Rp. Iacono et al., CONTEMPORANEOUS BILATERAL POSTERO-VENTRAL PALLIDOTOMY FOR EARLY-ONSETJUVENILE TYPE PARKINSONS-DISEASE - CASE-REPORT, Acta neurochirurgica, 131(3-4), 1994, pp. 247-252
Early onset ''juvenile type'' Parkinson's disease is commonly associat
ed with disabling bilateral levodopa-induced dyskinesias. We report he
re a successful contemporaneous bilateral postero-ventral pallidotomy
performed on a 46-year-old male with juvenile type Parkinson's and ass
ociated levodopa incited symmetric dyskinesias. A comparison of variou
s surgical alternatives is included. Preoperative and postoperative ev
aluation, operative method and posteroventral pallidotomy's therapeuti
c mechanism are presented.