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It is a sad case, to be sure. I think that the gradual re-institution of levodopa is a good idea; but if it does not work, perhaps the patient might be a candidate for surgical treatment. Although I think that pallidotomy is an "over-promoted" procedure these days, she may be a candidate. Are there any good neurosurgeons in Australia doing this surgery now? Otherwise, here in the States, I would recommend Dr. Patrick Kelly and his group at New York University. Good luck, Bob *********************************** ROBERT A. FINK, M. D., F.A.C.S. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA Phone: (510) 849-2555 FAX: (510) 849-2557 WWW: <http://www.dovecom.com/rafink/> "Ex Tristitia Virtus" ***********************************