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New operation can help some Parkinson's sufferers

WebPosted Wed Jun 7 23:09:51 2000
http://cbc.ca/cgi-bin/templates/view.cgi?/news/2000/06/07/parkisnosn000607

TORONTO - For Peter Kingston, a brisk walk on a June day is a
significant undertaking, considering he has struggled with Parkinson's
disease for the last 30 years.

Six years ago, in spite of medications, he was barely able to walk, and
he could hardly get out of a chair. Then, he had an amazing turnaround.

He had an extraordinary operation called a pallidotomy. The surgeon
inserts an electrode into the patient's brain. An electrical current is
used to locate then destroy a pea-sized part of the brain that causes
symptoms of Parkinson's disease.

The patient remains awake to help guide the surgeon through the maze of
brain cells.

Following his operation, Kingston literally got up off the table and
moved. Doctors have reported spectacular immediate results for some
time. What they haven't known - until now - is how long the benefits
last.

In this week's New England Journal of Medicine, Toronto researchers
report the benefits of pallidotomy can last for more than five years;
relieving tremors of the hands and feet and allowing people to move at
more normal speed.

Dr. Andres Lozano is a pioneer in Parkinson's research and one of the
study's authors.

Dr. Andres Lozano

"The surgery has turned back the clock on their illness," he says.
"They've reverted back to the stage they were in their illness five
years before, where they were more independent."

The surgery isn't a cure. The disease inevitably progresses. Many people
have to go back on medications. And, the surgery has risks.

"There are some patients, fortunately not in our hands, but in others
who have died from this surgical intervention; there are patients who've
had strokes and hemorrhages in the brain as a complication of this
procedure," says Dr. Anthony Lang, a Toronto neurologist

Peter Kingston says the risk was worth it. Thanks to the surgery, he's
back to his regular job of diagnosing computer viruses - now that he's
got his own diagnosis under control.

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