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

Sep 1, 2024 | Magazine: Neurosurgical Focus

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