Surgical Treatment of Parkinson Disease

Neurol Clin. 2020 May;38(2):293-307. doi: 10.1016/j.ncl.2020.01.001. Epub 2020 Feb 22.

Abstract

Surgery in Parkinson disease is effective for a select group of patients when optimal medical management is not sufficient. Functional neurosurgery can be used as either a salvage therapy in patients with disabling symptoms or to maintain quality of life and independence before progression to severe disability in high-functioning patients. With recent technological advancements in imaging and targeting as well as novel neuromodulation paradigms, there are numerous options for targeted brain lesions and deep brain stimulation. Surgical decision making and postoperative management in Parkinson disease therefore often requires a multidisciplinary team effort with neurology, neurosurgery, neuropsychology, and psychiatry.

Keywords: Deep brain stimulation; Focused ultrasonography; Functional neurosurgery; Parkinson disease; Review; Stereotaxy; Thalamotomy.

Publication types

  • Review

MeSH terms

  • Deep Brain Stimulation / methods*
  • Humans
  • Neurosurgical Procedures / methods*
  • Parkinson Disease / surgery*
  • Patient Selection
  • Quality of Life
  • Radiosurgery / methods
  • Ultrasonography / methods