Estimulação cerebral profunda no Tratamento do tremor essencial: evidências atuais
DOI:
https://doi.org/10.36557/2674-8169.2026v8n3p850-871Palavras-chave:
Tremor essencial, Tratamento, Estimulação cerebral profundaResumo
Introdução: O tremor essencial (TE) é uma doença neurológica crônica com o potencial de impactar a qualidade de vida daqueles acometidos por ela, sobretudo em casos refratários. Nesse sentido, o presente artigo visa avaliar as evidências atuais e as perspectivas da estimulação cerebral profunda (ECP) como tratamento do TE. Metodologia: a revisão integrativa foi baseada em 35 estudos sobre a ECP no tratamento do TE. Utilizou-se a estratégia PICO e as bases de dados MEDLINE/PubMed, BVS e Science Direct para seleção dos artigos. Resultados: A ECP mostrou-se eficaz na redução do tremor essencial com melhora de até 87% no tremor contralateral e redução significativa de 66% nos marcos de pontuação da escala de classificação de tremor após 6 meses de tratamento contínuo. A segurança da ECP foi classificada como de risco aceitável, com efeitos adversos leves ou ajustáveis por meio de reprogramação. Conclusão: A ECP é uma abordagem eficaz e segura para o tratamento do TE refratário e se mostrou superior frente outras alternativas terapêuticas. Dentre os avanços tecnológicos, a ECPa é notória, mas a neuroplasticidade induzida pela estimulação crônica e a Habituação levam a perda gradual da eficácia a longo prazo.
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Copyright (c) 2026 Keren Suely Rocha Bezerra, Raiane Maria Beserra de Brito , João Gabriel de Castro Correia, Yasmin Marques Fagundes Protásio, Rodrigo Dantas do Nascimento Filho, Maria Júlia Toscano de Azevedo Santos, Pedro Eduardo Gurjão de Gois, Ana Larissa Fernandes de Holanda Soares
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os autores são detentores dos direitos autorais mediante uma licença CCBY 4.0.
