Australian Government - Department of Health and Ageing

Medical Services Advisory Committee (MSAC)

Application 1109

Deep brain stimulation for essential tremor and dystonia

Deep Brain Stimulation for Essential Tremor and Dystonia

Application No.

1109

Application NameDeep brain stimulation for essential tremor and dystonia
Advisory PanelProfessor Brendon Kearney
(Chair and MSAC Member)
Dr David Wood
(MSAC Member)
Mr Raymond Cook
( Royal Australasian College of Surgeons nominee)
Dr Richard Boyle
(Australian and New Zealand Association of Neurologists nominee)
Dr Padraic Grattan-Smith
(Co-opted Paediatric Neurologist)
Dr Barry Vieira
(Australian Society for Geriatric Medicine nominee)
Ms Shirley Shaw
(Consumers’ Health Forum of Australia nominee)
Date Received by MSAC SecretariatEssential Tremor component – 4 September, 2006
Dystonia component – 1 February, 2007
Stage 1 - EligibilityEligible
Stage 2 - AssessmentCompleted
Stage 3 - Formulation of Advice to the MinisterMSAC has considered the safety, effectiveness and cost effectiveness of Deep Brain Stimulation (DBS) as end stage treatment for Primary and Secondary Dystonia and Essential Tremor.

This treatment is indicated where other therapies are insufficient and the patient has severe disability including inability to feed or toilet independently.

DBS is relatively safe in the context of the clinical condition and the net benefit of the treatment.

MSAC considers the treatment is sufficiently effective in these conditions.

Robust information on cost effectiveness is unlikely to emerge but the total cost is acceptable.

MSAC recommends public funding of DBS for Primary and Secondary Dystonia and Essential Tremor in patients where other therapies are insufficient and the patient has severe disability including inability to feed or toilet independently.
Stage 4 - Decision
Noting of MSAC advice by the Minister does not constitute a final decision in relation to the provision of public funding.
MSAC considered this assessment on 6th June 2008.
The Minister noted MSAC's advice on 28th August 2008.
Stage 5 - Implementation

Page currency, Latest update: 01 October, 2008