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Published in: Acta Neurochirurgica 7/2018

01-07-2018 | Case Report - Functional Neurosurgery - Movement disorders

Deep brain stimulation of the thalamic ventral intermediate nucleus for Benedikt’s syndrome mainly present as tremor: a long-term case observation

Authors: Guoxiong Cheng, Yuan Yang, Yuelong Wang, Hongyu Tan, Shizhen Zhang

Published in: Acta Neurochirurgica | Issue 7/2018

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Abstract

Benedikt’s syndrome (BS) is caused by the lesion in the midbrain and specifically manifests a series of symptoms, including ipsilateral third nerve palsy, contralateral tremor, hemiataxia, and hyperactive tendon reflexes. Deep brain stimulation (DBS) for BS emerges as a new approach and achieves successfully results. We report a successful case report of thalamic ventral intermediate (VIM) nucleus DBS for a patient with BS. During follow-up of 3 years, DBS successfully control the tremor and greatly improve his living and working quality. We consider that VIM DBS may have sustained benefit for refractory BS that mainly presents as tremor.
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Literature
3.
go back to reference Borras JM, Salazar FG, Grandas F (1997) Oculomotor palsy and contralateral tremor (Benedikt’s syndrome) following a stereotactic procedure. J Neurol 244:272–274CrossRefPubMed Borras JM, Salazar FG, Grandas F (1997) Oculomotor palsy and contralateral tremor (Benedikt’s syndrome) following a stereotactic procedure. J Neurol 244:272–274CrossRefPubMed
4.
go back to reference Deuschl G, Bain P, Brin M (1998) Consensus statement of the Movement Disorder Society on tTremor. Ad Hoc Scientific Committee. Mov Disord 13(Suppl 3):2–23PubMed Deuschl G, Bain P, Brin M (1998) Consensus statement of the Movement Disorder Society on tTremor. Ad Hoc Scientific Committee. Mov Disord 13(Suppl 3):2–23PubMed
5.
go back to reference Duncan GW, Weindling SM (1995) Posterior cerebral artery stenosis with midbrain infarction. Stroke 26:900–902CrossRefPubMed Duncan GW, Weindling SM (1995) Posterior cerebral artery stenosis with midbrain infarction. Stroke 26:900–902CrossRefPubMed
6.
go back to reference Fernandez HH, Friedman JH, Centofanti JV (1999) Benedikt’s syndrome with delayed-onset rubral tremor and hemidystonia: a complication of tic douloureux surgery. Mov Disord 14:695–697CrossRefPubMed Fernandez HH, Friedman JH, Centofanti JV (1999) Benedikt’s syndrome with delayed-onset rubral tremor and hemidystonia: a complication of tic douloureux surgery. Mov Disord 14:695–697CrossRefPubMed
8.
go back to reference Franzini A, Cordella R, Messina G, Marras CE, Romito LM, Carella F, Albanese A, Rizzi M, Nardocci N, Zorzi G, Zekay E, Broggi G (2011) Deep brain stimulation for movement disorders. Considerations on 276 consecutive patients. J Neural Transm (Vienna) 118:1497–1510. https://doi.org/10.1007/s00702-011-0656-z CrossRef Franzini A, Cordella R, Messina G, Marras CE, Romito LM, Carella F, Albanese A, Rizzi M, Nardocci N, Zorzi G, Zekay E, Broggi G (2011) Deep brain stimulation for movement disorders. Considerations on 276 consecutive patients. J Neural Transm (Vienna) 118:1497–1510. https://​doi.​org/​10.​1007/​s00702-011-0656-z CrossRef
12.
go back to reference Loseke N, Retif J, Noterman J, Flament-Durand J (1981) Inferior red nucleus syndrome (Benedikt’s syndrome) due to a single intramesencephalic metastasis from a prostatic carcinoma. Case report. Acta Neurochir 56:59–64CrossRefPubMed Loseke N, Retif J, Noterman J, Flament-Durand J (1981) Inferior red nucleus syndrome (Benedikt’s syndrome) due to a single intramesencephalic metastasis from a prostatic carcinoma. Case report. Acta Neurochir 56:59–64CrossRefPubMed
13.
go back to reference Louis ED, Barnes L, Wendt KJ, Ford B, Sangiorgio M, Tabbal S, Lewis L, Kaufmann P, Moskowitz C, Comella CL, Goetz CC, Lang AE (2001) A teaching videotape for the assessment of essential tremor. Mov Disord 16:89–93CrossRefPubMed Louis ED, Barnes L, Wendt KJ, Ford B, Sangiorgio M, Tabbal S, Lewis L, Kaufmann P, Moskowitz C, Comella CL, Goetz CC, Lang AE (2001) A teaching videotape for the assessment of essential tremor. Mov Disord 16:89–93CrossRefPubMed
15.
go back to reference Ono Y, Suzuki M, Kayama T, Yoshimoto T (1994) Multilobulated cystic formation in the brain stem with Benedikt’s syndrome: case report. Neurosurgery 34:726–729 discussion 729PubMed Ono Y, Suzuki M, Kayama T, Yoshimoto T (1994) Multilobulated cystic formation in the brain stem with Benedikt’s syndrome: case report. Neurosurgery 34:726–729 discussion 729PubMed
Metadata
Title
Deep brain stimulation of the thalamic ventral intermediate nucleus for Benedikt’s syndrome mainly present as tremor: a long-term case observation
Authors
Guoxiong Cheng
Yuan Yang
Yuelong Wang
Hongyu Tan
Shizhen Zhang
Publication date
01-07-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 7/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3526-8

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