MRgFUS, which stands for MRI-Guided Focused Ultrasound, is a non-invasive procedure that is offered to patients diagnosed with Essential Tremor and tremor-dominant Parkinson’s that is in a more advanced stage. Unlike conventional brain surgery, MRgFUS does not require cutting into the skin, stitches or the use of an implanted device. MRgFUS uses focused ultrasound waves to target the brain area that is responsible for the tremors and is guided through MRI.

For many patients, MRgFUS allows them to recover more rapidly when compared to other surgical options. Nevertheless, recovery is an extremely important component of this treatment. Knowing what to expect from the recovery phase and adhering to the physician’s orders will lead to a more pleasant recovery.

Why is MRgFUS Done?

If patients experience tremors that have become disruptive to their daily life and the tremors have become resistant to treatment with medication, then this procedure is a likely option.

Symptoms that could lead to an MRgFUS appointment:

• Tremors Affecting the Ability to Write & Consume Food & Beverages
• Tremors Affecting Daily Activities & Employment
• Tremors Leading to a Loss of Independence

Of these symptoms, any one could be indicative of an MRgFUS appointment; however, not all patients who exhibit these symptoms will be a likely candidate for the procedure without a more thorough neurological assessment.

What is the Diagnosis Process?

An assessment will be scheduled with a neurologist to determine if MRgFUS is an option after the diagnosis is confirmed.

This assessment may include:

• Tremor Severity Assessment
• Neurological Assessment
• MRI of Brain
• Medical History Assessment
• Review of Medications
• Assessment of Medications
• Assessment of Current General Health

These assessments will be done to determine if MRgFUS is an appropriate option for a patient. These assessments will give a more definitive cause for tremors.

What to Expect After MRgFUS

If you have this procedure done, surgeons state that you might notice improvements in hand tremors after the surgery. Not everyone has the same experience.

You might experience temporary symptoms of:

• Slight Headaches
• Dizziness
• Fatigue
• Difficulty Balancing
• Numbness/Tingling

These usually go away in a few days or weeks. What symptoms you experience will depend on how you recover. Your doctors will inform you what is standard for your recovery.

How to Ensure a Safe, Good Recovery

Follow Medical Advice

Recovery is just as important as the surgery. Make sure you show your surgeon and doctors your commitment to recovery by showing up for all follow-up appointments and taking any prescribed medications.

Hydration and Nutrition

Make sure you are eating and drinking your recommended fruits and veggies and whole grains. Balanced diets lead to better recoveries.

Return to Activities Gradually

You can return to all your daily tasks in a short period after the surgery, but refrain from your normal exercise routine until given the go-ahead by a doctor.

Continue to Exercise

Remember, taking your balance and walking exercises is of utmost importance, and is a fragile recovery in and of itself, so make sure you keep doing those daily.

Decrease the Risk of Falls

Dizziness during the recovery period is to be expected. Make sure to keep your environment as free from obstacles as possible and make sure the shoes you are wearing have good support.

When to See a Doctor

While complications are rare, you should consider seeing a doctor if you have:

• Severe headaches
• Consistent nausea
• New weakness
• Speech issues
• Changes in vision
• High fevers
• Balance issues

Acting fast can make a difference.

Conclusion

While the MRI-Guided Focused Ultrasound procedure has a shorter recovery time than traditional brain surgery, aftercare remains important. Recovery is made easier through a good diet, good sleep, medical check-ups, and a return to normal life at a healthy pace. Patients know what to expect during their recovery and can work with their medical professional to get the best life post-recovery.

The team at Royal Care Neurosciences has the focus and the technology to provide treatment and aftercare on an individual basis. With a patient-centred focus, we care for and treat those with movement disorders using MRI-Guided Focused Ultrasound.

Frequently Asked Questions

1. How long does recovery take after MRgFUS?

Most people feel better and are able to go back to their normal life in a few days, but recovery is different for everyone.

2. Is it okay to feel sick after MRgFUS?

Yes. It’s common to have dizziness, headaches, or be tired and have a few balance issues, but those will get better.

3. Why is it important to go to your follow-ups after MRgFUS?

We’ll be seeing your doctor regularly to check that you are feeling better and to make sure your doctor is giving you the right care.