Parkinson’s Disease Treatment Thru Exercise and Bicycling at Cleveland Clinic

09.09.10 / parkinsons disease / Author: Alex
Tags: Bicycling, Cleveland, Clinic, Disease, exercise, parkinsons, Thru, Treatment

Parkinson’s disease is a degenerative brain disorder that most people associate with tremors. Preliminary results from a Cleveland Clinic Neurological Institute study show that forced exercise on a tandem bicycle improved Parkinson’s symptoms in patients for up to a month afterward. This improvement may be the result of exercise triggering a biochemical change in the brain.
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Pallidotomy (posteroventral pallidotomy) for Parkinson’s disease

Pallidotomy

Pallidotomy is a procedure where a tiny electrical probe is placed in the globus pallidus (one of the basal ganglia of the brain), which is then heated to 80 degrees celsius for 60 s, to destroy a small area of brain cells. Pallidotomy is used to treat dyskinesias in patients with Parkinson’s disease.

Patients with advanced hemiparkinson’s disease(symptoms either unilateral or more on one side) are good candidate for Pallidotomy. Pallidotomy is usually successfull in reducing some but not all symptoms in parkinsopns disease. In Pallidotomy technique a small Thermocoagulation (circuit break) is done at postero-ventral part of Pallidum. Pallidotomy helps the patient on the controlateral side of surgery. It improves tremor, stiffness and drug induced side effects called as dyskinesia.

Diagnosis/Preparation

he surgical candidate should discuss all the surgical options with the neurologist before deciding on pallidotomy. A full understanding of the risks and potential benefits must be understood before consenting to the surgery.

The patient will undergo a variety of medical tests, and one or more types of neuroimaging procedures, including magnetic resonance imaging (MRI), computed tomagraphy (CT) scanning, angiography (imaging the brain’s blood vessels), and ventriculography (imaging the brain’s ventricles). On the day of the surgery, the stereotactic frame will be fixed to the patient’s head. First, a local anesthetic is applied at the four sites where the frame’s pins contact the head; there may nonetheless be some initial discomfort. A final MRI is done with the frame in place to help set the coordinates of the GPi in relation to the frame.

Risks

The key to successful outcome in pallidotomy is extremely precise placement of the electrode. While there are several controversies in the field of PD surgery, all experts agree that risks are reduced in procedures performed by the most experienced neurosurgeons.

Hemorrhage in the brain is a possible complication, as is infection. There are small but significant risks of damage to the optic tract, which can cause visual deficits. Speech impairments may also occur, including difficulty retrieving words and slurred speech. Some cognitively fragile patients may become even more impaired after surgery.

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Question by DoctorsGirl: To those over 30: Would you start dating someone who admitted they had Parkinson’s Disease?

Best answer:

Answer by Cassa
I am now. He’s great. He gets tired a lot, though.

Give your answer to this question below!