[A comparative assessment of the results of surgical and conservative treatments in parkinsonism].
Late outcomes of surgical and medical treatment of parkinsonism were studied in 582 (including 321 medical and 261 surgical) patients. The follow-up ranged from 6 to 30 years. Three hundred and fifty eight surgeries were performed. In immediate postoperative period, the following results were observed: significant (64%), moderate (20.3%) improvements, no changes (8%), deterioration (3.1%). Late outcomes were as follows: significant (34.9%), moderate (20.3%) improvements, no changes (28.7%), deterioration (16.1%). In surgical patients the complication rate was 14.8%, mortality 0.8%. Analysis of outcomes of surgical and medical treatment showed a statistically significant predominance of good outcomes in surgical patients (34%) as compared with medical ones (14%).
Tiurnikov
V M
VM
Peresedov
V V
VV
Kadykov
A S
AS
Metelkina
L P
LP
Shirshov
A V
AV
Sungurov
E B
EB
Dzenis
Iu L
IuL
Rebrova
O Iu
OIu
D002908:Chronic Disease; D018450:Disease Progression; D005500:Follow-Up Studies; D006801:Humans; D010300:Parkinson Disease / Q000145:classification / Q000188:drug therapy* / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012074:Remission Induction; D013238:Stereotaxic Techniques; D013997:Time Factors; D016896:Treatment Outcome