Hello Everyone, I am new to the list and in need of information, suggestions and guidance! My mother 64, 9 years, is scheduled for either a Pallidotomy or a Thalamotomy at Philadelphia Graduate Hospital to be performed by Dr. Munz. Her symptoms in order of severity are as follows: extremely bad posture (bent over double), tremor, poor balance, difficulty swallowing, soft speech, painfull joints, freezing and dyskinesia. One of her physicians has recommended a Thalamotomy suggesting that it may be better for tremor. Another physician thinks that the Pallidotomy is a better choice. She believes that Pallidotomy helps patients with tremor 50% of the time and my mother could up her meds to further control tremor without severe dyskinesia. Also, in her opinion, the surgery risks associated with Thalamotomy (disturbed speech and clumsy hand) are greater than the surgery risks for Pallidotomy. The physicians have left the decision to my mother. I would appreciate hearing from anyone who has knowledge or experience of these procedures. Thank you for any help and advice. Renee Simpson