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American Society for Stereotactic and Functional Neurosurgery Position Statement on Magnetic Resonance-Guided Focused Ultrasound for the Management of Essential Tremor.

Authors
  • Pouratian, Nader1
  • Baltuch, Gordon2
  • Elias, W Jeff3
  • Gross, Robert4
  • 1 Department of Neurosurgery, University of California, Los Angeles, California.
  • 2 Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania.
  • 3 Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia.
  • 4 Department of Neurosurgery, Emory University, Atlanta, Georgia. , (Georgia)
Type
Published Article
Journal
Neurosurgery
Publication Date
Aug 01, 2020
Volume
87
Issue
2
Identifiers
DOI: 10.1093/neuros/nyz510
PMID: 31832649
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Magnetic resonance-guided focused ultrasound thalamotomy is a novel tool in the neurosurgical armamentarium for management of essential tremor (ET). Given the recent introduction of this technology, the American Society of Stereotactic and Functional Neurosurgery (ASSFN), which acts as the joint section representing the field of stereotactic and functional neurosurgery on behalf of the Congress of Neurological Surgeons and the American Association of Neurological Surgeons, provides here the expert consensus opinion on evidence-based best practices for the use and implementation of this treatment modality. Indications for treatment are outlined, including confirmed diagnosis of ET, failure to respond to first-line therapies, disabling appendicular tremor, and unilateral treatment are detailed, based on current evidence. Contraindications to therapy are also detailed. Finally, the evidence and authority on which the ASSFN bases this consensus position statement is detailed. Copyright © 2019 American Society for Stereotactic and Functional Neurosurgery — All Rights Reserved. Republished with permission.

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