Analysis of complications of radiofrequency pallidotomy

Hua Zhang, Guodong Gao, Qinchuan Liang, Yaqun Zhao, Qinfen Wang, Xuelian Wang, Jaimie M. Henderson, Ali R. Rezai, Philip A. Starr, Kim Burchiel, Patrick J. Kelly, Roy A E Bakay

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

OBJECTIVE: To systematically report the complications of pallidotomy and to tentatively determine the incidences of complications of pallidotomy, possible influencing factors, and the acceptability of symptomatic hemorrhage rates for microelectrode-guided pallidotomy. METHODS: Clinical events were analyzed for 1116 patients with Parkinson's disease who underwent microelectrode-guided pallidotomies at our center. Complications included visual field deficits, weakness, fatigue, hypersomnia, drooling, dysphagia, speech disorders, hiccups, hemorrhage, seizures, apraxia, coma, infection, mental confusion, and impaired memory. Complication rates for bilateral pallidotomy and double-lesion groups were compared with those for unilateral pallidotomy and single-lesion groups, respectively. RESULTS: Among the total of 1116 patients, the incidences of visual field deficits, weakness, fatigue, hypersomnia, drooling, dysphagia, and speech disorders were 0.4, 4.2, 19.9, 12.4, 7.0, 3.7, and 11.9%, respectively. Symptomatic hemorrhage was observed for 17 patients, apraxia for 3 patients, coma for 2 patients, mental confusion for 24 patients, and impaired memory for 18 of the 1116 patients. The incidences of fatigue, speech disorders, drooling, dysphagia, and hypersomnia were 18.1, 10.3, 5.2, 2.4, and 11.6%, respectively, in the unilateral pallidotomy group and 34.9, 25.5, 22.6, 14.2, and 17.0%, respectively, in the staged pallidotomy group. Of the three patients who underwent simultaneous bilateral pallidotomies (all

Original languageEnglish (US)
Pages (from-to)89-101
Number of pages13
JournalNeurosurgery
Volume52
Issue number1
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

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Pallidotomy
Disorders of Excessive Somnolence
Sialorrhea
Speech Disorders
Deglutition Disorders
Fatigue
Apraxias
Confusion
Microelectrodes
Hemorrhage
Coma
Visual Fields
Incidence
Hiccup
Mentally Ill Persons
Parkinson Disease
Seizures

Keywords

  • Complication
  • Pallidotomy
  • Parkinson's disease
  • Stereotaxy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Zhang, H., Gao, G., Liang, Q., Zhao, Y., Wang, Q., Wang, X., ... Bakay, R. A. E. (2003). Analysis of complications of radiofrequency pallidotomy. Neurosurgery, 52(1), 89-101. https://doi.org/10.1097/00006123-200301000-00011

Analysis of complications of radiofrequency pallidotomy. / Zhang, Hua; Gao, Guodong; Liang, Qinchuan; Zhao, Yaqun; Wang, Qinfen; Wang, Xuelian; Henderson, Jaimie M.; Rezai, Ali R.; Starr, Philip A.; Burchiel, Kim; Kelly, Patrick J.; Bakay, Roy A E.

In: Neurosurgery, Vol. 52, No. 1, 01.01.2003, p. 89-101.

Research output: Contribution to journalArticle

Zhang, H, Gao, G, Liang, Q, Zhao, Y, Wang, Q, Wang, X, Henderson, JM, Rezai, AR, Starr, PA, Burchiel, K, Kelly, PJ & Bakay, RAE 2003, 'Analysis of complications of radiofrequency pallidotomy', Neurosurgery, vol. 52, no. 1, pp. 89-101. https://doi.org/10.1097/00006123-200301000-00011
Zhang H, Gao G, Liang Q, Zhao Y, Wang Q, Wang X et al. Analysis of complications of radiofrequency pallidotomy. Neurosurgery. 2003 Jan 1;52(1):89-101. https://doi.org/10.1097/00006123-200301000-00011
Zhang, Hua ; Gao, Guodong ; Liang, Qinchuan ; Zhao, Yaqun ; Wang, Qinfen ; Wang, Xuelian ; Henderson, Jaimie M. ; Rezai, Ali R. ; Starr, Philip A. ; Burchiel, Kim ; Kelly, Patrick J. ; Bakay, Roy A E. / Analysis of complications of radiofrequency pallidotomy. In: Neurosurgery. 2003 ; Vol. 52, No. 1. pp. 89-101.
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AU - Henderson, Jaimie M.

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