Erschienen in:
01.10.2009 | Case Report
Essential tremor leading to toxic liver damage successfully treated with deep brain stimulation
verfasst von:
Johannes Levin, Jan Mehrkens, Alexander Gerbes, Kai Bötzel
Erschienen in:
Acta Neurochirurgica
|
Ausgabe 10/2009
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Abstract
Purpose
We present a patient with severe essential tremor (ET), who underwent thalamic deep brain stimulation (DBS). After previous medical treatment with Propranolol and Primidone failed, the patient resorted to alcohol, which greatly alleviated the symptoms. The downside of this situation, however, was that it led to alcoholism with severely disturbed liver enzymes and hepatic steatosis.
Methods & Results
After DBS the patient was free of tremor and thus could easily abstain from alcohol.
Conclusion
In time the elevated liver enzymes returned to normal, which indicates that sufficient tremor control by DBS can help these patients to abstain from alcohol.