Surgical Approaches Evolve in Tremor Syndromes

Evidence review highlights expanding role of neuromodulation and lesioning, with differences across tremor types

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Deep brain stimulation (DBS) remains a central treatment for tremor syndromes, enabling modulation of neural circuits.
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Minimally invasive lesioning techniques, such as focused ultrasound, are expanding options for selected patients.
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In essential tremor, both DBS and focused ultrasound show strong efficacy, with selection based on patient characteristics.
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DBS is preferred for Parkinson’s disease tremor due to greater and more durable motor benefits compared to lesioning.
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Selecting a surgical approach for tremor syndromes depends on tremor type, symptom severity, comorbidities, and patient preferences.

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