Vim line technique thalamotomy for Parkinson tremor: Case series

• Main Authors: Achmad Fahmi, -, Heri Subianto, -, Priya Nugraha, -, Muhammad Hamdan, -, Asra Al Fauzi, -, Anggraini Dwi Sensusiati, -, Budi Utomo, -, Riyanarto Sarno, -, Agus Turchan, -, Mohammad Hasan Machfoed, -, Takaomi Taira, -, Abdul Hafid Bajamal, -
• Format: Article PeerReviewed
• Language: English; English; English
• Published: Elsevier 2020
• Subjects: R Medicine (General); RD Surgery
• Online Access: http://repository.unair.ac.id/110127/1/Vim%20line%20technique%20thalamotomy%20for%20Parkinson%20tremor%20Case%20Series.pdf; http://repository.unair.ac.id/110127/2/Vim%20Line%20Technique.pdf; http://repository.unair.ac.id/110127/3/Vim%20line%20technique%20thalamotomy%20for%20Parkinson%20tremor%20Case%20Series.pdf; http://repository.unair.ac.id/110127/; https://www.sciencedirect.com/science/article/pii/S2210261220311196; https://doi.org/10.1016/j.ijscr.2020.11.096
• Institution: Universitas Airlangga

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.