Pallidotomy in Parkinson’s disease
ثبت نشده
چکیده
Neurosurgery is not widely used to complement pharmacological treatment of Parkinson’s disease. Pallidotomy, a procedure involving heating of malfunctioning brain tissue with an electrode, is the method which has received greatest attention during the 1990s. Several uncontrolled studies have shown that pallidotomy reduces symptoms such as hyperkinesia (involuntary movement), rigidity (stiffness), dystonia (painful muscle cramps), tremors (shakiness), and akinesia (poverty of movement), in that order.
منابع مشابه
Outcome of unilateral pallidotomy in advanced Parkinson’s disease: cohort study of 32 patients
Objectives—In a randomised trial to study the eYcacy of unilateral pallidotomy in patients with advanced Parkinson’s disease, patients having pallidotomy within 1 month after randomisation were compared with patients having pallidotomy 6 months after the primary outcome assessment. Of the 37 patients enrolled 32 had a unilateral pallidotomy. The follow up study of these patients is presented to...
متن کاملStereotactic radiofrequency pallidotomy with microelectrode mapping for treatment of Parkinson's disease.
1.0 CPT PROCEDURE CODE 61720 2.0 DESCRIPTION Pallidotomy is a neurosurgical procedure involving a surgical lesion of the globus pallidus, which lies in the basal ganglia portion of the brain, with the aim of controlling one or more of the major symptoms of parkinsonism, including tremor, rigidity, and hypokinesia, in those patients who have not responded adequately to medical treatment. 3.0 POL...
متن کاملAblative Procedures without Microelectrode Recording in the Management of Advanced Parkinson’s Disease: Complications, Safety and Outcome
© 2015 Egyp an Journal of Neurosurgery. All rights reserved Background. Lesion therapy has been used for Parkinson’s disease (PD) and other movement disorders since the early 1900s. More recently, be er understanding of the pathophysiological basis underlying the development of PD in addition to the advances in imaging technology and electrophysiological techniques used for localization of brai...
متن کاملStereotactic MRI for Functional Neurosurgery in Parkinson’s Disease
Introduction Surgical interventions to control Parkinson’s disease (PD) have a long history. Pallidotomy, for example, was performed in the 1950s for treatment of the motor symptoms of PD (1) but dissatisfaction with the long term results of surgery led to a decrease in popularity and its replacement to a large degree by thalamotomy. More recently a resurgence of interest in surgical interventi...
متن کاملMagnetic resonance guided focused ultrasound pallidotomy for Parkinson’s disease
Background/introduction Parkinson’s disease (PD) is one of the most common movement disorders in adults, often cannot be adequately controlled with medical treatment, and thereby treated with the neurosurgical procedures. Unilateral pallidotomy, making a lesion in the globus pallidus pars interna (GPi), was the predominant surgical technique until early 1900s. Thereafter, deep brain stimulation...
متن کامل