Essential Tremor Clinical Trial
Official title:
Ataxia in Essential Tremor: Describing the Differences Between Disease Process and Treatment Effect (ATAX)
The proposed study aims to characterize ataxia occurring in essential tremor and essential tremor with DBS.
Objectives: In recent years, there has been a growing amount of evidence tying Essential
Tremor (ET) to cerebellar dysfunction. This has been clinically observed, demonstrated
through specific gait measures of ataxia (often involving tandem gait), and confirmed through
Positron emission tomography (PET) imaging. Deep Brain stimulation for ET has become a widely
utilized therapeutic intervention for patients, and the bilateral thalamic ventralis
intermedius (VIM) is most commonly implanted. However, it has been noted that in some
patients gait ataxia significantly worsens post-op. This initially was thought to be a result
of disease progression, but recent studies have in fact shown that this is a DBS related
phenomenon.
Methods: Participants will have two visits to either the Portland VA or Oregon Health &
Science University (OHSU). At each visit, several assessments of balance, tremor, gait and
balance, and DBS settings will be made. The gait and balance assessments will be performed by
a unblinded and a blinded rater.
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