Category Archives: interventional neurology

Dyskinesia - the best treatment at Dr Rao's hospital, Guntur

Dyskinesia – All you need to know

Dyskinesia: All You Need To Know

Dyskinesia is an uncontrollable, spontaneous reaction. It can involve one portion of the body, such as the head or arm, or the whole body.

Dyskinesia can vary from mild to extreme and can be very painful. It can also make performing your everyday work challenging. It may also vary in terms of frequency and time of day.

If you are from Guntur and searching for a proper treatment for dyskinesia, you should visit Dr. Mohana Rao’s hospital, the best neurosurgeon in Guntur. 

Dyskinesia is a common complication of long-term levodopa therapy in people with Parkinson’s disease. Dyskinesia may also occur in conditions other than Parkinson’s disease, such as coordination disorders.

Now let us learn about the different signs and symptoms of dyskinesia:

The signs and symptoms of dyskinesia differ from person to person. They may be mild, with a slight head, arm, or leg twitch. They can also be severe, causing various body parts to move involuntarily. Dyskinesia can happen in a variety of ways, including:

  • fidgeting
  • boobing in head
  • restlessness
  • writhing
  • twitching 
  • the swaying of the body 

Dyskinesia is not the same as tremor but is common in Parkinson’s disease. 

Now let us see the reasons behind this:

The most frequent cause of dyskinesia is long-term use of the drug levodopa. Because of its efficacy, levodopa is the recommended drug for the treatment of Parkinson’s disease.

Dopamine levels in the brain rise due to the use of levodopa. A lack of dopamine-producing brain cells causes Parkinson’s disease. For those with Parkinson’s disease and other disorders involving reduced dopamine levels, levodopa increases the dopamine level. 

When you take levodopa, as per your neurologist in Guntur, the dopamine levels increase and then decrease as the drug wears off. Variations in dopamine levels are thought to be the source of dyskinesia’s spontaneous gestures.

Some antipsychotic drugs cause tardive dyskinesia, a form of dyskinesia.

Conditions that are related to dyskinesia:

Dystonia:

Dystonia and dyskinesia are often confused. Dystonia induces excessive muscle tightening rather than the involuntary movements of dyskinesia.

Dystonia is a drug complication. Low levels of dopamine, which are seen in patients with Parkinson’s disease, induce dystonia. Dystonia often affects the feet, vocal cords, hands, and eyelids. It often impacts only one side of the body.

Since levodopa causes dopamine levels to fluctuate, it can cause dystonia. Dystonia can occur as dopamine levels fall and the levodopa wears off. 

Tardive dyskinesia:

People with severe psychiatric disorders that need long-term antipsychotic therapy suffer from tardive dyskinesia. Since it induces repetitive gestures, tardive dyskinesia is similar to dyskinesia.

On the other hand, Tender dyskinesia typically affects the tongue, lips, jaw, or eyelids. The following repetitive gestures can be a sign of tardive dyskinesia:

  • licking your mouth repeatedly 
  • grimacing continuously 
  • blinking rapidly, 
  • puckering your mouth  
  • poking out your tongue

Now, let us see what the treatment for dyskinesia is.

Each person’s dyskinesia treatment needs to be unique. Any of the following considerations influence treatment:

  • The seriousness of the symptoms
  • When do the effects worsen (for example, when the levodopa wears off)?
  • Age
  • Amount of time on levodopa, and 
  • Time after getting a Parkinson’s diagnosis

Below are some possible recovery options:

  • Adjusting your levodopa dosage to prevent the significant fluctuation of dopamine levels in your bloodstream
  • You can use a continuous infusion or a sustained-release formulation of levodopa
  • Take amantadine extended-release (Gocovri), a well-approved treatment for tardive dyskinesia
  • valbenazine, a newly approved drug for tardive dyskinesia
  • Taking levodopa in smaller doses 
  • Take the levodopa 30 minutes before your meal 
  • According to your neurosurgeon in Guntur, exercising, such as walking and swimming, would be best.
  • It will help eliminate extra stress, which can harm you. 

Before starting the proper medication for you, discuss every detail about your treatment with the doctor.

