The choice of the right treatment for the right patient in the Parkinson's treatment, which continues to be a serious problem especially for elderly people, affects the success of the result. Brain and Nerve Surgery Specialist Prof. Dr. A. Hilmi Kaya said that brain pacemaker therapy connects patients to life again, especially in advanced stage cases who do not benefit from drug therapy.
Communication between cells in the brain is provided by a number of substances. Parkinson's develops as a result of the deterioration of the cells that produce dopamine, which is also responsible for the control and harmony of our movements. Yeditepe University Koşuyolu Hospital Brain and Nerve Surgery Specialist Prof. Dr. Ahmet Hilmi Kaya said that this problem, which usually occurs after the age of 60, can also be seen in an earlier period, especially due to genetic factors. Explaining that complaints such as movement disorder, tremor, body stiffness, walking slowly, facial expression differentiation and forgetfulness are among the symptoms of the disease, Prof. Dr. Rock, zampointed out the importance of prompt and accurate diagnosis.
"The brain connects the battery to life"
Pointing out that patients diagnosed at an early stage can achieve a near-complete improvement with drug therapy at the initial stage, Prof. Dr. A. Hilmi Kaya said, “In these patients who are diagnosed early, satisfactory results are obtained with drug treatment. Surgical treatment comes to the fore in cases that have advanced stages after 5-10 years, ”he said. Pointing out that the appropriate patient selection is very important in the brain pacemaker (deep brain stimulation) treatment applied in the surgical treatment of Parkinson's. Dr. Kaya continued his words as follows:
“Brain pacemaker surgery is an operation that requires modern equipment and calculations both surgically and technically. During the procedure, we drill a hole, enter it with the help of a catheter and place the electrode at the determined point. The important thing here is the equipment and calculations we use during the surgery. In this way, we can make comprehensive evaluations during surgery. Brain pacemaker therapy is particularly effective in idiopathic Parkinson's. Therefore, the better we can choose the patient, the more we can guarantee the effectiveness. " Stating that the brain pacemaker is a very important treatment for Parkinson's patients and that connects them to life, Prof. Dr. Kaya stated that patients started to get rid of their dependence on their relatives and became able to meet their own needs. Explaining that patients should be checked regularly after surgery, Prof. Dr. Kaya said, “The life of the brain battery varies between 5-10 years. Afterwards, it can be changed with a much simpler procedure without the need for a major surgical procedure. At this point, what is important is the gain of patients from this treatment. Necessary adjustments can be made according to the condition of the patient in regular check-ups, ”he said.
Treatment removes symptoms, not disease
"Another important point in treatment is to ensure that the patient and patient's relatives have the right expectations," said Prof. Dr. A. Hilmi Kaya continued his words as follows: “It should be known that there is no treatment that can completely eliminate Parkinson's. With treatment, the symptoms are eliminated, not the disease. The battery is particularly beneficial on the motion system. Such as decrease in body slowness, ability to move quickly, decrease in body stiffness and more comfortable movement. However, as the tremor decreases, the patient is able to eat comfortably and do his daily work, thus increasing the quality of life. Patients may think, 'I will beat this disease'. However, this thought can be disappointing. Because in sickness zaman zamThere may be periods of deterioration. However, it is a very successful result that the patient who needs support for 18 hours a day reaches the level that needs support for half an hour, 1 hour a day.”
No increase in Parkinson's
Yeditepe University Hospitals Brain and Nerve Surgery specialist Prof. Dr. A. Hilmi Kaya concluded his words as follows: “For now, there is no data showing an increase in the number of patients. In some studies, the probability of having Parkinson's with severe clinical findings at a rate of 65-3 per thousand over the age of 5 is very high. This rate is very low in the 40s. As the knowledge about this disease, which also has a genetic background, increases, different treatment options will develop. "
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