Now combine three treatment options: pharmacological, surgical, and rehabilitative.
Pharmacological treatment and medication
As the symptoms of Parkinson's disease are primarily due to a lack of dopamine in the brain, medications used are formulations of dopamine in order to replace it.
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| Parkinson Treatment - Treatment For Parkinsons |
Levodopa is the drug anti-parkinsonian more effectively today and in lathe to 80% of patients treated with Levodopa expresses a free initial improvement. It may occur along with other drugs to treat different symptoms associated with the disease. Once started the treatment with Levodopa it is essential to continue periodic controls to adjust your dosage and minimize the side effects which usually produces long term.
Surgical treatment of Parkinson's disease
It is mainly indicated for patients who for various reasons, already do not respond to drug treatment.
Deep brain stimulation is presently the surgical treatment most used because it has been shown that it provides a great improvement in the quality of life by reducing the symptoms associated with the disease. It also allows to reduce the medication, minimizing the side effects of anti-parkinsonian drugs.
Deep brain stimulation and brain pacemaker
Surgically placed an electrode in a specific area of the brain (the subthalamic nucleus) to block the activity of this causing the typical symptoms of Parkinson's brain structure with electrical impulses.
The surgery is performed under local anesthesia with a small hole in the skull through which is placed the electric Stimulator at the exact point of the brain previously selected with neuroimaging techniques. A few days later, and already under general anesthesia, passed beneath the skin of the neck connecting cables between the electrodes placed on the head and a pacemaker of stimulation, which is usually inserted under the collarbone.
It is a reversible intervention in the event of side effects occur or if the result was not expected and the risks are those relating to brain surgery.
Once the "brain pacemaker" implanted electrical stimulation parameters have to be adjusted individually, so it must be strict to find the optimal values of stimulation in each patient follow-up.
The key to surgical success is in relation to the correct selection of the candidate, the exact placement of the electrode in the brain and on achieving a perfect stimulation.
Subthalamotomy
There is another alternative therapy indicated for patients who, for some specific reason, not possible to implant a stimulator. This technique is called subthalamotomy and is in practice a termolesion controlled motor symptoms causing subthalamic nucleus area. In contrast to deep brain stimulation this technique is not reversible and its adverse effects may be permanent.
Rehabilitation treatment and physical therapy in Parkinson's
Rehabilitation treatment is aimed at treating specific disease dysfunction to foster the greatest degree of personal independence as possible:
- Facilitate the monitoring and coordination of movements.
- Treat disorders of posture and balance.
- Maintain an adequate mobility to articulate.
- Act on cognitive impairment and conduct.
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