Kolan Hospital

Movement Disorders Center

Parkinson's; It is a chronic neurological disease that occurs with the deficiency of the substance called 'dopamine' in the brain. This disease, which occurs as a result of the decrease or damage of the cells that secrete dopamine in the brain with the advancement of age, causes movement disorders and involuntary movements. Illness; It occurs with tremors in hands and feet, slow movements, stiff muscles, and difficulty walking.

How is Parkinson's Diagnosed? The diagnosis of Parkinson's disease is based on clinical findings. Especially in older patients; Face state, which can be expressed as' mask face ', with small steps and with a more prominent one side of the body,' trembling in the form of money, slowness in movements, inability of the arms to participate in body oscillation and adherence to the body, dullness in eyes and a decrease in facial expressions. Leaning forward suggests that this disease may be at an early stage. In these cases, the person should contact a neurologist.

Who is seen more often? Parkinson's; is an advanced age disease and its average age is between 62-65 years of age. The incidence and symptoms of the disease increase relatively depending on age. Depending on the age of emergence of the disease; The younger the findings emerge at a young age, the more dopamine production decreases over the years, and the disease may progress slightly faster in relatively younger patients. Unfortunately, there is no detailed study showing the number of Parkinson's patients in our country. It is estimated that there are only around 120,000 Parkinson's patients.

What are the social problems experienced by Parkinson's patients? Parkinson disease, which slows down the movements, prevents people from carrying out their work first and then their daily activities in a healthy way. Therefore, patients; in the first and middle stages of the disease, they are disconnected from their business and social life, and in the advanced stages they have to continue their lives with the help of others. These problems can cause patients who already suffer from slowing of motion and tremor to be adversely affected by morale, and most of them become inward or depressed. How is the surgery performed? Our aim in the method called 'Microelectrode Recording and Stimulation Technique', where we can listen to the electrical activity of a single cell in the brain; find the cells responsible for the disease and the location of the anatomical formations around it. For this, we do the operation by talking to the patient, keeping the patient awake. In this way, it is easier to reach the problem area by measuring the patient's reactions. In the first 2-3 hours of the operation, the patient is awake and we mutually help with our patient.

'Microelectrode Recording and Stimulation Technique' brings us to our goal. Thanks to this process, we find the cells responsible for the disease and the anatomical formations around it with less than eighty microns of error in the brain and place the brain cell electrodes in the right spot without the margin of error. How is the Pacemaker Method Applied? In pacemaker surgeries, we place two electrodes in the areas detected in the brain. A pacemaker, such as a pacemaker, is placed in the chest and under the skin, the electrodes are connected to the battery with extension connections. Since the system is completely closed, this does not appear from the outside. Only a blistering occurs under the skin in the chest and this can be felt. Then, we adjust the frequencies and warning parameters that will be good for the patient through the computer. In the 2-3 weeks after surgery, patients often come and go. After we make the appropriate optimum settings, our patient returns to his normal life. What kind of change does the brain battery have in patients' lives? Patients recover dramatically after surgery and can return to their normal lives. In other words, we can reconnect our patients to life with a brain battery. In Parkinson's patients who do not respond adequately to drug therapy, experience severe tremor attacks, or fail to benefit from the drug as a result of severe side effects, the brain cell gives successful results.

However, choosing the right patient who is suitable for surgery and who will benefit from the operation is very important. Thus, patients who cannot even hold their forks, cannot thread the needle, cannot write, can return to their healthy days after necessary battery adjustments after surgery. Battery Takes Back Time Patients with Parkinson's return to their normal state and resume their normal lives after the brain battery is inserted. In other words, the pacemaker takes time back. The patient, who cannot hold a spoon before going into surgery, gets freedom after the operation. Patients who are unable to tie their shoes, do not get their shirts attached, cannot live without help, break with social life, have the chance to live independently after the brain battery, to restore their social life, and even to do their old work again.