This 73-year-old left-handed man had complained of progressively worsening tremor for more than 25 years. He had become unable to write or (actually more of a concern to him) use chop sticks.
He was evaluated in the multidisciplinary tremor clinic at Monmouth Neuroscience Institute in March 2013. We determined that he had already failed to respond to, or had side effects from, the oral medications usually used to treat tremor. He was not a good candidate for deep brain stimulation because of previous bran surgery and cognitive impairment.
He underwent gamma knife radiosurgery to the R thalamus in April 2013. There were no side effects.
He started to see significant improvement in L sided tremor during the fall of 2013, and by October was able to use chop sticks again!