Aktuelle Therapie des Tremors

Zusammenfassung

Tremor ist eines der häufigsten neurologischen Symptome, und ist oft behandlungsbedürftig. Es stehen eine Reihe von Medikamenten zur Verfügung, die je nach klinischer Erscheinungsform des Tremors gezielt eingesetzt werden können. Mittlerweile gut etabliert ist die operative stereotaktische Behandlung mittels tiefer Hirnstimulation, die bei fast allen pathologischen Tremorformen deutlich wirksamer ist als die Medikamente. Die Therapieoptionen und die Eskalationsstufen für die häufigsten primär neurologischen Tremorer werden dargestellt.

Abstract

Tremor is one of the most common symptoms in clinical neurology and often needs treatment. Numerous drugs have antitremor effects and should be chosen according to the clinical appearance of the tremor syndrome. Deep brain stimulation after stereotactic electrode placement has meanwhile become a well established therapeutic option the effects of which are by far stronger than those of medical treatment in almost all pathological tremors. The therapeutic options and practical steps in the treatment of most primary neurological tremors are delineated.

Schlüsselwörter

Tremor - medikamentöse Therapie - Tiefe Hirnstimulation

Keywords

tremor - drug treatment - deep brain stimulation

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