Publication Type |
Journal Article |
School or College |
School of Medicine |
Department |
Neurosurgery |
Creator |
Couldwell, William T. |
Other Author |
Grafton, Scott T. |
Title |
Pallidotomy in advanced Parkinson's disease |
Date |
1995 |
Description |
To the Editor: We read with interest the comments published regarding our recent article on pallidotomy in patients with advanced Parkinson's disease (3). There seems to be confusion as to some of the technical methods used in creating the radiofrequency lesions in these patients. As noted in the Patients and Methods section, multiple lesions were created by moving the probe to achieve the ultimate overall lesion. The short radiofrequency times noted in the comments are used in performing thalamotomy by our group to titrate the size of the lesion to the clinical response. However, the lesions created in the medial pallidum in the present series of patients were large (lesioning times, 45-60 s for each probe position), as also noted by the dimensions of the lesions revealed by the follow-up MRI studies. The size and position of the lesions should target the globus pallidus internus and certainly some of the globus pallidus externus as well, given the relative size and proximity of these targets (see Plate 27 [coronal] and Plate 45 [sagittal] of the Atlas for Stereotaxy of the Human Brain [2). |
Type |
Text |
Publisher |
Wolters Kluwer (LWW) |
Volume |
37 |
Issue |
6 |
First Page |
1234 |
Last Page |
1235 |
Subject |
Pallidotomy; Dyskinesia |
Subject LCSH |
Parkinson's disease -- Treatment; Globus pallidus -- Surgery |
Language |
eng |
Bibliographic Citation |
Couldwell, W. T., & Grafton, S. T. (1995). Pallidotomy in advanced Parkinson's disease [Letter to the editor]. Neurosurgery, 37(6), 1234-5. |
Rights Management |
(c) Wolters Kluwer (LWW) http://lww.com |
Format Medium |
application/pdf |
Format Extent |
103,500 bytes |
Identifier |
ir-main,12987 |
ARK |
ark:/87278/s69601q6 |
Setname |
ir_uspace |
ID |
703244 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s69601q6 |