Surgery should be considered for patients with disabling essential tremor that is not adequately controlled with drug therapy.
The two proven surgical treatments are:
Patients who cannot undergo surgery include those who have medical conditions other than ET that make them poor surgical candidates and those with a significant loss of thinking ability. A nonsurgical option is an MRI guided high intensity focused ultrasound (ExAblate Neuro).
Each of these procedures allow patients to potentially reduce their tremor medications.