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MR-guided focused ultrasound · Queen Square

Focused ultrasound for essential tremor

MR-guided focused ultrasound (MRgFUS) concentrates ultrasound energy on a small brain target involved in tremor. MRI helps the team plan and monitor treatment. It creates a permanent lesion without a surgical incision or an implanted stimulator.

A spiral drawing assessment for tremor
Assessing tremor at Queen Square · Queen Square Imaging Centre

Is it suitable for me?

It may be considered for essential tremor that remains disabling despite medication. The team assesses your diagnosis, symptoms, scans, skull characteristics and ability to tolerate treatment in an MRI scanner. DBS and other approaches may also be discussed.

Treatment by a specialist team

The Queen Square service brings together neurology, neurosurgery, radiology and specialist support. Mr Akram works within this multidisciplinary service. Assessment and follow-up are integral to the treatment, rather than separate from it.

What should I expect?

Treatment is generally performed while you are awake so that symptoms and possible side effects can be assessed. The service will explain preparation, positioning, what the treatment feels like and arrangements for recovery.

Benefits & possible side effects

Treatment aims to reduce tremor, especially in the treated hand. Improvement varies, symptoms may return, and it does not cure the underlying condition. Numbness, balance or walking problems and speech changes can occur; some effects may persist. Unlike DBS settings, the lesion cannot be adjusted or reversed.

Arrange an assessment

Contact the Queen Square focused ultrasound team on 020 7833 2513 or treatment@queensquare.com. They can advise on assessment and the current referral pathway.

Meet the multidisciplinary team

Learn more about colleagues across the Queen Square services involved in assessment, treatment and ongoing care.

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