{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T19:03:56Z","timestamp":1754161436359,"version":"3.41.2"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"07","license":[{"start":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T00:00:00Z","timestamp":1751760000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Deep brain stimulation (DBS) has been widely accepted as a powerful tool capable of suppressing tremor by modulating the neuronal circuitry, with long-term adaptability and a profile of low adverse effects. It has been the primary treatment for refractory tremor for decades, with sustained long-term efficacy. Recently, magnetic resonance-guided high-frequency focused ultrasound (HIFU) has emerged as an alternative, prompting comparisons between these approaches. Deep brain stimulation offers long-lasting tremor control in Parkinson's disease (PD) and essential tremor (ET). In addition, it enables us to advance our understanding of brain circuits by integrating neuroimaging, electrophysiology, and connectomics data to map the best stimulation spots. Technologies such as adaptive and directional DBS enable real-time adjustments and greater precision, optimizing results and minimizing adverse effects. Although HIFU shows promising results, it remains an ablative and non-adjustable therapy, contrasting with DBS's dynamic and customizable advances.<\/jats:p>","DOI":"10.1055\/s-0045-1808087","type":"journal-article","created":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T18:33:26Z","timestamp":1751826806000},"page":"001-004","source":"Crossref","is-referenced-by-count":0,"title":["High-intensity focused ultrasound (HIFU) versus deep brain stimulation (DBS) for refractory tremor: team DBS"],"prefix":"10.1055","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8051-4738","authenticated-orcid":false,"given":"Fl\u00e1via de Paiva Santos","family":"Rolim","sequence":"additional","affiliation":[{"name":"Universidade de Fortaleza, Faculdade de Medicina, Fortaleza CE, Brazil."},{"name":"Hospital Geral de Fortaleza, Departamento de Neurologia, N\u00facleo de Dist\u00farbios do Movimento, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5511-5778","authenticated-orcid":false,"given":"Denise Maria Menezes Cury","family":"Portela","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio UNINOVAFAPI, Faculdade de Medicina, Teresina PI, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1159\/000100803","article-title":"Combined (thalamotomy and stimulation) stereotactic surgery of the VIM thalamic nucleus for bilateral Parkinson disease","volume":"50","author":"A L Benabid","year":"1987","journal-title":"Appl Neurophysiol"},{"issue":"02","key":"ref2","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1002\/mds.10309","article-title":"Long-term efficacy of thalamic deep brain stimulation for tremor: double-blind 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