ABSTRACT

Movement disorders include essential tremor, chorea, dystonias, and all clinical forms of Parkinson’s syndrome. Because of the prevalence of Parkinson’s as compared to other movement disorders, as well as its particular neurological consequences, in this chapter we will focus mainly on stereotactic surgical management of Parkinson’s disease. Surgical strategies include ablative procedures, such as thalamotomy or pallidotomy; nonablative procedures, such as deep brain stimulation to the ventral intermediate nucleus (VIM), internal globus pallidus (Gpi), and subthalamic nucleus (STN), and neurologically restorative procedures such as brain tissue transplants. We will focus on the first two types.