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Comparison of device-assisted and lesioning procedures for Parkinson disease

Comparison of device-assisted and lesioning procedures for Parkinson disease
  VIM DBS STN or GPi DBS LCIG CSAI Pallidotomy FUS thalamotomy
Indications Refractory PD tremor Motor fluctuations or refractory PD tremor Motor fluctuations Motor fluctuations Motor fluctuations Refractory PD tremor
Can be performed bilaterally? No Yes N/A N/A No No
Surgery required? Yes, scalp incision/burr hole Yes, scalp incision/burr hole Yes, PEG-J placement No Yes No
Intentional brain lesion? No No No No Yes Yes
Reversible? Yes Yes Yes Yes No No
Randomized, placebo, or sham-controlled trial data available? No Yes Yes Yes Randomized trial with blinded evaluators Yes
Long-term data (>2 years) available? Yes Yes Yes Yes Yes Unknown
Clinical availability Full Full Full Not approved for use in United States Full Limited number of centers
VIM: ventral intermediate nucleus; DBS: deep brain stimulation; STN: subthalamic nucleus; GPi: internal globus pallidus; LCIG: levodopa-carbidopa intestinal gel; CSAI: continuous subcutaneous apomorphine infusion; FUS: focused ultrasound (magnetic resonance-guided); PD: Parkinson disease; PEG-J: percutaneous endoscopic gastrostomy jejunostomy.
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