Adrenal medullary transplant as a treatment for Parkinson's disease: perioperative considerations

Autologous adrenal medullary transplantation, a new treatment for severe Parkinson's disease, is both complex and risky. Detailed planning is essential prior to beginning the procedure, and perioperative concerns unique to the patient and the procedure are challenging. This article reviews rationale for treatment and focuses on preoperative planning and care in addition to intraoperative concerns.