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Re: DBS after pallidotomy?
Mornin' Bob, Art, 'n All, In British Columbia, there were only 20 DBS surgeries funded in 2001... my understanding is that in fact these 20 "slots" were all reserved for patients who had one prior lesion... "We are currently using deep brain stimulation surgery for patients who already have a lesion on the other side of the brain." Dr Honey also cites risks... I hope everyone understands that this is merely a "discussion" to raise awareness... I am a person who happens to have Parkinson's, I have no medical background... cheers ..... murray Reference: BC Medical Journal Volume 43, Number 4, May 2001, 210-213 * * * On 17 Dec 2003 at 9:34, Robert A. Fink, M. D. wrote: On 16 Dec 2003 at 5:28, Murray Charters wrote: > I'm pretty certain this can happen... (one younger <40 fellow in our > Support Group has had the operation here) > > 3. Globus Pallidal Stimulation. When a patient has already had a > unilateral pallidotomy (pallidotomy on one side of the brain), but > continues to have dyskinesias on both sides of the body, the surgeon > may recommend stimulation of the globus pallidus with a deep brain > stimulator. This is a conservative alternative to a bilateral > pallidotomy (pallidotomy on both sides of the brain), which destroys > brain tissue and risks the permanent impairment of cognition and > language function. The problem with performing DBS after a pallidotomy is that the brain anatomy has been distorted (by the pallidotomy) and electrode placement (for the DBS) may be made difficult or impossible. Best, Bob Robert A. Fink, M. D., F.A.C.S., P. C. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA 510-849-2555 FAX: 510-849-2557 <> "Ex Tristitia Virtus" Disclaimer: That which is written in my e-mail is not to be considered as "medical advice". Such advice can only be given after a formal, in-person, consultation between doctor and patient. ************** ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:listserv@xxxxxxxxxxxxxxxxxxxx In the body of the message put: signoff parkinsn
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