Gamma Knife Thalamotomy and Pallidotomy in Patients with Movement Disorders: Preliminary Results
Robert W. Rand, David Jacques, R.W. Melbye, Brian Copcutt, M.R. Fisher, M.N. Levenick
Abstract
Robert W. Rand, David Jacques, R.W. Melbye, Brian Copcutt, M.R. Fisher, M.N. Levenick
Abstract
The Leksell Gamma Knife is a useful and safe method to perform thalamotomy and pallidotomy in selected older patients with Parkinson's disease and related movement disorders. In this preliminary report, 2 of 3 patients with severe intention tremor were relieved of their symptoms by thalamotomy, as were 4 of 7 patients with Parkinson's tremor. Four of 8 patients had significant improvement of contralateral rigidity following pallidotomy.
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The Leksell Gamma Knife is a useful and safe method to perform thalamotomy and pallidotomy in selected older patients with Parkinson's disease and related movement disorders. In this preliminary report, 2 of 3 patients with severe intention tremor were relieved of their symptoms by thalamotomy, as were 4 of 7 patients with Parkinson's tremor. Four of 8 patients had significant improvement of contralateral rigidity following pallidotomy.
Key concepts: Thalamotomy, Pallidotomy, Medicine, Movement disorders, Parkinson's disease, Essential tremor, Physical medicine and rehabilitation, Stereotactic surgery