AN INVESTIGATION OF NEUROSURGICAL ALLEVIATION OF PARKINSONISM, CHOREA, ATHETOSIS AND DYSTONIA
Authors: I S COOPER
Journal: Annals of Internal Medicine (1956)

Article1 September 1956AN INVESTIGATION OF NEUROSURGICAL ALLEVIATION OF PARKINSONISM, CHOREA, ATHETOSIS AND DYSTONIAIRVING S. COOPER, M.D., Ph.D., F.A.C.S.IRVING S. COOPER, M.D., Ph.D., F.A.C.S.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-45-3-381 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONIt is the purpose of this presentation to summarize the current status and results of a continuing investigation of the neurosurgical treatment of several hyperkinetic disorders that have previously been intractable to medical therapy. Although our investigation has dealt principally with the neurosurgical therapy of far-advanced parkinsonism, it has also included cases of such involuntary movement disorders as chorea, athetosis, and dystonia musculorum deformans. The results achieved to date in each of these hyperkinetic disorders will be presented. For the purpose of this report, details of surgical technic will not be emphasized, but, rather, emphasis will be placed upon...Bibliography1. BucyCase PCJT: Tremor: physiologic mechanism and abolition by surgical means, Arch. Neurol. and Psychiat. 41: 721, 1939. CrossrefGoogle Scholar2. Bucy PC: Cortical extirpation in the treatment of involuntary movements, A. Research Nerv. and Ment. Dis., Proc. 21: 551, 1942. Google Scholar3. Klemme RM: Surgical treatment of dystonia, paralysis agitans and athetosis, Arch. Neurol. and Psychiat. 44: 926 (Oct.) 1940. Google Scholar4. Putnam TJ: Relief from unilateral paralysis agitans by section of the lateral pyramidal tract, Arch. Neurol. and Psychiat. 40: 1049, 1938. Google Scholar5. Walker AE: Cerebral pedunculotomy for the relief of involuntary movements. II. Parkinsonian tremor, J. Nerv. and Ment. Dis. 116: 766-775 (Dec.) 1952. CrossrefMedlineGoogle Scholar6. RizattiMoreno EG, quoted by Meyers.9 Google Scholar7. 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Cooper IS: Intracerebral injection of procaine into the globus pallidus in hyperkinetic disorders, Science 119: 417-418 (Mar.) 1954. CrossrefMedlineGoogle Scholar20. Cooper IS: Chemopallidectomy: an investigative technique in geriatric parkinsonians, Science 121: 217-218 (Feb.) 1955. CrossrefMedlineGoogle Scholar21. CooperPoloukhine ISN: Chemopallidectomy: a neurosurgical technique useful in geriatric parkinsonians, J. Am. Geriat. Soc. 30: 839-859 (Nov.) 1955. CrossrefGoogle Scholar22. Putnam TJ: The operative treatment of diseases characterized by involuntary movement (tremor, athetosis), A. Research Nerv. and Ment. Dis., Proc. 21: 666-692, 1942. Google Scholar23. Meyers R: Crusotomy for dystonia musculorum deformans, Address given at meeting of the Harvey Cushing Society, Quebec, Canada, May, 1955. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Presented as a Morning Lecture at the Thirty-seventh Annual Session of The American College of Physicians, Los Angeles, California, April 20, 1956.From the Neurosurgical Department of New York University-Bellevue Medical Center, and St. Barnabas Hospital, New York, N. Y.This investigation was aided by grants from the Allen P. and Josephine Green Foundation and the William Hale Harkness Foundation.This presentation was accompanied by motion picture demonstration of 10 patients prior to operation and at various intervals during the follow-up period up to three years.Requests for reprints should be addressed to Irving S. Cooper, M.D., Director, Department of Neurologic Surgery, St. Barnabas Hospital for Chronic Diseases, Third Avenue at 181st Street, New York 57, N. Y. 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