Video 1.
Patient 4 Months Prior to DBS Implantation and 6 Months After DBS Implantation
Segment 1 of the video shows the patient 4 months prior to DBS implantation. He has a 1+ postural tremor of the hands while sitting. Shortly after standing there is a visible tremor of the legs and worsening of his postural hand tremor. The patient appears uncomfortable and has to sit down approximately 45 seconds after standing. He has improvement in his OT symptoms with walking. Segment 2 of the video shows the patient 6 months post- DBS implantation. There is significant improvement in his hand tremor while standing and the leg tremor is not visible. The patient is able to stand for several minutes without difficulty.
Table 1.
Surgical Treatment of Orthostatic Tremor
| Reference | Patient | Disease Duration (Years) | Age at Surgery (Years) | Surgery | Sustained Clinical Improvement |
| Krauss et al.4 | 1 | 10 | 58 | Spinal cord stimulation | Yes |
| 2 | 8 | 72 | Spinal cord stimulation | Yes | |
| Guridi et al.5 | 3 | 11 | 55 | Bilateral Vim DBS | Yes |
| Espay et al.6 | 4 | 28 | 73 | Bilateral Vim DBS | Yes |
| 5 | 30 | 67 | Unilateral Vim DBS | No | |
| Current patient | 6 | 9 | 82 | Bilateral Vim DBS | Yes |