Advances in Functional and Reparative Neurosurgery (Acta by Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto

By Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto

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Extra info for Advances in Functional and Reparative Neurosurgery (Acta Neurochirurgica Supplementum)

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Hoehn-Yahr Scale of the patients before surgery was: Grade II: 10 cases, Grade III: 18 cases, Grade IV: 13 cases, Grade V: 5 cases. Before surgery, the Unified Parkinson’s Disease Rating Scale (UPDRS) motor score, activities of daily living (ADL), dyskinesia were evaluated in both medication off and on states. Total equivalent dose of levodopa was calculated according to the accepted equivalence among different dopaminergic medications. Introduction Surgical procedure In the past few years, deep brain stimulation (DBS) has become an accepted treatment modality for Parkinson’s disease (PD) patients who experience disabling motor fluctuations and dyskinesia as a result of dopaminergic therapy, and some follow-up data have been published, including short-term follow-up for 3–6 months and The surgical procedure coincided with those from other literature.

Inclusion and exclusion criteria followed international recommendations (Core Assessment Program for Surgical International Therapies; CAPSIT). All cases had preserved levodopa effectiveness, but with severe motor fluctuations and dyskinesias and prolonged Off states. Hoehn-Yahr Scale of the patients before surgery was: Grade II: 10 cases, Grade III: 18 cases, Grade IV: 13 cases, Grade V: 5 cases. Before surgery, the Unified Parkinson’s Disease Rating Scale (UPDRS) motor score, activities of daily living (ADL), dyskinesia were evaluated in both medication off and on states.

It is important to remember that the levator scapulae muscle is also involved in some CD patients resulting in lateral tilt of the head and elevation of the shoulder. In such cases, selective denervation of the levator scapulae muscle is safely performed [8]. Although peripheral denervation is a symptomatic treatment, many of the patients can enjoy symptom free T. Taira et al. life afterwards as if background pathophysiology was completely cured. As mentioned previously, in some complex type of CD and CD with extracervical symptoms, our preference is GPi DBS.

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