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

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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.

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Authors and Affiliations

  1. Division of Neurosurgery, Loma Linda University Medical Center, Loma Linda, CA, USA

    R. P. Iacono, R. R. Lonser & Sh. Yamada

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  1. R. P. Iacono
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  2. R. R. Lonser
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  3. Sh. Yamada
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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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