The pallidotomy debate

It has been suggested that image-guidance and macro-stimulation alone are not sufficiently accurate to result in safe and effective lesion localization in pallidotomy for Parkinson's disease when compared with micro-electrode recording. This review analysesthe data in the seriespublished to dat...

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Veröffentlicht in:	British journal of neurosurgery 1998, Vol.12 (2), p.146-150
Hauptverfasser:	B. CARROLL, C., SCOTT, R., DAVIES, L. E., AZIZ, T.
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Brain Mapping - methods Computer Simulation Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Globus Pallidus - physiopathology Globus Pallidus - surgery Humans Image Processing, Computer-Assisted Key Words: Micro-electrode Recording, Pallidotomy, Parkinson's Disease Magnetic Resonance Imaging Medical imaging Medical sciences Microelectrodes Muscular system Neurology Parkinson Disease - physiopathology Parkinson Disease - surgery Parkinson's disease Postoperative Complications - physiopathology Treatment Outcome
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Zusammenfassung:	It has been suggested that image-guidance and macro-stimulation alone are not sufficiently accurate to result in safe and effective lesion localization in pallidotomy for Parkinson's disease when compared with micro-electrode recording. This review analysesthe data in the seriespublished to date,andcomparesthe safety and efficacy ofthe two techniques,finding no evidence to support this claim. In addition, evidence regarding the necessary accuracy of lesion placement is reviewed.
ISSN:	0268-8697 1360-046X
DOI:	10.1080/02688699845294