Deep Brain Stimulation for Parkinson's disease
As anyone who has a Parkinson's patient in his family or close surrounding will testify, It's a debilitating disease that intrudes every aspect of the patient's day-to-day life as well as placing tremendous stress on his family members and caretakers.
The motor symptoms are the most visible and are identified with Parkinson's disease. Involuntary quivering movement, muscle rigidity, unstable posture. In terms of everyday functioning, the simplest tasks as holding a teacup or going to the bathroom become impossible. Parkinson's disease is stripping people of independence and dignity.
Parkinson's Disease - treatment with medicines
Although there is a range of non-motor symptoms, most of the therapies developed to address the motor ones. Since the late1960s, most pharmaceutical solutions are based on levodopa and its' combinations with other medications. The treatment with medicines has a great success, but it has its limitations.
Limitations of Parkinson's Disease treatment with medicines
"Wearing-off" of the medication effect is one of the drawbacks is the need to up the medication dose to prevent the symptoms from returning.
Dyskinesia is another side effect of long-term levodopa treatment. Dyskinesia is Involuntary, uncontrollable movements that can be painful and interfere with daily activities. This complication will affect the majority of medicated patients. The onset time differs in correlation with the dose of medication and the duration off
Neuropsychiatric complications can impact orpreventtreatment with drugs.
Increase in impulsivity, although this byproduct of medications sounds innocent. In fact, impulsive behavior can endanger patient wellbeing in many ways.
DBS - Surgical procedure for Parkinson related motor symptoms
Deep Brain Stimulation (DBS) - is an FDA-approved, surgical procedure for the treatment of Parkinson's disease patients with complications as a result of medications. An electrode is implanted in a specific area of the brain. The electrodes are connected to a device called a "neurostimulator." The neurostimulator is implanted in the chest, below the collar bone, in resemblance to a pacemaker. In the USA Deep Brain Stimulation is the most common invasive procedure for movement disorders. Many studies have proven the safety and efficiency of the process.
What do you need to know about DBS
- Although DBS is considered a relatively safe neurosurgical procedure, there are a few aspects you should consider.
- As in any invasive surgical procedure, there is a small risk of complications
- The device requires long-term maintenance, such as software adjustments and battery replacement.
- It can take time to adjust the programming of the neurostimulator
- The programming outcome is limited by the precise positioning of the electrode during the surgery.
- Not all the GPs and Geriatricians are familiar with the procedure
MER –assisting the neurosurgeon in determining electrode implantation location with enhanced confidence.
The optimal positioning of the electrode is dependent on using the most advanced technologies assisting the neurosurgeon in locating the target. The Inclusive name for the optimal electrode location technologies is MER - Microelectrode Recording Systems. A relatively small number of highly skilled Neurosurgeons are performing the surgery using MER.
Alpha-Omega is a leading manufacturer of MER systems with automatic navigation, accurately displaying the location of the electrode in the brain, by integrated additional software solutions.
For a list of surgeons performing the operation in your area contact us