mesЭкстремальная биомедицинаExtreme Medicine3033-89643033-8972Centre for Strategic Planning of the Federal Medical and Biological Agency10.47183/mes.2024.015mes-30Research ArticleОБЗОРREVIEWЭссенциальный тремор: современный взгляд на проблему и новые возможности нейрохирургических методов леченияEssential tremor: modern view of the problem and new neurosurgical treatment optionsКатунинаЕ. А.KatuninaE. A.

Елена Анатольевна Катунина

Серпуховской вал, д. 17, г. Москва, 115191

Elena A. Katunina

Serpukhovskiy Val, 17, Moscow, 115191

elkatunina@mail.ruГрязневР. А.GryaznevR. A.

Москва

Moscow

ШипиловаН. Н.ShipilovaN. N.

Москва

Moscow

КатунинД. А.KatuninD. A.

Москва

Moscow

МалыхинаЕ. А.MalykhinaE. A.

Москва

Moscow

Федеральный центр мозга и нейротехнологий Федерального медико-биологического агентства; Российский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссияFederal Center of Brain Research and Neurotechnologies of the Federal Medical Biological Agency; Pirogov Russian National Research Medical UniversityRussian FederationФедеральный центр мозга и нейротехнологий Федерального медико-биологического агентстваРоссияFederal Center of Brain Research and Neurotechnologies of the Federal Medical Biological AgencyRussian Federation2024221020242612331Copyright © Катунина Е.А., Грязнев Р.А., Шипилова Н.Н., Катунин Д.А., Малыхина Е.А., 20242024Катунина Е.А., Грязнев Р.А., Шипилова Н.Н., Катунин Д.А., Малыхина Е.А.Katunina E.A., Gryaznev R.A., Shipilova N.N., Katunin D.A., Malykhina E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.extrememedicine.ru/jour/article/view/30

Обзор посвящен наиболее часто встречающемуся заболеванию экстрапирамидной системы — эссенциальному тремору (ЭТ). Приведены современные представления о патогенезе заболевания, затронуты вопросы классификации и дифференциального диагноза. Современные методы лечения ЭТ включают терапевтические подходы и хирургические вмешательства. Описаны преимущества нового перспективного метода лечения ЭТ — терапия фокусированным ультразвуком под контролем МРТ (ФУЗ-МРТ), обобщен имеющийся на сегодняшний день мировой опыт его применения, показания и противопоказания.

The review is focused on essential tremor (ET), the most common extrapyramidal system disorder. Current understanding of the disease pathogenesis is provided; issues of classification and differential diagnosis are discussed. Modern ET treatment methods include therapeutic approaches and surgical interventions. The benefits of the new ET treatment method, the magnetic resonance-guided focused ultrasound treatment (MRgFUS), are described; the world’s experience of using the method, indications and contraindications are summarized.

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The authors declare that there are no conflicts of interest present.