Essential Tremor Support Group
Essential Tremor (ET) is a neurological disorder characterized by shaking of hands (and sometimes other parts of the body including the head), evoked by intentional movements. The incidence is unknown, but is estimated to be as common as one person in 20, and it is the most common type of tremor and also the most commonly observed movement disorder.
He's remarkable, innovative, and a leader in clinical drug trials. I was also surprised at his bedside manner. He will spend the time it takes with his patients to see that all of their questions are answered. I feel very fortunate to have him and the team of neuroscientists he works with on my case.
He didn't however give me a ton of information on DBS other than what systems we're available and what he'd heard about upcoming advancements. What I've learned about DBS comes from weeks of reading neuroscience journals and research studies. Most of which I haven't even explained to the both of you. It's a fascinating field, I'm no longer afraid of the surgery, and I know exactly what's out there and what I want.
That being said, I personally am not happy with the current systems in the US market. After meeting with my neurosurgeon today I was told that if I choose to have a system implanted it can later be removed and replaced. Though, he mentioned they don't like to remove and replace the leads, yet in his opinion thought it was doable. He also explained the manner of the actual implantation of the lead, this is the part with the electrical diodes that gets implanted into your ventral intermediate nucleus or ViM of the thalamus. The lead is one of the most important parts of the DBS systems as this delivers the electrical current to your brain interrupting the tremor. The surgery process itself is perhaps a little intimidating but note, people use to have to be awake during the installment of the leads, Now it seems they're fairly confident in a method that allows the patient to remain asleep during this phase. Big news for those that suffer extreme anxiety, you can sleep through the scary part!
I've also just read something promising from the Boston Scientific North American Neuromodulation Society Investor Update 2018. It seems the currently EU only Vercise Gevia IPG and Cartesia lead are looking at a US launch in 2019! https://www.scribd.com/document/369293211/Boston-Scientific-Nans-Analyst-Slides-2018. This is the DBS system I would choose if/when it launches in the US.
Denise, I meant that improvements to what are currently available are 5 - 8 years away. For your situation, and for yours as well Sandra, I would recommend the Abbott DBS system. I don't believe waiting would benefit either of you. Brain surgery is scary and not something to take likely. After everything I've read, including risks and side effects, I think the benefit would far outweigh the risk. DBS can potentially offer you a 60 - 80% reduction in tremor.
Of course always start with your neurologist. I am not a medical Dr. They will determine the best course of treatment for you. Just keep in mind, sometimes we have to become our own advocates ;)
Exodus, thank you for researching so thoroughly and sharing it with us in such an understandable way. Hugs to you both.