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----- Original Message ----- From: "Chris van der Linden, M.D." <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, April 24, 2001 9:47 PM Subject: pallidotomy/pallidal stimulation > I agree with Bob. Pallidotomy is obsolete. > So is pallidal stimulation for Parkinson's disease. On May 9th I will be > presenting results of unilateral pallidal stimulation in 37 patients at the > Anual Meeting of the American Academy of Neurology. Within 36 months 17 > patients required surgery, because of worsening of symptoms and gait > disturbances with freezing episodes. All patients had bilateral STN > stimulation. The pallidal brain electrode was left in place, but was > disconnected. All patients had major improvement of gait and reduction of > medication was significant (more than 50% reduction of levodopa). Read > abstracts on deep brain stimulation at www.aan.com go to meeting and > abstract-online; register free of charge and you can search on all different > aspects of DBS. > > > > ----- Original Message ----- > From: "Robert A. Fink, M. D." <[log in to unmask]> > To: <[log in to unmask]> > Sent: Sunday, April 22, 2001 8:03 PM > Subject: Re: Bouncing > > > > Date sent: Sun, 22 Apr 2001 02:57:15 -0400 > > Send reply to: [log in to unmask] > > From: Greg Leeman <[log in to unmask]> > > Subject: Re: Bouncing > > To: [log in to unmask] > > > > > Have you considered a pallidotomy. The major effect is the end of the > > > awful dyskinesias we all seem to suffer from after the drug honeymoon > > > wears off. I have been told by several leading neurosurgeons that > > > while pallidotomy is destructive, it does not preclude any future > > > operations from being done. > > > > Pallidotomy, in many situations, is becoming an obsolete procedure > > (again). The "gold standard" in cases such as described above is > > deep brain stimulation (DBS), and this does not result in a destructive > > operation. I am most familiar with the work of Dr. Gary Heit at Stanford > > University Medical Center (California), but there are many other > > centers doing this work as well. > > > > > > Best, > > > > Bob > > > > > > ********************************************** > > Robert A. Fink, M. D., F.A.C.S., P. C. > > 2500 Milvia Street Suite 222 > > Berkeley, California 94704-2636 > > Telephone: 510-849-2555 FAX: 510-849-2557 > > WWW: http://www.rafink.com/ > > > > mailto:[log in to unmask] > > > > "Ex Tristitia Virtus" > > > > ********************************************* > > > > ---------------------------------------------------------------------- > > To sign-off Parkinsn send a message to: > mailto:[log in to unmask] > > In the body of the message put: signoff parkinsn > > > > ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn