Scientific publications
3-T MR-guided focused ultrasound thalamotomy for tremor in patients with a cardiac pacemaker: case series and review of the literature. Scientific Publication
Lain H Gonzalez-Quarante 1 , Antonio Gonzalez-Crespo 1 2 , Alana Arcadi 1 , Marta Macias-de-la-Corte 1 , Iciar Aviles-Olmos 3 4 , Carlos A Sanchez-Catasus 3 5 , Elena Cacho-Asenjo 6 4 , Cristina Honorato-Cia 6 4 , Antonio Martinez-Simon 6 4 , Arantza Gorospe 3 4 , Antonio Martin-Bastida 3 , Paula Corral-Alonso 1 , Maria C Rodriguez-Oroz 3 4 , Jorge Guridi 1 4
Abstract
MR-guided focused ultrasound (MRgFUS) has proven its efficacy and safety for the treatment of essential tremor (ET) and/or Parkinson's disease (PD). However, having a cardiac pacemaker has been considered an exclusion criterion for the use of MRgFUS.
Only 2 patients with a cardiac pacemaker treated with MRgFUS have been previously reported, both treated using 1.5-T MRI. In this paper, the authors present their experience performing 3-T MRgFUS thalamotomy in 4 patients with an implanted cardiac pacemaker.
Treatments were uneventful regarding complications or severe side effects. MRgFUS using 3-T MRI was found to be an efficient and safe treatment for ET and/or PD in patients with an MRI-compatible pacemaker.
CITATION Neurosurg Focus. 2024 Sep 1;57(3):E5. doi: 10.3171/2024.6.FOCUS24171