Pallidotomy is performed in patients with Parkinson's disease who are still responsive to levodopa, but who have developed disabling drug treatment complications known as motor fluctuations.
During the procedure, the patient will be asked to make various movements to assist in determining the location of the electrode.
Pallidotomy is performed in the hospital by a neurosurgeon, in coordination with the patient's neurologist.
Some centers perform pallidotomy as an outpatient procedure, sending the patient home the same day. Most centers keep the patient overnight or longer for observation.
The patient will receive a mild sedative to ease the anxiety of the procedure.
On the day of the surgery, the stereotactic frame will be fixed to the patient's head.
Patients will feel improved movement immediately.
Medications may be adjusted somewhat to accommodate the changes in symptoms.
In addition, the patient must remain awake in order to report any sensory changes during the surgery.
Some cognitively fragile patients may become even more impaired after surgery.
ANOTHER NAME FOR THE PATIENT ACCOUNT RECORD IS THE PATIENT?
A final MRI is done with the frame in place to help set the coordinates of the GPi in relation to the frame.
which patient condition shouild not have an angiogram