Deep Brain Stimulation Surgery

Information about the symptoms and treatment of Parkinson’s disease from the top Iranian consultant neurosurgeon, Dr. Soheila Saami Aldoboni

Soheila Saami Aldoboni was born in Tehran and at the age of 36 has had more than 800 successful surgeries and she has been involved in more than 3,500 surgeries over 10 years.

Parkinson’s is an advanced neurological disorder that affects a person’s movement.

Parkinson’s disease is the second most common neurological disorder and the first most common motor disorder. Parkinson’s is characterized by a gradual onset of tremors in the limbs and head at rest, muscle stiffness, decreased mobility, and loss of balance, all of which progressively worsen and can interfere with speech and gait. So that the person will lose the ability to do simple daily tasks.

Parkinson’s disease affects and kills dopamine-producing brain cells and as a result, dopamine levels in the brain decrease. The cause of the disease has not yet been determined, but researchers believe that genetic and environmental factors play a role in the disease. Although adjuvant therapy is helpful in relieving activity limitations when symptoms begin, there is no definitive cure for the condition and it can sometimes lead to dementia.

Prevalence and prognosis of Parkinson’s disease

The prevalence of Parkinson’s disease increases with age, so it is more commonly diagnosed in people over 60 years of age.

And if it occurs at an early age, it is called early Parkinson’s, which occurs in people in their 20s and 40s and accounts for 10 to 15 percent of Parkinson’s cases. The progression of Parkinson’s disease and the extent to which it interferes with a person’s daily life varies from patient to patient. Many people with Parkinson’s disease will live long, while others become inactive much faster. With proper treatment, patients can experience a long and dynamic life. Life expectancy in people with Parkinson’s is the same as in healthy people.

Staging of the disease

The Parkinson’s Disease Foundation has developed a system for staging Parkinson’s disease in which it divides the disease into 5 stages, the stages of which are:

Stage 1: The symptoms are mild and do not interfere with a person’s quality of life.

Stage 2: The symptoms become so severe that it becomes difficult to perform daily activities and the person needs more time to complete their activities.

Stage 3: This stage is considered to be the middle stage of Parkinson’s disease. The person loses their balance, moves slowly, and falling is common at this stage of the disease. Symptoms interfere with daily activities such as dressing, eating and brushing.

Stage 4: The symptoms are severe and the person needs help to walk and perform daily activities.

Stage 5: This is the most advanced stage of Parkinson’s disease. The person is unable to walk and needs full-time care to survive.

Side effects of Parkinson’s disease

Parkinson’s disease is associated with other diseases that are often treatable. Some of these side effects are:

Depression and emotional changes such as fear, anxiety or loss of motivation.

Difficulty chewing and swallowing, which can cause suffocation and eating disorders.

 Increased salivation and runny mouth.

Sleep Disorders: Waking up at night, waking up early and sleeping during the day.

Urinary problems, lack of urine control

Constipation

Odor disorder

Fatigue

Pain

Sexual problems and low blood pressure

Dr. Soheila Saami Aldoboni says: “There is a very important point, some patients who do not recover with drug treatment, this surgical method, which is very difficult, sensitive and accurate, can be effective.”


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