Hi Ida,
> Did the neuro's give any explanation why this is so, what they expect
> to happen if a PWP who had a pallidotomy in the past, would get
> nevertheless a STN DBS be it one- or two-sided?
My understanding of the situation is that for those of us who have already
had a palidotomy:
1. there is no reason to assume that a DBS/STN will be unsuccessful,
but
2. "at this time" they are not being done because no-one actually
knows what results they will get simply because so few (if any)
have been done that there is no evidence available.
3. In other words anyone who can find a doctor who will perform the
surgery on them, should be aware that they are breaking new
ground.
> and what about a one side DBS in he Globus Pallidus.
> In what respect are the results expected to be inferior to STN DBS?
The procedure I am scheduled to have in September is a DBS of the Globus
Palidus. This is to compliment the palidotomy I had 2 1/2 years ago and
control the dyskinesia I experience on the right hand side of my body. My
understanding of the difference between DBS/STN and DBS/GP is that
1. DBS/ GP is used to control dyskinesia ( thereby allowing the
subject to combat the symptoms of PD by increasing their
medications without paying the penalty), whilst,
2. DBS/STN is affective against the symptoms of PD as such.
It is my understanding that DBS?STN is considered the superior procedure as
it addresses the symptoms of PD per se and the subject can expect a
reduction of symptoms AND a reduction in the amount and frequency of their
medications. As it is not available to me now, because of my previous
palidotomy, and as I am not the stuff that heroes are made of, I will go
ahead with the DBS/GP in the hope that the positive expectations of the
doctors prove to be correct and that a DBS/ STN will be available to me in
the future, should I need it.
Dennis
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Dennis Greene 49/dx 37/ onset 32
There's nothing wrong with me that a cure for PD won't fix!
[log in to unmask]
http://members.networx.net.au/~dennisg/
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