Ventajas de Combinar la Subtalamotomía Dorsolateral y la Tractotomía Pálido-Talámica en la Enfermedad de Parkinson Avanzada: Nota Técnica

Boris Zurita-Cueva; Fidel Zambrano Villamar; Jaime Tapia Velásquez

doi:10.47924/neurotarget2011288

Authors

Boris Zurita-Cueva Neurosurgery Unit, Omni-Hospital Guayaquil, Ecuador.
Fidel Zambrano Villamar Neurosurgery Unit, Omni-Hospital Guayaquil, Ecuador.
Jaime Tapia Velásquez Neurosurgery Unit, Omni-Hospital Guayaquil, Ecuador.

DOI:

https://doi.org/10.47924/neurotarget2011288

Keywords:

Subthalamotomy, Forels campotomy, Deep Brain Stimulation

Abstract

Twenty patients with advanced Parkinson disease were treated with combined unilateral dorsolateral subthalamic nucleus radiofrequency lesion and Forels campotomy. We evaluated the clinical features 12 months after surgery. There was a significant reduction in the off periods (47%) and on periods (47.6%) Unified Parkinson‘s disease Rating Scale (UPDRS) was performed at 12 months postoperatively. The improvement was mainly due to reduction in the contralateral motor signs and axial features. A 50% improvement in the Schwab and England scale at one year postoperatively indicated that most of the patients reach a partially independent life in relation with their previous daily living activities. Although deep brain stimulation of the subthalamic nucleus is the contemporary surgical technique, a radiofrequency minute lesion offers a safe and good alternative in some patients with advanced Parkinson‘s disease.

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