When dyskinesia progresses, speaking with the doctor about the different treatments is essential. When you are first diagnosed with Parkinson’s, talk about the benefits and drawbacks of taking levodopa. It would be better for you if you could delay starting levodopa, as it increases the chances of dyskinesia. 

What is the functional neurosurgery?

What is functional neurosurgery?

What is functional neurosurgery? The hospital for functional neurosurgery near me – Dr Rao’s Hospital

Functional neurosurgery is a technique that we use to treat central nervous system disorders. Functional neurosurgery has proven to be a lifesaver when treating severe movement disorders like dystonia, Parkinson’s disease, and essential tremors.

Many people in India require adequate functional neurosurgery treatment to get relief from severe complications. So, it would be best if you visited our clinic to avail the best treatment.

We perform functional neurosurgery at Dr. Rao’s Hospital Guntur to treat

  • Epilepsy is a condition that affects people.
  • Spasticity of cerebral origin in MS and spinal cord injury
  • Movement disorders like dystonia, hemifacial spasm, Parkinson’s disease, tremor, etc. 
  • Obsessive-compulsive disorder (OCD), depression, and other neuropsychiatric disorders
  • Nerve disorders, such as trigeminal neuralgia and postherpetic neuralgia
  • Chronic pain caused by neuropathic disorders or infections, as well as cancer

Dr. Rao, a renowned neurologist in Guntur, and his team conduct a rigorous and systematic evaluation of the patient’s condition before recommending or performing functional neurosurgery.

How does the diagnosis procedure go?

The diagnosis procedure includes three stages. These are as follows:  

Examination: 

Our specialists, including neurosurgeons, neurologists, psychologists, and physiologists, will perform a clinical assessment of your complications. This will help us understand your situation, such as your cognitive ability and current lifestyle. Only then will we advise you on the best treatment.

Imaging: 

While doing your examination, we prefer the most up-to-date imaging procedures, such as CT scans and MRI exams, functional imaging with fMRI, and SPECT scans. These examinations will help us have a clear idea about your health condition. 

ECG and EMG: 

As the best neurosurgeon in Guntur, we will conduct nervous system EEG and EMG monitoring and appropriate recordings. This will help us map the complications in your brain. These results allow us to determine the future course of action, especially functional neurosurgery.  

Now, let us examine the treatment procedures for functional neurosurgery.

We at Doctor Rao’s Hospital provide the following neurosurgical treatments- 

Neuromodulation: 

Neuromodulation is one of the very effective treatments available for your complications. It enables our neurosurgeon in Guntur to specifically modify or modulate your nerve function in a problem area. Neuromodulation uses electricity or pharmaceutical agents to modify your nerve functions. It allows us precise targeting and is a relatively secure treatment when treating different parts of your brain, spinal cord, and peripheral nervous system.  

Deep Brain Stimulation (DBS): 

It is a form of brain stimulation that can very effectively treat epilepsy, critical tremors, Parkinson’s disease, dystonia, and obsessive-compulsive disorder. We insert electrodes in the specific part of your brain to produce electric impulses. This helps us monitor your brain’s abnormal activities and correct chemical imbalances that cause abnormalities. A programmable generator will be hidden under the skin in your upper chest to monitor the tool’s work.

Treatment with stereotactic neurosurgery: 

It assists in identifying problem areas in the innermost parts of your brain. Our neurosurgeon uses a specialized three-dimensional coordinate system and CT scans or MRIs to identify regions very deep into your brain for treatment, such as deep-seated brain tumours.

While performing the procedure, the patient remains awake and alert, which avoids unfavorable effects on the brain. This method can treat epilepsy and deep-seated brain tumors and administer medication and radiation to the innermost region of your brain. 

So, what are the advantages of the treatment?

Neurological patients are increasingly turning to functional neurosurgery as a treatment choice. Because of advances in surgical and neuroimaging techniques, the accuracy of functional neurosurgery has improved significantly.  

Increased electrical control in particular areas of your brain means improved functional neurosurgery outcomes. Our neurosurgeon will work more specifically, focusing on the areas that need care while avoiding critical areas that do not.

If you undergo functional neurosurgery, you should expect a fast recovery. After surgery, you are expected to remain in the hospital for a few days. Practical, functional neurosurgery provides significant pain relief and decreases your painkiller dependency.

