Not provided
Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| EUSM-018 | |||
| EUSM-409-92 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Emory University | OTHER |
OBJECTIVES:
I. Evaluate the safety and efficacy of pallidotomy immediately following 3 preoperative assessments vs. delayed pallidotomy following 6 months of standard medical therapy in patients with Parkinson disease.
PROTOCOL OUTLINE: This is a randomized study. One group of patients undergoes the surgical procedure pallidotomy, a precise lesioning of brain cells in the globus pallidus.
The other group receives standard medical care for 6 months followed by a pallidotomy.
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pallidotomy | Procedure |
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
Idiopathic Parkinson disease Hoehn and Yahr stage III or worse during "off" periods
Responsive to levodopa by history or exam Sub-optimal clinical response to maximal medication Medication optimized for at least 4 weeks prior to entry
No atypical or secondary disease, e.g.:
No Mattis Dementia Rating Scale score less than 116
No dementia meeting Diagnostic and Statistical Manual of Mental Disorders-IV criteria
No Hamilton Depression Rating Scale score greater than 10
No Hamilton Anxiety Scale score greater than 14
--Patient Characteristics--
Other: No medical contraindication to surgery, e.g.:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Mahlon R. DeLong | Emory University | Study Chair |
Not provided
Not provided
| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D009461 | Neurologic Manifestations |
| D001523 | Mental Disorders |
| D035583 | Rare Diseases |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D053860 | Pallidotomy |
| ID | Term |
|---|---|
| D019635 | Neurosurgical Procedures |
| D013514 | Surgical Procedures, Operative |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |