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Effect of Ventral Intermediate Nucleus Deep Brain Stimulation on Vocal Tremor in Essential Tremor Cover

Effect of Ventral Intermediate Nucleus Deep Brain Stimulation on Vocal Tremor in Essential Tremor

Open Access
|May 2023

Figures & Tables

Table 1

Demographics of participants and DBS lead parameters. There were not statistically significant differences between age, disease duration, or months to follow-up between unilateral and bilateral participants.

UNILATERALBILATERAL
Number of Participants32
Average Age (yrs)73.372
Disease Duration (yrs)33.322.5
Gender (M;F)1;20;2
Lead TypeMedtronic 3389(1)BS DB 2201 (1)
Boston Scientific Directional 2202 (2)BS 2202(1)
Follow-up (months, mean)8.37.6
Table 2

Summary of Patient lead parameters during post-operative assessment. R = Right, L = Left.

FREQUENCY (HZ)PULSE WIDTHAMPLITUDE (MA)
SUBJECTLRLRLR
Bilateral 1130130306044.3
Bilateral 214914960304.22.3
Unilateral 1130602.8
Unilateral 2179604
Unilateral 3185903
Table 3

Summary of the results for all measures. Significant p value of less than 0.05 is indicated by *, p value of less than 0.01 is indicated by **.

MEASUREAVERAGE CHANGE ALL PARTICIPANTSAVERAGE CHANGE BILATERALAVERAGE CHANGE UNILATERALSTANDARD DEVIATION ALL PARTICIPANTSP VALUE ALL PARTICIPANTS
ATRI–45.3%–64.1%–32.8%21.9%0.02*
FTRI–46.3%–61.1%–36.4%14.8%0.05*
Rate F0–30.0%–36.8%–25.6%22.5%0.03*
Extent Intensity–50.1%–66.8%–38.9%23.0%0.03*
Rate Intensity–34.8%–45.8%27.5%18.9%0.02*
Extent F0–51.5%–79.9%–32.5%33.2%0.07
VHI-10–20–33.0–11.314.70.04*
CSID Vowel–71.4%–115.5%–41.9%54.5%0.10
CSID Speech–67.4%–75.32%–62.2%95.5%0.20
CPP Vowel+66.8%+148.4%+12.4%66.8%0.14
CPP Speech+86.1%+211.4%+2.5%125.0%0.20
mTRS–78.0%–55.4%–93.2%22.7%0.004**
tohm-13-1-757-g1.png
Figure 1

Summary of pre and post procedure scores for outcome measures with significant changes. All participants had a decrease in post operative score compared to baseline. Subjects with bilateral procedure had a greater average decrease than participants with unilateral procedure for all 3 measures. For statistical evaluation, please see Table 3.

tohm-13-1-757-g2.png
Figure 2

Extent of F0 Modulation, rate of F0 modulation, extent intensity, and rate intensity preoperatively and postoperatively. All participants had improvement in values postoperatively for all four measures, with the exception of unilateral subject 3. This subject had worsening post operative values in the extent of F0 modulation parameter. For statistical evaluation, please see Table 3.

tohm-13-1-757-g3.png
Figure 3

MTRS scores pre-operatively and post-operatively. All participants had a decrease in score postoperatively, indicating improvement. For statistical evaluation, please see Table 2.

DOI: https://doi.org/10.5334/tohm.757 | Journal eISSN: 2160-8288
Language: English
Submitted on: Feb 8, 2023
Accepted on: Apr 18, 2023
Published on: May 2, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Kathryn W. Ruckart, Caroline Wilson, Mary E. Moya-Mendez, Lyndsay L. Madden, Adrian Laxton, Mustafa S. Siddiqui, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.