Deep brain stimulation (DBS) in the treatment of dystonic tremor is well established with targets including the venterointermediate nucleus (VIM), globus pallidus interna (GPi). More recently the subthalmic nucleus (STN) and zona incerta (ZI) have emerged as promising targets [1]. DBS targeting the centromedian nucleus (CMN) has been found to be a safe and effective treatment for refractory generalised epilepsy. [2]. There is no body of evidence in the literature where dystonic tremor and refractory generalised epilepsy have been managed simultaneously and successfully by stimulation of the VIM.
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