Essential tremor is the most common tremor disorder and s characterized by a symmetric postural and kinetic tremor of he upper extremities, with possible implication of head, lower imbs and voice. This condition can be associated with marked mpairment and medications (mainly beta-blockers and primione) achieve moderate improvement. Since the late 1990s, ventral ntermediate nucleus of the thalamus (Vim) deep-brain stimulation as largely replaced thalamotomy as the intervention of choice for rug-resistant disabling essential tremor.