daily functioning. The patient proceeded to implant and received regular programming sessions. Outcomes were recorded at follow-ups (1, 3, 6, 12, 23 months postimplant) and included patient self-reported changes, clinical observations, handwriting assessments and The Essential Tremor Rating Assessment Scale scores. Trial of a paraesthesia-free burst waveform programme produced a small improvement in head-nodding, without uncomfortable paraesthesias. With continued programming, the patient reported further improvements to tremor and functionality, with minimal tremor remaining at 12–23 months. No major side effects were reported.