{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:07:37Z","timestamp":1792728457315,"version":"4.5.0"},"reference-count":29,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Stereotact Funct Neurosurg"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; A recent randomized controlled trial investigating unilateral MRI-guided focused ultrasound (FUS) for essential tremor demonstrated efficacy. The long-term durability of this thalamotomy, however, is unknown. Furthermore, the feasibility of stimulating a previously lesioned target such as the thalamic nucleus ventralis intermedius (Vim) is poorly understood. We report a case of tremor recurrence, following an initially successful FUS thalamotomy, in which Vim-DBS was subsequently utilized to regain tremor control. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; An 81-year-old right-handed female with medically refractory essential tremor (a Clinical Rating Scale for Tremor [CRST] value of 73) underwent left-sided FUS thalamotomy with initial abolition of right-upper extremity tremor. By the 6-month follow-up, there was complete recurrence of tremor (a CRST value of 76). The patient subsequently underwent left-sided Vim-DBS. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Vim-DBS provided clinical improvement with a CRST value of 42 at the 3-month follow-up; the patient continues to do clinically well at the 6-month follow-up. This result mirrors previous reported cases of stimulation following radiofrequency and gamma-knife lesioning. Our literature review highlights several reasons for the waning of clinical benefit seen with lesional procedures. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; This case demonstrates that thalamic DBS can salvage a failed FUS thalamotomy and also the feasibility of stimulating a previously lesioned target.<\/jats:p>","DOI":"10.1159\/000486646","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T22:01:17Z","timestamp":1518472877000},"page":"60-64","source":"Crossref","is-referenced-by-count":23,"title":["Thalamic Deep Brain Stimulation Salvages Failed Focused Ultrasound Thalamotomy for Essential Tremor: A Case Report"],"prefix":"10.1159","volume":"96","author":[{"given":"Tony\u00a0R.","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert\u00a0F.","family":"Dallapiazza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayan","family":"Moosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Huss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binit\u00a0B.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.\u00a0Jeffrey","family":"Elias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2018,2,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(04)00934-2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1300962"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70048-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2014-307642"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26455"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1600159"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(97)00459-X"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.94.4.0552"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000338710"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/ana.24892"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26633"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3171\/2011.7.JNS11250"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3171\/2016.11.JNS16976"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1038\/nn.3620"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/106.4.1001"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3808"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2010.229740"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200002000-00024"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1159\/000029728"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000096012.07360.1C"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3171\/JNS\/2008\/109\/10\/0640"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/aws026"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.3171\/2009.10.JNS09371"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3171\/2013.1.JNS121111"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1159\/000048400"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-008-1606-x"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1159\/000444762"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1002\/ana.24893"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2012.05.015"}],"container-title":["Stereotactic and Functional Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486646","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486646","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:36:06Z","timestamp":1745426166000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000486646"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,4,12]]},"published-print":{"date-parts":[[2018,4,18]]}},"URL":"https:\/\/doi.org\/10.1159\/000486646","archive":["Portico"],"relation":{},"ISSN":["1011-6125","1423-0372"],"issn-type":[{"value":"1011-6125","type":"print"},{"value":"1423-0372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}