Conventional, surgical thalamotomy is an invasive procedure where the target in the thalamus (Vim) is surgically destroyed (ablated). Neurosurgeons use specialized probes inserted deep into the brain to precisely locate the treatment target.  Like DBS surgery and the Neuravive procedure, the patient is usually awake, however, the area on the scalp where the surgical tools are inserted is numbed with an anesthetic.  Different methods can be used to kill the brain cells, including radio-frequency heating or cooling with a special probe.

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