S-B-5. Stereotaxic Thalamotomy for Intractable Pain

Stereotaxic thalamotomy--experiences from the levodopa era.

After the introduction of levodopa drugs in the late 1960s, the number of thalamotomies fell dramatically world wide. However, as the Parkinsonian tremor proved rather resistant to levodopa treatment, the interest in this operation has been reviewed. During 1978-86, 51 stereotaxic thalamotomies were performed in 48 patient in our department. Thirty three of these patients had Parkinsonism, nine...

Cognitive function in patients with Parkinson's disease undergoing stereotaxic thalamotomy.

OBJECTIVE To determine whether thalamotomy leads to cognitive disturbances in patients with Parkinson's disease. METHODS A total of 53 patients with Parkinson's disease undergoing stereotaxic ventrolateral thalamotomy for tremor and rigidity were tested for cognitive functions before and after surgery. The cognitive functions investigated involved visuospatial perception and memory. verbal me...

Stereotaxic treatment of pain.

bookbinders. A further series of photographs was then shown of dissections of the upper brain-stem showing the 5th nerves and the structures in the vicinity of the apex of the petrous bone. Serial photographs and radio-graphs had been taken while the crushing was in progress and again at the end of each procedure when the crushing force had been released. An attempt was then made to correlate t...

Anterior cingulotomy for intractable pain

Article history: Received 25 September 2016 Accepted 1 October 2016 Conservative therapy is often the first-line treatment for many symptoms of various disease processes, including pain. Nevertheless, if pharmacological or medical management fails for those patients with severe and chronic pain, a surgical strategy may be a reasonable option. First performed for psychiatric disorders, cinguloto...

SNF 5 mutation leads to intractable pain in schwannomatosis patients