 |
 |
My procedure was bilateral STN done as a single operation for about 10 hours. The last 2 hours were done under general anesthesia to implant the pacers and route the wires from the head to the chest. Charlie Hans van der Genugten wrote: > -----Oorspronkelijk bericht----- > Van: Don Coplin & Glenna McK Coplin <[log in to unmask]> > Aan: [log in to unmask] <[log in to unmask]> > Datum: vrijdag 28 mei 1999 21:20 > Onderwerp: Re: DBS of the STN > > Hi Glenna, > > >> but thought it was not available in the US. However, some PWPs seem > to be getting it in the States somehow. << > > Some listmembers in USA can inform you better about that. > AS far as I know it's limited available as a trial. > > >> superior over pallidotomy if a patient is eligible for pallidotomy. << > > Such operations are allways patient specific. > Depending on PD symptoms and other conditions. > In general, if there is no urgency for operating, it's IMO advisable to wait > for the availability of the (bi-)lateral DBS of the STN. > Pallidotomy mostly reduces stiffness and slow movement, but the levels of > meds can hardly be reduced. > Thalamotomy mostly reduces tremor, but can only be done on ONE side, because > bi-lateral it gives complications with speech amongst others. > Pallidotomy and thalamotomy are one time events, but with DBS the strenght > of the pulses can be adjusted, switch polarity or change the way the input > of the pulses are devided over the several electrodes. > And DBS reduces stiffnes as well as tremor and meds can be reduced. > > Hans. -- ****************************************************************************************** Charles T. Meyer, M.D. Middleton (Madison), Wisconsin [log in to unmask] ******************************************************************************************