Essential Tremor


Essential Tremor (ET) is a condition in which shaking of the hands, head & neck, and even voice may be present, and typically manifests during movement (unlike tremor in Parkinson’s Disease, which is more prominent at rest).  In some cases, tremor may be so severe that patients have difficulty with a variety of routine daily activities, such as eating & drinking, getting dressed, writing, and participating in work or hobbies that require manual dexterity and fine control.  Medications are helpful in some cases, but many remain with disabling tremor despite these.

Deep brain stimulation (DBS) and focused ultrasound are proven technologies that can significantly reduce tremor to improve motor function and quality of life when medications are insufficient.  The optimal procedure will depend on each patient’s condition and goals.

Patients with Essential Tremor are evaluated in a multidisciplinary movement disorders clinic by multiple specialists over a single day.  The team assesses each patient individually to determine whether a surgical option is appropriate, and to recommend a particular course of treatment based upon each person’s medical condition, disease pattern, and life goals.  In addition to allowing us to learn about important aspects of each patient’s condition and needs, this comprehensive evaluation helps patients learn about their own condition and ultimately to make the best decisions for themselves.

Comprehensive Care Center

Comprehensive Movement Disorders Center

Neurosurgical Options

  • Deep Brain Stimulation (DBS) of the VIM Thalamus
  • Focused Ultrasound Thalamotomy


BrainLab AIRO Mobile CT Scanner with Navigation System

Focused Ultrasound

Deep Brain Stimulation

Custom 3D-Printed Targeting Platforms

Neurosurgical Robot

593 Eddy Street, APC6
Providence, RI 02903
Phone: (401) 793-9166
Fax: (401) 444-2788