Ablative surgery for Parkinson's disease: Is there still a role for pallidotomy in the deep brain stimulation era?
| Autor: | Bruno Spindola, Marco Orsini, Erich Talamoni Fonoff, Bruno Lima Pessoa, Marco Antonio Araujo Leite, José Alberto Landeiro |
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| Rok vydání: | 2016 |
| Předmět: |
Ablation Techniques
medicine.medical_specialty Deep brain stimulation Parkinson's disease Pallidotomy medicine.medical_treatment Deep Brain Stimulation Disease Motor symptoms 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Ablative surgery 030212 general & internal medicine DOENÇAS DEGENERATIVAS business.industry Parkinson Disease General Medicine medicine.disease Neuromodulation (medicine) Surgery Posteroventral pallidotomy Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1872-6968 |
| Popis: | Posteroventral pallidotomy has already been considered the surgical procedure of choice for Parkinson's disease patients with motor complications. Recently, however, several factors led to its replacement by deep brain stimulation. Nevertheless, pallidotomy has a well-documented efficacy and safety evidence regarding the reduction of parkinsonian motor symptoms. Yet, there may be manysituations where it may be considered as a better option than neuromodulation. Herein we review those possible conditions, giving emphasis to the costs, which we found to be the most limiting factor. Importantly, a cost comparison between deep brain stimulation and pallidotomy was also provided. |
| Databáze: | OpenAIRE |
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