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RESULTS OF SPINAL PYRAMIDOTOMY IN THE TREATMENT OF THE PARKINSONIAN SYNDROME

RESULTS OF SPINAL PYRAMIDOTOMY IN THE TREATMENT OF THE PARKINSONIAN SYNDROME Abstract THE NEED for a method affording relief through surgical measures to patients suffering from severe parkinsonism can scarcely be questioned by anyone who has had to do with this unhappy group. The use of drugs of the belladonna series should, of course, always be tried, and if it is satisfactory surgical intervention need scarcely be considered; but failures are numerous, and, all in all, the medical profession has little reason to be complacent over the results so far obtained. It has been clearly shown by several surgeons that relief of tremor is possible following various procedures which destroy the pyramidal tract to a greater or less degree (Bucy,1 Putnam,2 Klemme,3 Myers4), but it remains to be seen which of the operative methods yields the most satisfactory results in the long run. Aside from such practical considerations, many questions of great theoretic importance are also involved, for References 1. Bucy, P. C., and Case, J. T.: Tremor: Physiologic Mechanism and Abolition by Surgical Means , Arch. Neurol. & Psychiat. 41:721, 1939 2. Cortical Extirpation in the Treatment of Involuntary Movements , A. Research Nerv. & Ment. Dis., Proc. 21:551, 1942 3. The Precentral Motor Cortex , Urbana, Ill., University of Illinois Press, 1944 4. Surgical Relief of Tremor at Rest , Ann. Surg. 122:933, 1945. 5. Putnam, T. J.: Treatment of Unilateral Paralysis Agitans by Section of the Lateral Pyramidal Tract , Arch. Neurol. & Psychiat. 44:950 ( (Nov.) ) 1940 6. The Operative Treatment of Diseases Characterized by Involuntary Movement (Tremor, Athetosis) , A. Research Nerv. & Ment. Dis., Proc. 21:666, 1942 7. Alternating Tremor (Paralysis Agitans) and Athetosis: Recent Advances in Diagnosis and Treatment , New England J. Med. 222:473, 1940. 8. Klemme, R. M.: Surgical Treatment of Dystonia, Paralysis Agitans and Athetosis , Arch. Neurol. & Psychiat. 44:926 ( (Oct.) ) 1940 9. Surgical Treatment of Dystonia , A. Research Nerv. & Ment. Dis., Proc. 21:596, 1942. 10. Myers, R.: The Modification of Alternating Tremors, Rigidity and Festination by Surgery of the Basal Ganglia , A. Research Nerv. & Ment. Dis., Proc. 21:602, 1942 11. The Present Status of Surgical Procedures Directed Against the Extrapyramidal Diseases , New York State J. Med. 42:535, 1942. 12. Herz, E., and Putnam, T. J.: Motor Disorders in Nervous Diseases , New York, Kings Crown Press, 1946. 13. Fender, F. M.: Personal communication to the authors. 14. Scott, M.: Cerebral and Spinal Operations in a Case of Severe Postencephalitic Tremor , Arch. Neurol. & Psychiat. 51:108 ( (Jan.) ) 1944. 15. Pimenta, W.: Personal communication to the authors. 16. Ebin, J.: Unpublished data. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

RESULTS OF SPINAL PYRAMIDOTOMY IN THE TREATMENT OF THE PARKINSONIAN SYNDROME

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Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1950.02310210003001
Publisher site
See Article on Publisher Site

Abstract

Abstract THE NEED for a method affording relief through surgical measures to patients suffering from severe parkinsonism can scarcely be questioned by anyone who has had to do with this unhappy group. The use of drugs of the belladonna series should, of course, always be tried, and if it is satisfactory surgical intervention need scarcely be considered; but failures are numerous, and, all in all, the medical profession has little reason to be complacent over the results so far obtained. It has been clearly shown by several surgeons that relief of tremor is possible following various procedures which destroy the pyramidal tract to a greater or less degree (Bucy,1 Putnam,2 Klemme,3 Myers4), but it remains to be seen which of the operative methods yields the most satisfactory results in the long run. Aside from such practical considerations, many questions of great theoretic importance are also involved, for References 1. Bucy, P. C., and Case, J. T.: Tremor: Physiologic Mechanism and Abolition by Surgical Means , Arch. Neurol. & Psychiat. 41:721, 1939 2. Cortical Extirpation in the Treatment of Involuntary Movements , A. Research Nerv. & Ment. Dis., Proc. 21:551, 1942 3. The Precentral Motor Cortex , Urbana, Ill., University of Illinois Press, 1944 4. Surgical Relief of Tremor at Rest , Ann. Surg. 122:933, 1945. 5. Putnam, T. J.: Treatment of Unilateral Paralysis Agitans by Section of the Lateral Pyramidal Tract , Arch. Neurol. & Psychiat. 44:950 ( (Nov.) ) 1940 6. The Operative Treatment of Diseases Characterized by Involuntary Movement (Tremor, Athetosis) , A. Research Nerv. & Ment. Dis., Proc. 21:666, 1942 7. Alternating Tremor (Paralysis Agitans) and Athetosis: Recent Advances in Diagnosis and Treatment , New England J. Med. 222:473, 1940. 8. Klemme, R. M.: Surgical Treatment of Dystonia, Paralysis Agitans and Athetosis , Arch. Neurol. & Psychiat. 44:926 ( (Oct.) ) 1940 9. Surgical Treatment of Dystonia , A. Research Nerv. & Ment. Dis., Proc. 21:596, 1942. 10. Myers, R.: The Modification of Alternating Tremors, Rigidity and Festination by Surgery of the Basal Ganglia , A. Research Nerv. & Ment. Dis., Proc. 21:602, 1942 11. The Present Status of Surgical Procedures Directed Against the Extrapyramidal Diseases , New York State J. Med. 42:535, 1942. 12. Herz, E., and Putnam, T. J.: Motor Disorders in Nervous Diseases , New York, Kings Crown Press, 1946. 13. Fender, F. M.: Personal communication to the authors. 14. Scott, M.: Cerebral and Spinal Operations in a Case of Severe Postencephalitic Tremor , Arch. Neurol. & Psychiat. 51:108 ( (Jan.) ) 1944. 15. Pimenta, W.: Personal communication to the authors. 16. Ebin, J.: Unpublished data.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Mar 1, 1950

References