July 27 Highlights

Abstract

The American Academy of Neurology Practice Parameter by Chaudhry et al. reviews the value of surgical decompression of peripheral nerves for diabetic neuropathy. Published studies lack adequate randomization, satisfactory definition of peripheral neuropathy, and suitable outcome measures. Thus, there is no established benefit of this surgery for diabetic neuropathy. see page 1805 Despite improvement in motor disability, mood, and quality of life following subthalamic nucleus stimulation, 29 prospectively assessed parkinsonian patients encountered personal, familial, and socio-professional difficulties. Schupbach et al. point out that there is a need for a psychological preparation before and follow-up after neurosurgery. see page 1811 Smeding et al. examined cognitive functioning and quality of life in patients with PD before and 6 months after bilateral STN stimulation. There was improvement in motor symptoms and QOL. However, patients showed a decline in executive functioning which affected their daily life. Nine percent had psychiatric complications. see page 1830 The editorial by Saint-Cyr and Albanese about these two articles raises new questions on the selection of appropriate candidate patients for STN DBS. Most implanting centers follow inclusion criteria derived from the …