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Neurosurgery for Movement Disorders: Parkinson’s Disease, Essential Tremor, and Dystonia

Neurosurgery for Movement Disorders: Parkinson’s Disease, Essential Tremor, and Dystonia

 

Introduction

Neurological movement disorders, such as Parkinson’s disease, essential tremor, and dystonia, can significantly impact a person’s quality of life. While medication and therapy are often the first line of treatment, neurosurgery can offer practical solutions for individuals with severe and disabling symptoms. In this blog, we will explore the role of neurosurgery in managing movement disorders, focusing on Parkinson’s disease, essential tremor, and dystonia. We will also highlight the expertise of Dr. Rao, the best neurosurgeon in India, and the exceptional care provided at Dr. Rao’s Hospital, known as the premier neurosurgery center in the country.

Understanding Movement Disorders

We will provide an overview of movement disorders, explaining their characteristics, causes, and impact on daily life. Specifically, we will delve into the three most common movement disorders: Parkinson’s disease, essential tremor, and dystonia. We can understand neurosurgical interventions’ rationale by understanding the underlying neurological mechanisms.

Parkinson’s Disease and Neurosurgery

Parkinson’s is a progressive neurological disorder characterized by tremors, stiffness, and bradykinesia. We will explore the different surgical options for Parkinson’s disease, including deep brain stimulation (DBS) and ablative procedures. Additionally, we will discuss the selection criteria, benefits, and potential risks associated with neurosurgical interventions in Parkinson’s disease.

Essential Tremor and Neurosurgery

Essential tremor is a common movement disorder characterized by involuntary shaking of the limbs. We will examine how essential tremor affects daily functioning and its impact on a person’s quality of life. We will then delve into the various surgical treatments available, such as DBS and focused ultrasound, highlighting their efficacy in reducing tremors and improving overall function.

Dystonia and Neurosurgery

Dystonia is a movement disorder characterized by repetitive, involuntary muscle contractions that result in abnormal postures or twisting movements. We will discuss the different types of dystonia and their impact on mobility and daily activities. Neurosurgical options, including DBS and selective denervation surgeries, will be explored as potential treatment approaches for dystonia.

Dr. Rao: Leading the Way in Neurosurgical Management

Dr. Rao, the best neurosurgeon in India, has extensive experience in neurosurgery for movement disorders. His expertise and advanced surgical techniques make him a trusted specialist in treating Parkinson’s disease, essential tremors, and dystonia. Dr. Rao’s Hospital, recognized as the best neurosurgery center in India, offers state-of-the-art facilities and a multidisciplinary team dedicated to providing comprehensive care for patients with movement disorders.

The Benefits of Neurosurgical Interventions

We will discuss the benefits of neurosurgery for movement disorders, such as improved motor function, reduced medication dependency, and enhanced quality of life. We will also address potential risks and the importance of careful patient selection and comprehensive preoperative evaluations.

Patient Stories: Real-Life Experiences

Sharing the inspiring stories of patients undergoing neurosurgery for movement disorders can provide hope and insight into the potential outcomes. We will highlight specific cases where individuals have experienced significant improvement in their symptoms and regained control over their lives after neurosurgical interventions.

Rehabilitation and Postoperative Care

Neurosurgery for movement disorders is just one step in the treatment journey. We will emphasize the importance of postoperative rehabilitation, including physical, occupational, and speech therapy. We will discuss the role of rehabilitation in optimizing the outcomes of neurosurgical interventions, promoting recovery, and helping individuals regain functional independence.

Multidisciplinary Approach

The successful management of movement disorders requires a collaborative and multidisciplinary approach. We will highlight the importance of a team of neurosurgeons, neurologists, rehabilitation specialists, and other healthcare professionals working together to provide comprehensive care. Dr. Rao’s Hospital, known for its multidisciplinary approach, ensures patients receive personalized treatment plans tailored to their needs.

Advances in Neurosurgery for Movement Disorders

We will explore the latest advancements in neurosurgical techniques and technologies for movement disorders. This may include emerging treatment options, innovative surgical approaches, and ongoing research efforts to improve outcomes further and expand the scope of neurosurgical interventions.

Conclusion

Neurosurgery is crucial in managing movement disorders such as Parkinson’s, essential tremor, and dystonia. Dr. Rao, the best neurosurgeon in India, and his team at Dr. Rao’s Hospital are at the forefront of delivering exceptional care and utilizing advanced techniques in neurosurgery for movement disorders. Their expertise, multidisciplinary approach, and commitment to patient well-being provide hope and improved quality of life for individuals living with these challenging conditions.

 

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Dyskinesia

Dyskinesia – All you need to know

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

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

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. With a slight twitch of the head, arm, or leg, they may be very mild. They can also be severe, causing various body parts to move involuntarily. Dyskinesia can happen itself 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, which 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 of 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, on the other hand, induces excessive muscle tightening rather than the involuntary movements of dyskinesia.

It is a complication of the drug. Low levels of dopamine, which are seen in patients with Parkinson’s disease, induce dystonia. The feet, vocal cords, hands, and eyelids are often affected by dystonia. 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 as 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?

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 get worse (for example, when the levodopa wears off)
  • Age
  • Amount of time on levodopa, and 
  • Time after getting a Parkinson’s diagnosis

The 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 
  • You should do exercise, like walking and swimming, as per the advice of your neurosurgeon in Guntur
  • It will help to get rid of extra stress, which can be harmful to you. 

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

When dyskinesia progresses, it is essential to speak with the doctor about the different treatments available. 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 can delay starting levodopa as it increases the chances of dyskinesia.