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Pallidotomy is major surgery on the brain. It may cause excessive bleeding, and care must be taken in patients susceptible to uncontrolled bleeding or who are on anticoagulant therapy.
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When is a unilateral pallidotomy suggested?
Unilateral (one-sided) pallidotomy may be used if symptoms are markedly worse on one side or the other, or if the risks from bilateral (two-sided) pallidotomy are judged to be too great.
What should a candidate for a pallidotomy discuss with her doctor prior to surgery?
The surgical candidate should discuss all the surgical options with the neurologist before deciding on pallidotomy. A full understanding of the risks and potential benefits must be understood before consenting to the surgery.
What factor reduces the risks involved in undergoing a pallidotomy?
While there are several controversies in the field of PD surgery, all experts agree that risks are reduced in procedures performed by the most experienced neurosurgeons.
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What specialist performs the pallidotomy?
Pallidotomy is performed in the hospital by a neurosurgeon, in coordination with the patient's neurologist.
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What is a basic difference between the unilateral and bilateral pallidotomy?
For unilateral pallidotomy, a single "burr hole" is made in the top of the skull; bilateral pallidotomy requires two holes.
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How does the pallidotomy procedure mimic the effect of dopamine?
Pallidotomy mimics this action by permanently destroying the GPi cells.
What is key to a successful outcome of a pallidotomy?
The key to successful outcome in pallidotomy is extremely precise placement of the electrode.
