Stating that the communication between the cells in the brain is provided by some substances and the cells that provide dopamine production, which are responsible for the functioning of the control of movements and the harmony, Parkinson develops as a result of the disruption of Brain and Nerve Surgery Specialist Prof. Dr. Ahmet Hilmi Kaya said that this problem, which usually occurs after the 60’s, can be seen earlier, especially due to genetic factors. Explaining that complaints such as movement disorder, tremor, body stiffness, walking with slow steps, differentiation in facial expression, forgetfulness are among the symptoms of the disease, Prof. Dr. Kaya pointed out the importance of timely and accurate diagnosis.
“BRAIN BATTERY IS LINKED TO LIFE”
Pointing out that patients diagnosed at an early stage can almost completely improve with medication at the initial stage, Prof. Dr. A. Hilmi Kaya said, “In these patients who are diagnosed early, satisfactory results are obtained with drug treatment. Surgical treatment comes to the fore in cases that come to an advanced stage after 5-10 years, ”he said. Pointing out that the appropriate patient selection is very important in the brain pacemaker (deep brain stimulation) treatment applied in the surgical treatment of Parkinson’s. Dr. Kaya continued his words as follows:
“Brain pacemaker surgery is an operation that requires modern equipment and calculations both surgically and technically. During the procedure, we drill a hole, enter it with the help of a catheter, and place the electrode at the determined point. The important thing here is the equipment and calculations we use during the surgery. In this way, we can make comprehensive evaluations during surgery. Brain pacemaker therapy is particularly effective in idiopathic Parkinson’s. Therefore, the better we can choose the patient, the more we can guarantee the effectiveness. ” Stating that the brain pacemaker is a very important treatment for Parkinson’s patients and connecting them to life, Prof. Dr. Kaya stated that patients started to get rid of their dependence on their relatives and became able to meet their own needs. Explaining that patients should be checked regularly after surgery, Prof. Dr. Kaya said, “The life of the brain battery varies between 5-10 years. Afterwards, it can be changed with a much simpler procedure without the need for a major surgical procedure. At this point, what is important is the gain of patients from this treatment. Necessary adjustments can be made according to the condition of the patient in regular check-ups. “
TREATMENT REMOVES THE FINDINGS, NOT THE DISEASE
“Another important point in the treatment is to ensure that the patient and their relatives have the right expectations,” said Prof. Dr. A. Hilmi Kaya continued his words as follows:
“It should be known that there is no cure that can completely eliminate Parkinson’s. With treatment, symptoms are eliminated, not disease. The battery is particularly useful on the motion system. Such as decrease in body slowness, ability to move quickly, decrease body stiffness and move more comfortably. However, since the tremor decreases, the patient can eat his / her food comfortably and be able to do his / her daily work, thus increasing the quality of life. Patients may think ‘I will throw away this disease’. However, this thought can be disappointing. Because the disease may have worsening periods from time to time. However, it is a very successful result for the patient, who needs support for 18 hours a day, to reach the size that will need support for half an hour, 1 hour a day. “
“NO INCREASE IN PARKİNSON”
Reminding that Parkinson’s can be seen in younger ages, especially in older ages, Brain and Nerve Surgery specialist Prof. Dr. A. Hilmi Kaya said, “There is currently no data showing an increase in the number of patients. In some studies, the possibility of having Parkinson’s with severe clinical findings at a rate of 3-5 per thousand over 65 years is very high. This rate is very low in the 40s. “As the information about this disease, which also has a genetic background, increases, different treatment options will develop,” he said.