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. 2023 Apr 3;93(3):524–538. doi: 10.1227/neu.0000000000002462

TABLE 4.

Reported Failure Rates for Prethalamotomy vs Post-Thalamotomy Studies Included in Either Efficacy or Adverse Outcome Analyses

Authors Year FUS or SRS n Failure definition Failure rate
C Pae et al.28 2022 FUS 72 <50% contralateral CRST improvement at 6 mo 0.18
J Torii et al.44 2021 FUS 61 <50% contralateral CRST improvement at 3 mo 0.51
K Yamamoto et al.51 2019 FUS 6 Recurrence at 3 mo 0.33
Y Meng et al.52 2018 FUS 35 <50% tremor improvement at 1 y 0.54
FUS aggregate 174 0.37b
C Tuleasca et al.42 2017 SRS 17 ≤50% improvement in TSTH 0.35
A Niranjan et al.20 2017 SRS 91 No improvement in any FTM scores 0.12
C Ohye et al.60 2012 SRS 53a ≤50% improvement in tremor 0.15a
SY Lim et al.43 2010 SRS 17 Lack of tremor suppression 0.12
D Kondziolka et al.9 2008 SRS 27 Lack of tremor improvement 0.11
C Ohye et al.61 2002 SRS 11 <75% tremor reduction 0.22
RF Young et al.22 2000 SRS 51 Criteria not described, “treatment failure” 0.079
A Niranjan et al.23 2000 SRS 8 <50% tremor improvement 0.00
RF Young et al.24 1998 SRS 27 Little or no reduction in tremor 0.11
SRS aggregate 302 0.13b

CRST, Clinical Rating Scale for Tremor; FTM, Fahn-Tolosa-Marin; FUS, focused ultrasound; SRS, stereotactic radiosurgery; TSTH, tremor score for the treated hand.

a

Includes both essential tremor and Parkinson disease patient populations.

b

From studies that explicitly reported failure rates, poor responses, or nonresponder cohort.