Different aspects of Parkinson's treatment with brain surgery Brain surgery offers a valuable treatment option for Parkinson's disease that relieves symptoms and improves the overall quality of life for many patients. Brain surgery to treat Parkinson's is performed through two methods, each described below: deep brain stimulation (DBS) Deep brain stimulation (DBS) is an advanced treatment for Parkinson's disease (PD). DBS involves surgically implanting electrodes in specific areas of the brain, such as the subthalamic nucleus or the internal globus pallidus. These electrodes send controlled electrical impulses to modulate brain abnormalities. DBS is usually considered when it improves significant side effects. People with PD improve....however, it does not stop disease progression or resolve non-motor symptoms such as cognitive decline....DBS candidates undergo thorough evaluations to ensure they are suitable for the procedure....Risks include infection, bleeding, or hardware complications, but advances in techniques have also been minimal in park settings..Follow-up is critical to optimize DBS settings and manage treatment effects....### Lesion destruction Lesion debridement is a surgical approach to the treatment of Parkinson's disease (PD) that targets specific areas of the brain that are involved in movement control. One common procedure is pallidotomy, which involves creating a lesion in the globus pallidus internus (GPi), a part of the brain that is overactive in PD. This deactivation leads to symptoms such as stiffness and tremors. It restores balance in motor pathways... This brain surgery method for treating Parkinson's can significantly reduce symptoms and improve the quality of life of patients who do not respond well to medication.... Another lesion destruction technique is thalamotomy, which targets the thalamus to reduce tremors.... Because of the precise nature of the brain structures involved, the damage is irreversible and risks such as speech and cognitive impairments, severe cognitive impairment, cognitive impairment, neurological disorders, etc., are less popular than deep brain stimulation (DBS)... Considerations for Parkinson's surgery Brain surgical interventions for the treatment of Parkinson's, especially DBS, are considered when medication cannot effectively control symptoms.. Key considerations for Parkinson's surgery include patient selection, timing of surgery, and target areas for stimulation.. Ideal candidates usually have idiopathic Parkinson's, respond to levodopa, and suffer from surgery.. They also usually suffer from motor or disc fluctuations.. It is performed when patients are in the moderate stages of PD, not in the advanced stages. Advanced where there are severe disabilities....Choosing the correct target area in the brain is critical for optimal results....Common targets include the subthalamic nucleus (STN) and globus pallidus interna (GPi)....STN is often preferred because of its effect on reducing GP symptoms, while it may be used to reduce GPD symptoms..Preoperative evaluation, including a complete neurologic evaluation and brain imaging, to identify surgical targets and rule out contraindications consumption.. Also, postoperative brain care for Parkinson's treatment includes DBS adjustments and ongoing medication management to maximize benefits and minimize side effects.. Hence, a multidisciplinary approach involving neurologists, neurosurgeons, and successful psychologists is essential... Advantages of Parkinson's Surgery with Brain Surgery Brain surgery to treat Parkinson's has the following potential benefits: - **Symptom Relief;** Parkinson's disease surgery can significantly reduce motor symptoms.. This includes reducing tremors, rigidity and bradykinesia, which are major challenges for patients.... - **Pharmacological reduction of side effects... Tuning;** Adjustable DBS offers this tuning that allows neurologists to adjust stimulation to the patient's evolving needs.. This tuning can optimize treatment outcomes over time and ensure lasting benefits. slow. **Non-destructive approach;** Unlike other surgical procedures, DBS does not destroy any part of the brain. effectiveness; **Research shows that DBS can have long-term benefits and help manage symptoms for many years, which can be very important for patients with progressive Parkinson's disease... Disadvantages of Parkinson's surgery using brain surgery Considering the many advantages that brain surgery has for the treatment of Parkinson's, it also has disadvantages that we will discuss below: - **Risks of surgery;** Brain surgery for Parkinson's disease carries significant risks.. Complications can include infection, bleeding in the brain, or adverse reactions to anesthesia that can lead to serious consequences such as stroke or even death. It can significantly improve symptoms for some patients, but it does not work the same for everyone.... The effectiveness can be different and lead to people's disappointment.... - ** Time-consuming maintenance and adjustment, especially for those who have limited mobility or live far from medical centers.... - ** Treatment is not 100%; But the disease is not cured....Patients still need medication and the disease is still progressing....This means that despite undergoing major surgery, patients may still experience worsening symptoms over time....- **Cognitive and emotional side effects;** Some patients may experience cognitive decline, depression, or changes in mood and behavior after surgery....These side effects can affect the patient's quality of life..With brain surgery?..Yes, brain surgery for treatment Parkinson's, especially through a procedure called deep brain stimulation (DBS)... While brain surgery does not cure Parkinson's, it can significantly improve the quality of life of patients who do not respond well to medication.... This procedure is generally considered safe, but carries the usual risks of brain surgery.... Dr. Mahmoud Yazdan Panahun; They operate in Tehran with several years of experience.... They provide extensive services in various fields including: diagnosis and treatment of diseases of the brain, nerves and spine.... Dr. Yazdan Panahi works in the field of treating Parkinson's patients.... He tries to improve the symptoms of this disease by using a combination of drugs and various surgical methods... His treatment approaches include the use of continuous drugs, deep brain surgery (DBS) and also a combination of these methods to improve the quality of life of patients with Parkinson's.... The ways of communication with the doctor are: **Office contact information:** Saadat Abad, Kaj Square, Shabani (9th) St., Niayesh Clinic, 4th floor Day and time of attendance: Thursday 11am to 2pm Phone: 09385664232 **Contact information for Trita Hospital;** Address: Tehran, Hemet Highway, Shahid Kharazi Highway, Terita Hospital Exit Day and time of attendance: Saturday at 1 p.m Monday at 5:30 p.m Wednesday at 11:30 am