Expert: Deep brain stimulation therapy is effective for the treatment of Parkinson's disease and epilepsy
June 28, 2018 Source: China News Network
Window._bd_share_config={ "common":{ "bdSnsKey":{ },"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":" 0","bdSize":"16"},"share":{ }};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')) .src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];Liu Jinlong, a professor of neurosurgery at the First Affiliated Hospital of Sun Yat-sen University, said on the 26th that deep brain stimulation therapy can not only treat essential tremors, but also effectively treat diseases such as Parkinson's disease and epilepsy and dystonia.
This year, 63-year-old Zhang, since 2009, when writing and catching chopsticks, the hand will shake uncontrollably, and the frequency of shaking and tremor is getting higher and higher, which makes it unable to carry out its daily life normally. Lao Zhang, who is optimistic and enthusiastic, has become silent.
In 2017, Lao Zhang was diagnosed with "esthetic tremor", and once used "Almar, primidone" for anti-tremor treatment, the effect is acceptable, but after taking the medicine, there is no old Zhang, who has no history of hypertension. There is a significant increase in Blood Pressure. After the drug was stopped, the tremor was repeated.
In the past year, the symptoms of tremors in the upper limbs of Lao Zhang have become more and more serious, and the amplitude and frequency of tremors have also increased sharply. The life of Lao Zhang has become more and more overwhelmed.
In May 2018, under the assessment and suggestion of Professor Chen Ling and neurosurgery Professor Liu Jinlong from the First Affiliated Hospital of Sun Yat-sen University, Lao Zhang received deep brain stimulation. This is the first case of idiopathic tremor local electrophysiological monitoring of the hypothalamic nucleus deep brain stimulation, namely, brain pacemaker surgery. The operation was smooth, the position of the implanted electrode was accurate, the postoperative symptoms were significantly improved, the symptoms of tremor were controlled in time, and the life of Lao Zhang returned to the calm of the past.
Idiopathic tremor, also known as primary tremor, is a common dyskinesia. Overseas studies have shown that the incidence of idiopathic tremor is about 1%, and the age of onset is more common in middle-aged and older people over 40 years old. Familial patients have earlier onset than sporadic patients, and the onset age is more than 20 years old. The patient's clinical presentation is postural or motor tremor at the distal extremity, with a frequency of approximately 4 to 12 Hz, accompanied by head, mouth, or tremors. 30% to 50% of patients have a family history.
Liu Jinlong said that the exact cause of finding essential tremor is still a worldwide problem, but the disease can be treated with drugs or surgery. From the perspective of safety and efficacy, deep brain stimulation is the preferred surgical treatment for patients with essential tremor. The surgery is characterized by low trauma and reversibility.
"The key point of deep brain stimulation is the accuracy of implanting the position of the brain electrode." Liu Jinlong said that it is necessary to repeatedly calculate the target of the surgical plan based on CT and MR images before surgery. In the operation, X-ray machine and electrophysiological test are needed to confirm the position of the implanted electrode. Postoperative CT images are needed after surgery. Confirmed with preoperative CT images and surgical plan targets.
Liu Jinlong believes that deep brain stimulation therapy can not only treat essential tremor, but also effectively treat diseases such as Parkinson's disease and epilepsy and dystonia. He said that he is confident that using deep brain stimulation therapy will bring safe and reliable medical services to more patients in the future and benefit more families.
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