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To the Editor:
—My attention has been called to a communication in The Journal (August 29, p. 663) on the subject of paralysis agitans. As the reply includes a reference to me, a statement from me may be of interest.I formerly operated on the side of the lesion, with the result stated in the reply to your query, that is, a slight reduction of spasticity. Now I operate on the side of the lesion in the brain producing the vasodilatation of the vessels of that organ and obtain a contralateral diminution of tremor and loss of rigidity. Diminution of tremor occurs immediately after operation, but the tremor may not disappear for six or eight weeks. I have operated on eight patients with a complete loss of tremor in four and a considerable diminution of tremor in three; in the remaining one, tremor had been of long standing and the
Royle ND. SYMPATHECTOMY IN PARALYSIS AGITANS. JAMA. 1931;97(20):1482. doi:10.1001/jama.1931.02730200058025
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