PARKINSON’S DISEASE

UPDATES 2016

DR. AHMED TANJIMUL ISLAM Medical Officer, MU 3

SYLHET MAG OSMANI MEDICAL COLLEGE HOSPITALBangladesh

•IMAGING FOR PARKINSON’S DISEASE

DRUGS FOR PARKINSON’S DISEASE

SURGICAL MANAGEMENT:

•1. DEEP BRAIN STUMULATION

•2. SURGICAL RESECTION OF THALAMUS.

• THALAMOTOMY /• SUBTHALAMIC RESECTION

FOLLOW UP

REHABILITATION PROGRAME STEP BY STEP

THE FUTURE

Can dietary supplements help with Parkinson's disease?

• Currently there are no vitamins, minerals, or other nutrients that have any proven therapeutic value in Parkinson's disease.

• Some early reports have suggested that dietary supplements might protect against the disease.

• A preliminary clinical study of a supplement called Coenzyme Q10 suggested that large doses of this substance

might slow disease progression in people with early-stage Parkinson's. This supplement is now being tested in a large clinical trial.

• Other studies are being conducted to find out if caffeine, antioxidants, nicotine, and other dietary factors may help prevent or treat the disease.

Is there any role of diet ?

• Not actually. • Protein & Fatty foods may decrease

absorption as well as limit the conversion of levadopa in brain.

Can exercise help with Parkinson's disease?

• Exercise can help people with Parkinson's disease improve their mobility and flexibility. • It can also improve their emotional

well-being. • Exercise may improve the brain's

dopamine production or increase levels of beneficial compounds called neurotrophic factors in the brain.

Can supportive therapies help with Parkinson’s disease?

Physical, occupational, and speech therapies, which help with gait and voice disorders, tremors and rigidity, and decline in mental functions.

Am I a direct candidate for Deep Brain Stimulation?

• After using the highest dosage of drug one might be considered as a last option for either DBS / Thalamotomy.

Is there a Cure?

• Not at present.• By 2017, research with Stem cell transplant, Virus transplant.

What is the Prognosis?

• It is a slow generalized progressive disease.• It will not cut off your life span.• It will cut off your life standard.

THANK YOU