Unilateral subthalamotomy in patients with Parkinson’s disease
DOI:
https://doi.org/10.5281/zenodo.12207194Keywords:
ablation techniques, parkinson disease, subthalamic nucleusAbstract
Introduction: subthalamotomy is a viable option for Parkinson's disease. The resulting postoperative dyskinesia and extranuclear lesion limit its application.
Objetivo: describir los resultados de la subtalamotomía en pacientes con enfermedad de Parkinson.
Métodos: se realizó un estudio descriptivo de serie de nueve pacientes que cumplieron con los criterios de la investigación. The time between diagnosis and operation, the intercommissural distance, the electrophysiological and therapeutic intranuclear recording paths, the number of lesions and their relationship with the posterior commissure were evaluated. Ethical principles were met.
Results: the mean between diagnosis and surgical intervention was 5.7 years. The anterior commissure-posterior commissure distance averaged 28.3 mm. 53 records were made, 46 of these were intranuclear. Two ablative lesions were carried out per patient, by intranuclear path. Dyskinesia was observed in one case, coinciding with the largest number of records.
Conclusions: subthalamotomy is a safe technique. The lesion outside the dorsolateral region found in one of the patients was related to postoperative dyskinesia.
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