Medicana International Istanbul Hospital Brain and Nerve Surgery Specialist Assoc. Dr. Ali Yılmaz noted that these symptoms were not seen at once and their severity varied from patient to patient. Assoc. Dr. Yılmaz said, “Symptoms may worsen as the disease progresses. There is no medicine or treatment to stop the progression of the disease yet. However, after a certain stage, the drugs start to not work or even if they show benefit, the patients struggle with the side effects of the drug, ”
Providing detailed information about the side effects of the drugs, Assoc. Dr. Yılmaz spoke as follows:
“These side effects include nausea, vomiting, dyskinesia (involuntary movements caused by drugs unlike Parkinson’s symptoms), sleep problems, dizziness, sick gambling desire, confusion. When the side effects increase, it can make life as difficult as parkinson itself. At this point, brain pacemaker surgery appears as the most appropriate and proven treatment option. “
Underlining that not all symptoms are experienced at once in Parkinson’s disease, Assoc. Dr. Yılmaz said, “Not every patient experiences complaints in the same order or at the same intensity. “There are typical progression patterns in Parkinson’s disease that are defined in stages,” he said.
Stating that the Parkinson stages used to classify the severity of the symptoms were examined and the time of treatment was decided, Assoc. Dr. Yılmaz said, “1st stage is the first stage of Parkinson’s disease. The diagnosis is usually made at this stage. It is the mildest stage in which the symptoms of the disease are rarely seen. Usually, the patient himself notices a resting tremor or slow movement in only one part of his body.
At this stage, Parkinson’s is not in a size that can affect a person’s life. The person may not need medication. Low-dose medications relieve the complaints. The symptoms are more pronounced in stage 2 than in the first stage. Tremors can also be noticed by strangers. Difficulty walking may develop, but it is not continuous. Body stiffness and posture differences can be observed. The person can survive without help. “Symptoms start to be felt on both sides of the body,” he said.
Stating that the stage that starts to negatively affect the lives of patients is the third stage, Assoc. Dr. Yılmaz said, “The third stage is the middle stage. Patients can still live without assistance. However, they find it difficult to do daily routines such as eating, drinking and dressing. Posture disorder and movement difficulties are seen. There is also a slowdown in reflex movements. Foot rolling can be seen while walking.
There may be a fall. Brain pacemaker surgery can be considered from this stage. Because, from this stage on, the patient begins to slowly become unable to live without assistance. Increasing drug doses do not relieve the complaints as before and cause unwanted side effects. Side effects can be just as difficult as Parkinson’s disease. Brain pacemaker surgery reduces complaints by up to 90 percent in appropriate Parkinson’s patients. It is a treatment that turns the disease back to its first stages and significantly improves the quality of life of patients ”.
Brain and Nerve Surgery Specialist Assoc. Dr. Ali Yılmaz continued his words as follows:
“In the 4th stage, patients cannot live alone. It is difficult to move. The steps are smaller than the typeface. Slowness of movement is evident. Tremors spread throughout the body. Speech difficulties and confusion can be seen. The drug has little benefit. Side effects are common as the dosages are high. The 5th stage is the most advanced stage. Patients cannot stand and walk without assistance. Body stiffness is advanced. It is not possible for them to meet their daily needs. “
Stating that the side effects of drugs containing dopamine are quite high in the 4th and 5th stages, Assoc. Dr. Yılmaz said that patients may experience hallucinations, sleep problems, and psychological problems due to both Parkinson’s and the side effects of drugs.