Why Choose Dr. Rao and Dr. Rao’s Hospital for Functional Neurosurgery?

Functional neurosurgery encompasses a range of advanced procedures to improve the quality of life for patients with various neurological disorders. Dr. Rao and Dr. Rao’s Hospital are distinguished leaders in this field, offering cutting-edge treatments such as Deep Brain Stimulation (DBS), Spinal Cord Stimulation (SCS), Vagus Nerve Stimulation (VNS), and Responsive Neurostimulation (RNS). Here’s why you should consider Dr. Rao and Dr. Rao’s Hospital for these specialized procedures:

1. Expertise and Experience

Dr. Rao:
  • Highly Qualified: Dr. Rao is a renowned neurologist and neurosurgeon who specializes in functional neurosurgery. His expertise includes various advanced surgical techniques for treating complex neurological conditions.
  • Proven Track Record: With numerous successful surgeries, Dr. Rao has established a reputation for excellence in functional neurosurgery, delivering life-changing patient outcomes.

2. Advanced Technology and Techniques

State-of-the-Art Equipment:
  • Deep Brain Stimulation (DBS): Utilizes precision-targeted electrical impulses to treat movement disorders like Parkinson’s disease, essential tremor, and dystonia.
  • Spinal Cord Stimulation (SCS): Employs advanced devices to manage chronic pain conditions, providing relief and improving patient mobility.
  • Vagus Nerve Stimulation (VNS): Offers effective treatment for epilepsy and depression by modulating brain activity through the vagus nerve.
  • Responsive Neurostimulation (RNS): Monitors and responds to brain activity in real-time, providing customized treatment for epilepsy.

3. Comprehensive and Personalized Care

Patient-Centered Approach:
  • Customized Treatment Plans: Dr. Rao tailors each treatment plan to meet the patient’s specific needs, ensuring optimal outcomes.
  • Multidisciplinary Team: The hospital boasts a dedicated team of specialists, including neurologists, neurosurgeons, and rehabilitation experts, who work together to provide comprehensive care.

4. Minimally Invasive Procedures

Benefits of Functional Neurosurgery:
  • Minimally Invasive Techniques: These procedures involve minimal surgical intervention, reducing risks and promoting faster recovery.
  • Precision and Safety: Advanced technology ensures high precision in targeting affected areas, maximizing efficacy while minimizing side effects.

5. Proven Success in Treating Various Conditions

Wide Range of Applications:
  • Movement Disorders: Effective management of Parkinson’s disease, essential tremor, and dystonia through DBS.
  • Chronic Pain: Significant relief from chronic pain conditions via SCS.
  • Epilepsy: Reduced seizure frequency and severity with VNS and RNS.
  • Depression: Improvement in depressive symptoms through VNS.

6. Outstanding Patient Support and Aftercare

Comprehensive Support System:
  • Pre-Treatment Counseling: Detailed consultations to educate patients and families about the procedures and expected outcomes.
  • Post-Treatment Follow-Up: Regular monitoring and support to ensure successful recovery and long-term management of conditions.

7. Accessibility and Convenience

Location and Accessibility:
  • Strategic Location: Dr. Rao’s Hospital is conveniently located in Guntur, making it easily accessible for patients from the region and beyond.
  • Efficient Service: The hospital is known for its streamlined processes, ensuring minimal wait times and efficient handling of appointments and procedures.

8. Positive Patient Outcomes

Patient Testimonials:
  • High Satisfaction Rates: Numerous patients have reported significant improvements and positive outcomes following their treatments with Dr. Rao.
  • Trust and Reliability: Dr. Rao’s commitment to excellence has earned the trust of his patients and the community.

In Summary

Choosing Dr. Rao and Dr. Rao’s Hospital for functional neurosurgery means opting for unparalleled expertise, cutting-edge technology, personalized care, and a proven track record of success. If you or a loved one needs advanced treatments like DBS, SCS, VNS, or RNS, you can trust Dr. Rao to provide the highest standard of care.

Contact Information:

Take the first step towards better neurological health with Dr. Rao and Dr. Rao’s Hospital. Your functional well-being is our top priority.