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Chris... As I stated in my original post 'bout my having a pallidotomy - which to me was like a rebirth (and still is, 5 years post-surgery!) <thank goodness!!>, I don't need convincing that STN or DBS is tremendously valuable to PWPs. In fact, I mentioned that when I eventually have another PD-related brain surgery, unless there're even newer, more beneficial surgical methods being offered, rather than have a palidotomy on the other side of my head, I'd opt for a DBS. Funny that you should speak of knowing Dr. Iacono who is here in Southern California, with you living in Europe. It's truly a "small world," isn't it? <smile> Barb Mallut [log in to unmask] -----Original Message----- From: Chris van der Linden <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: Wednesday, October 06, 1999 3:08 AM Subject: Re: Fw: PD-Pallidotomy vs biSTN >Dear Barb, > >I fully agree, Dr. Iacono, whome I know personally, is an excellent >neurosurgeon and I do believe he is performing the best pallidotomies in the >US. However, now we are 1999 and there is fastly growing evidence that STN >stimulation is preferable to "tomies". I have stated the reason in previous >postings. So regardles of previous succesfull pallidotomies, I will not >have my surgeon make lesions in the brains of my patients, because now there >is a wonderful alternative without lesioning, with adjustability (is this >correct English?) and with lower risks. We also have to realize that there >are only few Iaconos running around in the world. So less experienced >Neurosurgeons who perform STN may at least do less damage, than when they >would have done pallidotomies. > >Greetings, > >Chris