Acta Neurochirurgica

, Volume 131, Issue 3–4, pp 247–252

Contemporaneous bilateral postero-ventral pallidotomy for early onset “juvenile type” Parkinson's disease. Case report

  • R. P. Iacono
  • R. R. Lonser
  • Sh. Yamada
Special Cases

Summary

Early onset “juvenile type” Parkinson's disease is commonly associated with disabling bilateral levodopa-induced dyskinesias. We report here a successful contemporaneous bilateral postero-ventral pallidotomy performed on a 46-year-old male with juvenile type Parkinson's and associated levodopa incited symmetric dyskinesias. A comparison of various surgical alternatives is included. Preoperative and postoperative evaluation, operative method and postero-ventral pallidotomy's therapeutic mechanism are presented.

Keywords

Akinesia dyskinesia postero-ventral pallidotomy thalamotomy 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • R. P. Iacono
    • 1
  • R. R. Lonser
    • 1
  • Sh. Yamada
    • 1
  1. 1.Division of NeurosurgeryLoma Linda University Medical CenterLoma LindaUSA

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