Successful Deep Brain Stimulation Surgery Using Remifentanil Sedation in a Noncompliant Patient With Holmes Tremor

Vincenzo Fodale, Raffaella Mallamace, Sebastiano Lucerna, Alfredo Conti, Francesca Morgante

Abstract


Holmes tremor is characterized by irregular resting, postural and intention tremors. Deep brain stimulation (DBS) is an effective treatment. A 34-year-old man with Holmes tremor, secondary to head trauma, became agitated during DBS performed under local anesthesia. Remifentanil 0.03 g/kg/min provided effective sedation and DBS was safety and successful performed.




J Curr Surg. 2015;5(4):207-208
doi: http://dx.doi.org/10.14740/jcs288e

Keywords


Agitation; Deep brain stimulation; Holmes tremor; Neurosurgery; Remifentanil; Sedation

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