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Parkinson's Disease

Parkinson's Disease -- a progressive neurological disorder that leaves its victims shaking and eventually too debilitated to physically function --has been thought of almost exclusively as a disease of the elderly, its onset typically restricted to those aged 60 years and above. Much to their surprise, however, physicians have begun noticing that the disease is increasingly showing up among people much earlier, when they are in their 30s and sometimes even in the teenage years.

Parkinson's Disease belongs to a group of conditions called motor system disorders, which are the result of the loss of dopamine-producing brain cells. The onset of symptoms is slow and may go unnoticed for several years. The four primary symptoms of Parkinson's Disease are tremors, or trembling hands, arms, legs, jaw, and face; stiffness of the limbs and trunk; slowness of movement; and impaired balance and coordination. In the advanced stages, patients may have difficulty walking, talking, or completing other simple tasks.

According to a research report published in New York, there is a fine distinction between Youth Onset Parkinson's Disease, or diagnosis before fifty years of age, and General Onset Parkinson's Disease, or diagnosis after fifty years of age. The data shows that people with Youth Onset Parkinson's Disease experience a faster progression of the disease, more severe psychological effects, and a tendency toward rejection of medications.

Younger patients seem to experience less dementia, but they suffer more pronounced side effects from pharmaceuticals, including confusion, hallucinations and excessive movement and a 'writhing, irregular' motion called dyskinesias. Younger Parkinson's patients can also experience dystonia--a prolonged abnormal posture that is often accompanied by a "twisting component of one or more parts of the body

Surgical Options for Parkinson's patients available in India

Getting started

A neurologist with special training in Parkinson's Disease (Movement disorders) is most often the best kind of doctor to make a decision about surgery. If you might benefit from surgery or deep brain stimulation, your neurologist can refer you to a brain surgeon with experience doing these operations.

The Activa System

The Activa System consists of three implantable components:lead, extension, and neuro-stimulator.The lead is a thin insulated coiled wire with four electrodes at the tip that is implanted in the brain. The lead is connected to an extension, a thin, insulated coiled wire that is tunneled under the skin from the head, down the neck and into the upper chest.The extension is connected to a neuro-stimulator, a small, sealed device similar to a cardiac pacemaker that contains a battery to run it for 3-5 years. The neuro-stimulator is implanted beneath the skin in the chest (Below the collor bone ). Newer generation neuro-stimulators are much more advanced & even wireless rechargeable neuro-stimulators are now available in India. It produces the electrical pulses needed for stimulation. Physician researchers have found that the electrical pulses block abnormal brain signals that cause the symptoms of Parkinson's disease.

Deep brain stimulation

Deep brain stimulation affects movement by using electrical impulses to stimulate a target area in the brain. The electrical impulses are generated by wire electrodes surgically placed in the brain. Deep brain stimulation may be used in addition to therapy with levodopa or other drugs when drugs alone do not control symptoms adequately. This technique is the preferred surgical method of treating most cases of advanced Parkinson's disease. It does not destroy brain tissue and has fewer risks than older, more destructive surgical methods, such as pallidotomy and thalamotomy.

Pallidotomy

Pallidotomy involves the precise destruction of a very small area in the deep part of the brain (the globus pallidus) that causes symptoms

Thalamotomy

Thalamotomy involves the precise destruction of very small area in the deep part of the brain (the thalamus) that causes symptoms.

Neurotransplantation

Neurotransplantation is an experimental procedure being studied for the treatment of Parkinson's disease. It involves implanting cells that produce dopamine into the brain. Information about the effectiveness of neuro-transplantation is limited. And it is not a proven treatment or a realistic option for most people at this time.

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Testimonals

I was a patient for Surgery. I had an opportunity to know the functioning of the hospital in detail. Management is Excellent. Staff treatment to patients is remarkable & worthy. Patients gain confidence from the treatment. I am sure by passage of time the institution will be unchallenged in the state.

  • Patient: Master Ajit Kumar   

This is a wonderful hospital. The doctors & support staff are very co-operative and amiable. The way in which medical treatment is rendered with a humane touch is extremely praiseworthy.

  • Patient: Mr.Rabiul Haque   

We want to express our appreciation for your wonderful hospital and even more wonderful staff. Everyone we met during my stay was considerate, professional while still being friendly and caring. We don't have a lot of experience with hospitals, but we know quality when we experience it. Your facility was spotlessly clean and designed to make your patients comfortable and the family and friends feel welcome and comfortable as well. We cannot thank you enough for providing such a comforting, but top-notch environment for what was for us, a very scary procedure. Everyone, and I mean everyone, we were in contact with were wonderful. Thank you for providing such a fine group of care-givers and facility.

  • Patient: Ms.Anushka   
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