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Title: Cervical spinal cord stimulation for the treatment of essential tremor
Authors: Russo M 
Santarelli D
Ushtana S
Keywords: Spinal Cord Stimulation
movement disorder
Source: Aug 1;2018. pii: bcr-2018-224347
Journal Title: BMJ Case Reports
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.
DOI: 10.1136/bcr-2018-224347
ORCID: 0000-0001-7364-9917
PubMed URL:
Type: Journal Article
Affiliates: Hunter Pain Clinic, Broadmeadow, NSW, Australia
Boston Scientific Neuromodulation, Mascot, NSW, Australia
Study/Trial: Case Series and Case Reports
Appears in Collections:Scholarly and Clinical

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