In PD, neurochirurgy, especially deep brain stimulation of the subthalamic nucleus, is increasingly being used as a treatment option. Unfortunately, as most of these treatments mainly improve drug-induced dyskinesia or improve "down" time in patients with motor disturbances, neither of which is a common situation in patients with late-onset disease, it is doubtful that older patients will be suitable for neurochirurgical therapies. Furthermore, cognitive impairment, which is the main contraindication to neurosurgery, is already commonly present in older patients. Deep brain stimulation often needs continuing significant dedication from both the patient and neurochirurgical teams. In addition, even in older patients with a good initial response, progression of the disease can result in any gain from short-lived neurosurgery.
- Track 1-1 Spinal Neurosurgery
- Track 2-2 Paediatric Neurosurgery
- Track 3-3 Vascular Neurosurgery
- Track 4-4 Functional Neurosurgery
- Track 5-5 Radiosurgery
- Track 6-6 Peripheral Nerve Surgery