{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:16:31Z","timestamp":1792545391180,"version":"4.5.0"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>This video showcases stereotactic radiofrequency lesioning of the caudal zona incerta (CZi) for parkinsonian tremor in a 70-year-old patient. The preoperative evaluation, including imaging and frame placement, is detailed. The surgical procedure involves meticulous targeting and trajectory planning. Intraoperative stimulation is utilized for motor response assessment. Two temporary lesioning phases precede the final procedure at 75\u00b0C. The postoperative CT scan highlights the lesion site. Immediate tremor relief is observed postoperatively, with the effect persisting at the 1-month follow-up. Supporting readings underscore the efficacy and safety of CZi for tremor management.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2024.7.FOCVID2462\">https:\/\/stream.cadmore.media\/r10.3171\/2024.7.FOCVID2462<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2024.7.focvid2462","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T09:20:39Z","timestamp":1727774439000},"page":"V5","source":"Crossref","is-referenced-by-count":2,"title":["Stereotactic radiofrequency lesioning of caudal zona incerta for parkinsonian tremor"],"prefix":"10.3171","volume":"11","author":[{"given":"Jitin","family":"Bajaj","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Khandelwal","sequence":"additional","affiliation":[{"name":"Neurology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anivesh","family":"Jain","sequence":"additional","affiliation":[{"name":"Neuroanesthesia, Superspeciality Hospital, NSCB Medical College, Jabalpur, India; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muddaiah N.","family":"Swamy","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yad R.","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Apex Hospital & Research Center, Jabalpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"7","key":"b1","series-title":"J Neurol Neurosurg Psychiatry","first-page":"710","article-title":"Deep brain stimulation in the caudal zona incerta versus best medical treatment in patients with Parkinson\u2019s disease: a randomised blinded evaluation","volume":"89","author":"Blomstedt P","year":"2018","unstructured":"Blomstedt P, Stenmark Persson R, Hariz GM,  Deep brain stimulation in the caudal zona incerta versus best medical treatment in patients with Parkinson\u2019s disease: a randomised blinded evaluation. J Neurol Neurosurg Psychiatry. 2018;89(7):710\u2013716."},{"issue":"3","key":"b2","series-title":"Mov Disord","first-page":"539","article-title":"Coupled activation of the hyperdirect and cerebellothalamic pathways with zona incerta deep brain stimulation","volume":"39","author":"Bingham CS","year":"2024","unstructured":"Bingham CS, McIntyre CC. Coupled activation of the hyperdirect and cerebellothalamic pathways with zona incerta deep brain stimulation. Mov Disord. 2024;39(3):539\u2013545."},{"issue":"1","key":"b3","series-title":"J Neurosurg","first-page":"208","article-title":"Deep brain stimulation in the caudal zona incerta in patients with essential tremor: effects on cognition 1 year after surgery","volume":"134","author":"Philipson J","year":"2019","unstructured":"Philipson J, Blomstedt P, Hariz M, Jahanshahi M. Deep brain stimulation in the caudal zona incerta in patients with essential tremor: effects on cognition 1 year after surgery. J Neurosurg. 2019;134(1):208\u2013215."},{"issue":"9","key":"b4","series-title":"CNS Neurosci Ther","first-page":"1380","article-title":"Which one is the superior target? A comparison and pooled analysis between posterior subthalamic area and ventral intermediate nucleus deep brain stimulation for essential tremor","volume":"28","author":"Fan H","year":"2022","unstructured":"Fan H, Bai Y, Yin Z,  Which one is the superior target? A comparison and pooled analysis between posterior subthalamic area and ventral intermediate nucleus deep brain stimulation for essential tremor. CNS Neurosci Ther. 2022;28(9):1380\u20131392."},{"key":"b5","series-title":"World Neurosurg","first-page":"316","article-title":"Caudal zona incerta\/VOP radiofrequency lesioning guided by combined stereotactic MRI and microelectrode recording for posttraumatic midbrain resting-kinetic tremor","volume":"86","author":"Contreras Lopez WO","year":"2016","unstructured":"Contreras Lopez WO, Azevedo AR, Cury RG,  Caudal zona incerta\/VOP radiofrequency lesioning guided by combined stereotactic MRI and microelectrode recording for posttraumatic midbrain resting-kinetic tremor. World Neurosurg. 2016;86:316\u2013320."},{"issue":"7","key":"b1","series-title":"J Neurol Neurosurg Psychiatry","first-page":"710","article-title":"Deep brain stimulation in the caudal zona incerta versus best medical treatment in patients with Parkinson\u2019s disease: a randomised blinded evaluation","volume":"89","author":"Blomstedt P","year":"2018","unstructured":"Blomstedt P, Stenmark Persson R, Hariz GM,  Deep brain stimulation in the caudal zona incerta versus best medical treatment in patients with Parkinson\u2019s disease: a randomised blinded evaluation. J Neurol Neurosurg Psychiatry. 2018;89(7):710\u2013716."},{"issue":"3","key":"b2","series-title":"Mov Disord","first-page":"539","article-title":"Coupled activation of the hyperdirect and cerebellothalamic pathways with zona incerta deep brain stimulation","volume":"39","author":"Bingham CS","year":"2024","unstructured":"Bingham CS, McIntyre CC. Coupled activation of the hyperdirect and cerebellothalamic pathways with zona incerta deep brain stimulation. Mov Disord. 2024;39(3):539\u2013545."},{"issue":"1","key":"b3","series-title":"J Neurosurg","first-page":"208","article-title":"Deep brain stimulation in the caudal zona incerta in patients with essential tremor: effects on cognition 1 year after surgery","volume":"134","author":"Philipson J","year":"2019","unstructured":"Philipson J, Blomstedt P, Hariz M, Jahanshahi M. Deep brain stimulation in the caudal zona incerta in patients with essential tremor: effects on cognition 1 year after surgery. J Neurosurg. 2019;134(1):208\u2013215."},{"issue":"9","key":"b4","series-title":"CNS Neurosci Ther","first-page":"1380","article-title":"Which one is the superior target? A comparison and pooled analysis between posterior subthalamic area and ventral intermediate nucleus deep brain stimulation for essential tremor","volume":"28","author":"Fan H","year":"2022","unstructured":"Fan H, Bai Y, Yin Z,  Which one is the superior target? A comparison and pooled analysis between posterior subthalamic area and ventral intermediate nucleus deep brain stimulation for essential tremor. CNS Neurosci Ther. 2022;28(9):1380\u20131392."},{"key":"b5","series-title":"World Neurosurg","first-page":"316","article-title":"Caudal zona incerta\/VOP radiofrequency lesioning guided by combined stereotactic MRI and microelectrode recording for posttraumatic midbrain resting-kinetic tremor","volume":"86","author":"Contreras Lopez WO","year":"2016","unstructured":"Contreras Lopez WO, Azevedo AR, Cury RG,  Caudal zona incerta\/VOP radiofrequency lesioning guided by combined stereotactic MRI and microelectrode recording for posttraumatic midbrain resting-kinetic tremor. World Neurosurg. 2016;86:316\u2013320."}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/11\/2\/article-pV5.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/11\/2\/article-pV5.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/11\/2\/article-pV5.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:42:05Z","timestamp":1782862925000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/11\/2\/article-pV5.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":10,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2024.7.focvid2462","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}