Stating that Parkinson’s disease is a neurodegenerative (slow progressive) disease of the brain, Neurology Specialist Dr. Başak Bolluk Kılıç, “There are brain cells that produce dopamine in certain regions of the human brain. These cells are densely located in an area of ​​the brain called ‘substantia nigra.” “Dopamine is a chemical that transmits messages between substantia nigra and other brain regions that control body movements. When 60-80 percent of dopamine-producing cells are lost, adequate amounts of dopamine cannot be produced and symptoms of Parkinson’s disease appear.”


Stating that tremors, slowing movements, stiffness in arms, legs or trunk, balance problems and possible falls are symptoms of Parkinson’s disease, Kılıç said, “This disease concerns a wide variety of systems such as sleep disorders, constipation, loss of sense of smell, depression, sexual dysfunction and anxiety. One of the earliest signs that usually occurs is a slowdown in the movements of one hand and a decrease in the swing of that arm while walking. This may be accompanied by pain in the shoulder. Many people initially experience tremors that are noticed while at rest. Tremors usually occur in the hand, but can also occur in the arms and legs. However, 15 percent of Parkinson’s patients do not experience tremors throughout the course of the disease. In other words, tremors are not necessary for the diagnosis of Parkinson’s disease. Usually the symptoms start on one side of the body. People in the early stages of Parkinson’s may also have problems with balance; for example, they may lose their balance while standing or have difficulty turning over or making sudden movements. People with Parkinson’s usually use less gestures and may speak slowly. “Non-motor symptoms such as sleep disturbances, depression and anxiety can often precede motor symptoms,” he said.

Noting that surgical treatment can be applied in patients with Parkinson’s disease when the expected response cannot be obtained with drug treatment, Neurology Specialist Dr. Başak Bolluk Kılıç continued as follows:

“There are symptoms such as unchanging facial expression (stare, not blinking), not swinging an arm while walking, freezing and pain in the shoulder, hitching or dragging a leg, shrinking in writing, hoarseness in the voice. We know that the average age of emergence of Parkinson’s is 60. It is thought that it is rarely encountered in people under the age of 30, and genetic causes are at the forefront in its form that occurs at a young age. “


Dr. Başak Bolluk Kılıç concluded her words as follows:

“Parkinson is a progressive disease. Symptoms may worsen as time progresses. With the right treatment and follow-up, most patients can continue their normal life for many years. With early treatment, it may be possible to slow down the course of the disease. Different treatment methods depending on the age of the patient, the symptoms of the disease and the stage of the disease. In the treatment of Parkinson’s, drugs are used primarily to increase the dopamine that is decreased in the brain. Treatments are also planned for the complaints of forgetfulness, depression, sleep disorder, constipation that can be seen in patients. Surgical treatment can be applied when the expected response cannot be obtained.In surgical treatment, thin cables are placed in the cell nuclei located in the deep structures of the brain with a very sensitive method and continuous hand operation is performed by means of a generator placed in the chest wall area. Electrical warning is given. In this way, the nerve cells whose electrical activity has been impaired due to the disease regroup and the symptoms of the disease disappear. “

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