What to Expect
Patients with tremor who are interested in this approach are evaluated by a neurologist specializing in movement disorders.
The evaluation includes a complete medical history and physical. There are many potential causes of tremor, so the first step is accurate diagnosis. We then review all options for bringing the tremor under control, including pharmacological therapy, brain surgical treatments, and transcranial MR-guided focused ultrasound.
Patients who are possible candidates for either deep brain stimulation surgery or transcranial MR-guided focused ultrasound are enrolled in UTSW’s neuromodulation network. The network organizes a series of tests, including measurement of tremor severity using validated scales and videotape analysis, cognitive testing, and other tests as needed. After the testing, we hold a multidisciplinary conference with neurologists, neurosurgeons, neuroradiologists, neuropsychologists, and physical therapists to review each patient’s case. We recommend the best option for the patient, considering the risks and benefits of each approach and the patient’s preference. If transcranial MR-guided focused ultrasound is recommended, patients then meet with neuroradiologist Bhavya R. Shah, M.D., an expert in MRgHIFU.