Achmad Fahmi, Achmad and Heri Subianto, Heri and Priya Nugraha, Priya and Muhammad Hamdan, Muhammad and Asra Al Fauzi, Asra and Anggraini Dwi Sensusiati, Anggraini and Budi Utomo, Budi and Riyanarto Sarno, Riyanarto and Agus Turchan, Agus and Mohammad Hasan Macfoed, Mohammad and Takaomi Taira, Takaomi and Abdul Hafid Bajamal, Abdul Vim line technique thalamotomy for Parkinson tremor: Case series. International Journal of Surgery Case Reports, 77. ISSN E-ISSN:2210-2612
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Abstract
Abstract Introduction The ventral intermediate (Vim) nucleus of the thalamus is difficult to identify even with 3 T magnetic resonance imaging. Stereotactic Vim thalamotomy is a usual procedure to control Parkinson tremor. Successful relieving of the tremor depends on the accuracy of defining the Vim location. Presentation of cases Three patients with Parkinson tremor were subjected to stereotactic thalamotomy using the Vim line technique (VLT) so as to precisely determine the Vim location. All patients showed good results, with improved tremors, as indicated by the UPDRS score, without any complications. Discussion The precise targeting of the Vim nucleus is crucial importance for the successful Vim thalamotomy. Various method has been developed to determine Vim location. Atlas based and Guiot’s technique routinely used by neurosurgeon. VLT is a new technique that has been developed to determine the Vim location on MRI. Conclusion VLT is useful for the determination of the Vim location. However, further research is warranted to prove its effectiveness.
Item Type: | Article | ||||||||||||||||||||||||||
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Subjects: | R Medicine > R Medicine (General) > R5-920 Medicine (General) | ||||||||||||||||||||||||||
Divisions: | 01. Fakultas Kedokteran > Ilmu Kesehatan Masyarakat | ||||||||||||||||||||||||||
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Depositing User: | arys fk | ||||||||||||||||||||||||||
Date Deposited: | 27 Mar 2023 03:51 | ||||||||||||||||||||||||||
Last Modified: | 27 Mar 2023 03:51 | ||||||||||||||||||||||||||
URI: | http://repository.unair.ac.id/id/eprint/120931 | ||||||||||||||||||||||||||
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