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Overview

Manipal Hospital is one of the best centre in the country with state of art neurology and neurosurgery services along with cutting edge technology. It has constituted a team of highly skilled Neurosurgeons, Neurologists, Neuro Anaesthetists, experts in critical care and specialized nurses who work together to deliver world class healthcare services with high end Neuro surgical dedicated ICU and HDU with 24 * 7 Neuro surgery and Neuro anesthetist back up. It is the premier institution with focused active management of stroke, epilepsy, Multiple Sclerosis, critical care neurology, Dementia, Movement disorder etc. This centre provides international standards of stroke management high end treatment of movement disorder and the best in services for the scope of other neurological disorders, Dementia, movement disorder and stroke. This centre has credited treating one of the highest acute stroke patients with excellent outcome. It works with tandem Interventional Neurology, Neuro Surgery and Neuro Rehabilitation. It is best in acute integrated management of PARKINSONISM and all aspects of stroke and its complication under one roof.

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Parkinson’s disease
Parkinson’s disease is a disorder of the brain that leads to shaking (tremors) and difficulty with walking, movement, and coordination.
Nerve cells use a brain chemical called dopamine to help control muscle movement. Parkinson’s disease occurs when the nerve cells in the brain that make dopamine are slowly destroyed. Without dopamine, the nerve cells in that part of the brain cannot properly send messages. This leads to the loss of muscle function. The damage gets worse with time.
Symptoms of Parkinson’s disease

  • Constipation
  • Difficulty swallowing
  • Drooling
  • Problems with balance and walking
  • No expression in the face
  • Muscle aches and pains
  • Movement problems
  • Rigid or stiff muscles, often beginning in the legs
  • Shaking or tremors
  • Slowed, quieter speech and monotone voice
  • Stooped position
  • Low blood pressure when getting up, sweating, lack of body temperature control. These problems are due to something called autonomic dysfunction.

Complications associated with Parkinson’s disease

  • Difficulty performing daily activities
  • Difficulty swallowing or eating
  • Disability
  • Injuries from falls
  • Side effects of medications

Parkinson’s disease diagnosis
Your healthcare provider may be able to diagnose Parkinson’s disease based on your symptoms and a physical examination. They become clearer as the illness gets worse. A doctor’s examination may show:

  • Difficulty starting or finishing voluntary movements
  • Stiff movements
  • Shaking (tremors)
  • It may also be necessary to take tests to rule out other disorders that cause similar symptoms.

Many medications can cause severe side effects, including hallucinations, nausea, vomiting, diarrhoea and confusion. Monitoring and follow-up by the health care provider is important. How much the medications relieve symptoms, and for how long can be very different in each person. Work closely with your doctors and therapists to find a treatment program that works best for you. Never change or stop taking any medications without talking with your doctor.

Deep Brain Stimulation (DBS) or brain pacemaker as it is commonly called is a procedure to implant electrodes in different areas of the brain and connect to a pulse generator (battery) which tends to modify the electrical activity of the brain. DBS is used to treat a variety of disabling neurological symptoms—most commonly the debilitating symptoms of Parkinson’s disease (PD), such as tremor, rigidity, stiffness & slowed movement. By stimulating the brains of Parkinson’s patients using electrodes, this surgical technique could improve motor performance by 70% and reduce medication-based treatment by 40 to 60%.  Like cardiac pacemakers, new battery systems are now available which allow MRI even after a DBS procedure as the most of the patients may need an MRI.

DBS is found to positively impact patient’s quality of life, and also improves social, emotional and physical well-being. In India, specialized centres with trained functional neurosurgeons and a movement disorder specialist are offering this treatment to patients who are thoroughly evaluated and assessed.  Recent studies also suggest that this treatment should be offered early in Parkinson patients when they start having the early motor symptoms despite taking medications. The research provides evidence that clinicians no longer have to delay consideration of DBS Therapy until the disease has become debilitating.

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