Preliminary results in surgery of Parkinson's disease
Arq. neuropsiquiatr
; 56(3B): 533-9, set. 1998. ilus, tab
Article
em En
| LILACS
| ID: lil-220875
Biblioteca responsável:
BR1.1
ABSTRACT
The authors present the preliminary results of 20 patients selected to be operated on between January 1996 and April 1997. These patients presented one of the present indications for stereotactic posteroventral pallidotomy (PVP), such as rigidity, akinesia/bradykinesia, gait dysfunction, drug induced dyskinesias and tremor. Every patient of this protocol was evaluated by UPDRS score, Schwab and England scale, Hoehn and Yahr Staging Scale before and after surgery. The results in 3 months showed a remarkable improvement after PVP (P<0.01) in all functional assessments, except for facial expression, speech and posture. The morbidity was 5 per cent. 5 patients (25 per cent) who were in Hoehn and Yahr 5 underwent a bilateral simultaneous PVP. In 5 patients (25 per cent), who had tremor, during the PVP, VIM thalamotomy was added. These preliminary results suggest that PVP is highly effective for PD symptoms.
Texto completo:
1
Índice:
LILACS
Assunto principal:
Doença de Parkinson
/
Tálamo
/
Globo Pálido
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Arq. neuropsiquiatr
Assunto da revista:
NEUROLOGIA
/
PSIQUIATRIA
Ano de publicação:
1998
Tipo de documento:
Article