Using stereotactic radiosurgery to treat essential and Parkinsonian tremors

Stereotactic Radiosurgery for Essential Tremor and Parkinsonian Tremor

Observational Vanderbilt University Medical Center · NCT01734122

This study is testing if a new type of radiation treatment can help people with essential tremor or Parkinsonian tremor feel better and improve their quality of life.

Quick facts

Study typeObservational
Enrollment60 (estimated)
Ages18 Years and up
SexAll
SponsorVanderbilt University Medical Center Academic / other
Drugs / interventionsradiation
Locations1 site (Nashville, Tennessee)
Trial IDNCT01734122 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the impact of stereotactic radiosurgery (SRS) on the quality of life and severity of tremors in patients with essential tremor or Parkinsonian tremor. Participants will complete questionnaires to assess their experiences and outcomes following SRS treatment, which utilizes focused radiation to target the brain region responsible for tremors. The study seeks to determine if linear accelerator-based SRS is as effective and safe as the more commonly reported Gamma Knife procedures. This approach offers a noninvasive alternative for patients who are not candidates for traditional surgical options.

Who should consider this trial

Good fit: Ideal candidates include adults over 18 with essential tremor or Parkinsonian tremor that is not sufficiently managed by medication and who prefer noninvasive treatment options.

Not a fit: Patients with contraindications to cranial radiation or those who have had prior surgical treatments for tremor may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly improve the quality of life for patients suffering from tremors that are not adequately controlled by medication.

How similar studies have performed: Previous studies have shown that stereotactic radiosurgery is a safe and effective treatment for tremors, but this specific approach using linear accelerator-based SRS is novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Must be certified by a neurologist as having essential tremor or Parkinsonian tremor that is insufficiently controlled by medication alone.
* Preference to receive radiation treatment for tremor treatment, rather than surgical DBS implantation or surgical thalamotomy
* At least 18 years old

Exclusion Criteria:

* Contraindications to cranial radiation (such as prior radiation to the thalamus)
* Inability to have a MRI of the brain
* Prior surgical thalamotomy treatment (but contralateral deep brain stimulator \[DBS\] is permitted)
* Estimated life expectancy less than 1 year

Where this trial is running

Nashville, Tennessee

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions TremorEssential TremorParkinson DiseaseRadiosurgeryQuality of LifeStereotactic RadiosurgeryParkinsonian TremorSeverity of Tremor
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.