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Essential tremor (ET), also called benign tremor, familial tremor, and idiopathic tremor, is a medical condition characterized by involuntary rhythmic contractions and relaxations (oscillations or twitching movements) of certain muscle groups in one or more body parts of unknown cause. [6]
A thalamic stimulator is a medical device that can suppress tremors, such as those caused by Parkinson's disease or essential tremor. It was approved for use by the Food and Drug Administration (FDA) on August 4, 1997. Installation is invasive, so it is typically only used when the tremors are incapacitating, and medication is ineffective.
The FDA approved DBS for the suppression of tremor in the upper extremity in patients with essential tremor. Ventral intermediate nucleus of the thalamus (VIM) The approval was based on clinical trials showing significant tremor reduction with thalamic DBS in patients with essential tremor, demonstrating long-term efficacy and safety.
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In clinical trials reductions in hand tremors were reported following noninvasive median and radial nerve stimulation. [34] Transcutaneous afferent patterned stimulation (TAPS) is a tremor-customized therapy, based on the patient's measured tremor frequency, and is delivered transcutaneously to the median and radial nerves of a patient's wrist.
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