ABSTRACT

Surgical therapies for Parkinson’s disease (PD), notably bilateral stimulation of

the subthalamic nuclei (STN), substantially reduce many of the disabling features

of advanced PD (1-5). Improvements following surgery for PD include ameli-

oration of motor symptoms in the medication “off” condition, reduction in

drug-induced dyskinesias, and decreased requirement for dopaminergic

medications for patients having STN stimulation (6). The benefits of surgery

on motor function appear to be maintained over prolonged periods of

follow-up (7-9).