rajkot press
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Rajkot Press meeting to launch the campaign : "Conquering Parkinson's Disease"- We will not be defeatedTRANSCRIPT
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Surgery for Movement and Psychiatric Disorders
Dr. Paresh K DoshiIn-charge Stereotactic and Functional Neurosurgical
ProgramJaslok Hospital and Research Centre
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Movement Disorders
•Parkinson’s Disease
•Tremors
•Dystonia
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Parkinson’s Disease
•Tremors, slow movements, stiffness, postural instability
•8-20/10,000
•Usually associated with old age- young not uncommon
•Levodopa treatment most effective initially
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Medical Management
•Levodopa- Dopamine replacement
•Other drugs:
•Dopamine agonists like ropinarole, pramipexole etc.
•Side effects:
•Nausea Vomiting
•Dyskinesias, Hallucinations, Constipation
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Who is the best surgical candidate
•Usually >5yrs of disease
•on-off fluctuations
•Significant dyskinesias
•Off phase dystonia and pain
•Uncontrolled tremors
•Levodopa responsive symptoms
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Parkinson’s Disease Target
STN7x9x5mm
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Surgical strategies for Parkinson’s Disease
LesionLesion StimulationStimulation
Subthalamic nucleusSubthalamic nucleus
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What is Deep Brain Stimulation
IPG
LEAD
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What is Deep Brain Stimulation
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STN Lesion
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•Total no. of Movement Disorders Surgeries- 254
•Deep brain stimulation surgeries-182
•DBS for PD-162
Demographics
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Surgery
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Instantaneous relief
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Real Estate Consultant Back on his Legs
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Preop 1Y Postop
3Y Postop
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TextDoctors Also!!!
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N=30
N=26
59%
54%
Doshi et al, Neurology India 2004
Doshi et al, Movement Disorder 2006
Results
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N=30
N=26
36%
38%
Doshi et al, Neurology India 2004
Doshi et al, Movement Disorder 2006
Results
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STN Lesioning
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After 5 years
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Thank You