Lain H Gonzalez-Quarante, Antonio Gonzalez-Crespo, Alana Arcadi, Marta Macias-de-la-Corte, Iciar Aviles-Olmos, Carlos A Sanchez-Catasus, Elena Cacho-Asenjo, Cristina Honorato-Cia, Antonio Martinez-Simon, Arantza Gorospe, Antonio Martin-Bastida, Paula Corral-Alonso, Maria C Rodriguez-Oroz, Jorge Guridi
{"title":"3-T MR-guided focused ultrasound thalamotomy for tremor in patients with a cardiac pacemaker: case series and review of the literature.","authors":"Lain H Gonzalez-Quarante, Antonio Gonzalez-Crespo, Alana Arcadi, Marta Macias-de-la-Corte, Iciar Aviles-Olmos, Carlos A Sanchez-Catasus, Elena Cacho-Asenjo, Cristina Honorato-Cia, Antonio Martinez-Simon, Arantza Gorospe, Antonio Martin-Bastida, Paula Corral-Alonso, Maria C Rodriguez-Oroz, Jorge Guridi","doi":"10.3171/2024.6.FOCUS24171","DOIUrl":null,"url":null,"abstract":"<p><p>MR-guided focused ultrasound (MRgFUS) has proven its efficacy and safety for the treatment of essential tremor (ET) and/or Parkinson's disease (PD). However, having a cardiac pacemaker has been considered an exclusion criterion for the use of MRgFUS. Only 2 patients with a cardiac pacemaker treated with MRgFUS have been previously reported, both treated using 1.5-T MRI. In this paper, the authors present their experience performing 3-T MRgFUS thalamotomy in 4 patients with an implanted cardiac pacemaker. Treatments were uneventful regarding complications or severe side effects. MRgFUS using 3-T MRI was found to be an efficient and safe treatment for ET and/or PD in patients with an MRI-compatible pacemaker.</p>","PeriodicalId":19187,"journal":{"name":"Neurosurgical focus","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical focus","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3171/2024.6.FOCUS24171","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
MR-guided focused ultrasound (MRgFUS) has proven its efficacy and safety for the treatment of essential tremor (ET) and/or Parkinson's disease (PD). However, having a cardiac pacemaker has been considered an exclusion criterion for the use of MRgFUS. Only 2 patients with a cardiac pacemaker treated with MRgFUS have been previously reported, both treated using 1.5-T MRI. In this paper, the authors present their experience performing 3-T MRgFUS thalamotomy in 4 patients with an implanted cardiac pacemaker. Treatments were uneventful regarding complications or severe side effects. MRgFUS using 3-T MRI was found to be an efficient and safe treatment for ET and/or PD in patients with an MRI-compatible pacemaker.
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