Prof. Dr. Erkan Kaptanoğlu

Diseases

Movement Disorders: Parkinson's, Essential Tremor, Dystonia

These diseases occur as a result of disruptions in the centers that regulate movement. Involuntary movements and stiffness may be observed in the arms and legs of the patients. A neurostimulator may be placed in the patients who do not respond to medication. The purpose of this procedure is to reduce the complaints of the patients by placing the neurostimulators in areas that show disorders and to discontinue the patient’s medication.

Symptoms

These patients are typically treated with drugs by a neurologist and do not respond to medication. The first symptoms of the disease may be movement difficulties or involuntary movements in different parts of the body, difficulty in walking, speech disorders, difficulty in swallowing or hallucinations.

Diagnosis

Although the diagnosis is usually made with clinical findings, MRI imaging is essential.

Treatment

Medication: These patients are prescribed medication during the initial diagnosis. Patients who do not respond to medication or patients who are not willing to take medication (e.g. in case of tremors) may undergo surgery.

Surgical Treatment: Surgery may be performed to stimulate certain centers of the brain that are suffering from disorders by way of attaching electrodes. Before the operation begins, an MRI is performed by placing a frame on the patient’s head and points to attach the stimulators are determined. Following this, two small incisions in the head are made and a small hole in the skull is drilled. The electrodes are guided through these small holes to the predetermined points. Then these electrodes are connected to the stimulator and the stimulator is placed on the chest under the skin.

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