Making Waves - Barnes-Jewish Hospital first to offer high intensity focused ultrasound for patients with ET - Report - MDSpire

Making Waves - Barnes-Jewish Hospital first to offer high intensity focused ultrasound for patients with ET

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  • February 2, 2024

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Clinical Report: High-Intensity Focused Ultrasound for Essential Tremor

Overview

Revise to specify that HIFU is for essential tremor and tremor-predominant Parkinson's disease.

Background

Essential tremor (ET) and tremor-predominant Parkinson's disease significantly impact patients' quality of life. Traditional treatments, such as deep brain stimulation (DBS), require surgical intervention and anesthesia. The introduction of HIFU expands treatment options, offering a non-invasive alternative for patients who have not responded to medical therapies.

Data Highlights

No numerical data provided in the article.

Key Findings

  • Barnes-Jewish Hospital is the first facility in Missouri to offer HIFU for ET.
  • HIFU is indicated for patients with moderate to severe tremors who have not benefited from medical therapies.
  • The procedure involves ablating targeted areas in the thalamus using high-intensity ultrasound beams.
  • Immediate reduction in tremors is reported, with results expected to be permanent.
  • Patients with neurological conditions other than ET or Parkinson's disease are not eligible for HIFU.
  • DBS remains a viable option for patients not eligible for HIFU.

Clinical Implications

Healthcare providers should consider HIFU as a treatment option for patients with essential tremor who are refractory to medication. The non-invasive nature of HIFU may improve patient acceptance and reduce the risks associated with surgical interventions.

Conclusion

The introduction of high-intensity focused ultrasound at Barnes-Jewish Hospital represents a significant advancement in the treatment of essential tremor, providing a new, effective option for patients seeking relief from debilitating symptoms.

References

  1. American Academy of Neurology, Guidelines, 2025 -- Update: Treatment of Essential Tremor
  2. A Randomized Trial of Focused Ultrasound Thalamotomy for Essential Tremor - PubMed, 2016
  3. Bilateral Focused Ultrasound Treatment of Essential Tremor: Results Published in JAMA Neurology, Focused Ultrasound Foundation, 2024
  4. The ASCO Post — Focused Ultrasound, a Young Technology, Begins to Grow
  5. Journal of Neuro-Oncology — Therapeutic Applications of Focused Ultrasound in Glioblastoma Management
  6. Journal of Neuro-Oncology — Enhancing Blood-Brain Barrier Permeability through Focused Ultrasound for Brain Tumor Therapy: A Systematic Review of Clinical Trials
  7. The ASCO Post — New High-Intensity Focused Ultrasound Advances Treatment for Prostate Cancer
  8. Focused Ultrasound, a Young Technology, Begins to Grow
  9. Therapeutic Applications of Focused Ultrasound in Glioblastoma Management
  10. Enhancing Blood-Brain Barrier Permeability through Focused Ultrasound for Brain Tumor Therapy: A Systematic Review of Clinical Trials
  11. Update: Treatment of Essential Tremor
  12. A Randomized Trial of Focused Ultrasound Thalamotomy for Essential Tremor - PubMed
  13. Bilateral Focused Ultrasound Treatment of Essential Tremor: Results Published in JAMA Neurology - Focused Ultrasound Foundation

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