^^^^^^GREETINGS FROM^^^^^^^^^^ Ivan Suzman 47/10 [log in to unmask] Portland, Maine land of lighthouses 43 deg. F cold and breezy *********************************************************** Dear Listmembers, Today my local neurologist , who is not a movement disorder specialist, called me, and we talked about surgical options for me. I don't think he understands when Pallidotomy is preferable to Pallidal Stimulation. Neither do I. I told him I would ask the listmembers. *** Can anyone explain which symptoms are suggestive of a PWP benefitting from a pallidotomy, as opposed to a pallidal stimulaiton? My dominant symptom is freezing, and painful end-of dose symptoms, including toes curling, sometime right inside my boots or sneakers. Resting tremor is not present with me unless I have a sudden wearing-off. IVAN