Selective Dorsolateral Subthalamotomy. A new technique for treating Parkinson's disease in Cuba

Results achieved by CIREN specialists in developing neurosurgical techniques for treating patientes suffering from an advances state of Parkinson's disease through functional stereotactic surgery such as pallidotomy and subthalamotomy, have paved the way to a world breakthrough in restorative neurology.

It was Ciren,with the support of Spanish neurologist from the Quiron Clinic in San Sebastian that selective dorsolateral subthalamotomy was developed for the first time. This is a techinque consisting in the lesion of the subthalamic necleus, the structure of the grey neclei of the base vital to movement control, through the use of thermoregulagtion by radio frequency.

The theoretical basis of the importance of the subthalmus in the motor circuit of Parkinson's disease had previously been established through research carried out on primates and in case studies of spontaneous haemorrhaging lesions of the subthalmic nucleus, which modified the signs and symptoms of movement dysfunctions. In conjunction with this reasearch there was also the work carried out by Doctors Crossman, Azis, Malon de Long, and by Jorge Guridi and Jose Angel Obeso, who formed part of the medical team that performed the first operation in Havana City, in November 1995.

Together with neuro-transplant work being developed in Cuba by Ciren since 1987 and the aforementioned functional surgery, dorsolateral subthalamotomy has reinforeced techinques available for confronting Parkinson's disease and, in the not -too-distant future,will form part of the movement disorders.

Around 2000 patients suffering from Parkinson's disease have been cared for at Ciren since the centre was established. More tham 100 surgical procedures have been carried out on victims of this illness, with satisfactory results.

Results achieved by Ciren by means of this new technique and other functional surgery haven beem published and presented in international neurlogical conferences and seminars. The research work has attained the recognition and active support of the University of Emony (Atlanta, United States), through Doctors Malon de Long and Jorge Junco.

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