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


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.

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Correspondence to R. P. Iacono.

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Iacono, R.P., Lonser, R.R. & Yamada, S. Contemporaneous bilateral postero-ventral pallidotomy for early onset “juvenile type” Parkinson's disease. Case report. Acta neurochir 131, 247–252 (1994). https://doi.org/10.1007/BF01808622

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  • Akinesia
  • dyskinesia
  • postero-ventral pallidotomy
  • thalamotomy