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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