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Related Experiment Videos

Lacunar infarct during pallidotomy: case report.

G A Christoforidis1, E M Spickler, G Papaioannou

  • 1Department of Radiology, Ohio State University Medical Center, 168 Means Hall, 1654 Upham Drive, Columbus, OH 43210, USA. gchristofo@aol.com

Neuroradiology
|May 8, 2001
PubMed
Summary

Stereotactically guided pallidotomy can rarely cause symptomatic lacunar infarcts. This case highlights a potential complication during Parkinson's disease treatment.

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Area of Science:

  • Neurosurgery
  • Neurology
  • Radiosurgery

Background:

  • Stereotactically guided pallidotomy using radiofrequency thermoablation is a treatment for Parkinson's disease.
  • The procedure involves precise targeting of brain structures like the globus pallidus interna.

Observation:

  • A 54-year-old male Parkinson's patient experienced right-sided symptoms.
  • During stereotactically guided radiofrequency pallidotomy, the patient developed new neurological deficits.

Findings:

  • Post-procedure MRI revealed a lacunar infarct in the left internal capsule.
  • The infarct was adjacent to the intended therapeutic lesion.

Implications:

  • This case underscores the risk of ischemic complications during pallidotomy.

Related Experiment Videos

  • Understanding potential injury mechanisms is crucial for refining surgical safety protocols.