The Pioneering and Unknown Stereotactic Approach of Roeder and Orthner from Göttingen. Part II: Long-Term Outcome and Postmortem Analysis of Bilateral Pallidotomy in the Pre-Levodopa Era (Englisch)

In: Stereotactic and Functional Neurosurgery ;  96 ,  6 ;  353-363 ;  2019

Wie erhalte ich diesen Titel?

Kommerziell Vergütung an den Verlag: 24,00 € Grundgebühr: 4,00 € Gesamtpreis: 28,00 €
Akademisch Vergütung an den Verlag: 10,00 € Grundgebühr: 2,00 € Gesamtpreis: 12,00 €

Before the advent of levodopa, pallidotomy was initially the most effective treatment for Parkinson disease, but it was soon superseded by thalamotomy. It is widely unknown that, similar to Leksell, 2 neurologists from Göttingen, Orthner and Roeder, perpetuated pallidotomy against the mainstream of their time. Postmortem studies demonstrated that true posterior and ventral pallidoansotomy sparing the overwhelming mass of the pallidum was accomplished. This was due to a unique and individually tailored stereotactic technique even allowing bilateral staged pallidotomies. In 1962, the long-term effects (3-year follow-up on average) of the first 18 out of 36 patients with staged bilateral pallidotomies were reported in great detail. Meticulous descriptions of each case indicate long-term improvements in parkinsonian rigidity and associated pain, as well as posture, gait, and akinesia (e.g., improved repetitive movements and arm swinging). Alleviation of tremor was found to require larger lesions than needed for suppression of rigidity. No improvement in speech, drooling, or seborrhea was observed. By 1962, the team had operated 13 patients with postencephalitic oculogyric crises with remarkable results (mean follow-up: 5 years). They also described alleviation of nonparkinsonian hyperkinetic disorders (e.g., hemiballism and chorea) with pallidotomy. The reported rates for surgical mortality and other complications had been remarkably low, even if compared to those reported after the revival of pallidotomy by Laitinen in the post-levodopa era. This applies also to bilateral pallidotomy performed with a positive risk-benefit ratio that has remained unparalleled to date. The intricate history of pallidotomy for movement disorders is incomplete without an appreciation of the achievements of the Göttingen group.

Inhaltsverzeichnis – Band 96, Ausgabe 6

Zeige alle Jahrgänge und Ausgaben

Die Inhaltsverzeichnisse werden automatisch erzeugt und basieren auf den im Index des TIB-Portals verfügbaren Nachweisen der enthaltenen Aufsätze. Die Anzeige der Jahrgänge kann aufgrund fehlender Aufsatznachweise unvollständig oder lückenhaft sein, obwohl die Zeitschrift komplett in der TIB verfügbar ist.

The Pioneering and Unknown Stereotactic Approach of Roeder and Orthner from Göttingen. Part II: Long-Term Outcome and Postmortem Analysis of Bilateral Pallidotomy in the Pre-Levodopa Era
Hamel, Wolfgang / Köppen, Johannes A. / Müller, Dieter / Hariz, Marwan / Moll, Christian K.E. / Krack, Paul | 2019
Localization of Deep Brain Stimulation Electrode by Image Registration Is Software Dependent: A Comparative Study between Four Widely Used Software Programs
Engelhardt, Julien / Guehl, Dominique / Damon-Perrière, Nathalie / Branchard, Olivier / Burbaud, Pierre / Cuny, Emmanuel | 2018
Deep Brain Stimulation Surgery without Sedation
Zech, Nina / Seemann, Milena / Seyfried, Timo F. / Lange, Max / Schlaier, Juergen / Hansen, Ernil | 2018
Interleaving Stimulation in Parkinson’s Disease, Tremor, and Dystonia
Kern, Drew S. / Picillo, Marina / Thompson, John A. / Sammartino, Francesco / di Biase, Lazzaro / Munhoz, Renato P. / Fasano, Alfonso | 2019
Unilateral Thalamic Deep Brain Stimulation for Voice Tremor
Avecillas-Chasin, Josue M. / Poologaindran, Anujan / Morrison, Murray D. / Rammage, Linda A. / Honey, Christopher R. | 2019
Immediate Abdominal Pain after Placement of Thoracic Paddle Leads for Spinal Cord Stimulation: A Case Series
Lee, Jonathan J. / Sadrameli, Saeed S. / Desai, Virendra R. / Austerman, Ryan J. / Leonard, Dean M. / Dalm, Brian D. | 2019
Anterior Corpus Callosotomy Using Laser Interstitial Thermal Therapy for Refractory Epilepsy
Ball, Tyler / Sharma, Mayur / White, Andrew C. / Neimat, Joseph S. | 2019
Gamma Knife Radiosurgery for Trigeminal Neuralgia Caused by a Cavernous Malformation: Case Report and Literature Review
Pease, Matthew / Withrow, Joseph / Ozpinar, Alp / Lunsford, L. Dade | 2019
Tears: A Bizarre Cause of Collision in Gamma Knife Radiosurgery
Tripathi, Manjul / Kulshreshtha, Anshul / Oinam, Arun S. / Kumar, Narendra / Batish, Aman / Deora, Harsh / Agrahari, Abhinav / Bhagat, Hemant | 2019
Collision Detection and Prevention Using the Leksell Gamma Knife
Lunsford, L. Dade | 2019
WSSFN Society News
| 2019
ASSFN Society News
| 2019
ESSFN The Mission
| 2019
Contents Vol. 96, 2018
| 2019

Ähnliche Titel