Parkinson's Can Be Treated With Surgery

For more information:ali.ma@wecistanche.com

After hearing that Parkinson's can be treated with surgery, many patients in clinical practice, the first reaction is to take medicine to control the symptoms? Why is surgery required for Parkinson's disease? Even if you have to do surgery, you have to wait until the medicine doesn't work, right? Many Parkinson’s and their family members think that if I can rely on drugs, I will hold on for a while. It is not too late to consider surgery when I really can’t get out of bed. Is surgery really a helpless choice for advanced Parkinson’s patients?

In patients with early Parkinson's disease, most of the oral anti-Parkinsonian drugs have a very good effect for a period of time, which we call the "honeymoon period".

Generally speaking, long-term use of drugs has certain drug resistance and side effects. The "honeymoon period" means that the patient's response to anti-Parkinson's disease drugs is very good, and the Parkinson's symptoms can be better controlled after medication, so that the patient can live a normal life. condition. In the early or middle years of Parkinson's disease, patients can get satisfactory and sustained curative effects by taking Parkinson's disease drugs. 

However, the honeymoon period also has a time limit. This honeymoon period can last for about 3-5 years. After the honeymoon period of Parkinson's patients, the efficacy will decline, and some drug-related side effects may even occur, such as movement fluctuations, etc. Speaking of dyskinesia, the efficacy of the drug has not been able to last very well. 

During the time when the efficacy of the drug disappears, the patient will still be troubled by these Parkinson's motor symptoms. In severe cases, they cannot walk, eat, or take care of themselves, which obviously affects their daily life. quality. At this time, drug treatment can no longer meet the needs of some patients, so apart from drug treatment, what other ways can patients return to a normal life? That is surgical treatment. Surgical treatment can allow patients to enter the second "honeymoon period", allowing patients to regain control over their bodies so that patients can continue to do what they want to do.

So, at this time, patients may want to ask, why is the honeymoon period limited, is it the wrong choice of drugs? Or some other reason? First of all, the purpose of taking medicine is to control the symptoms of Parkinson's disease, not to cure Parkinson's disease. Therefore, Parkinson's disease is still progressing continuously and slowly, and with the passage of time, the symptoms of Parkinson's disease become more and more Seriously, there will only be more and more drugs needed to combat these symptoms; at the same time, after we take drugs for a period of time, our body will develop tolerance to these drugs, and the same dose of drugs will have less effect in the body than before; The decline of drug efficacy and the progress of the disease course will prompt us to continuously increase the dose of oral drugs, and long-term high-dose use of these drugs will inevitably lead to some complications, such as dyskinesia, movement fluctuations, and excitement, Psychiatric symptoms such as impulsiveness. Therefore, the honeymoon period quietly ended at this time, replaced by the troubles of various Parkinson's symptoms and movement complications.

When to choose surgery?

When the "honeymoon period" of the drug has passed, and drug-related complications such as drug efficacy decline, symptom fluctuation, dyskinesia, and switching phenomenon appear, this is the best time for surgery, and it is also the best time for surgery to benefit. Procrastinating further is not a wise choice.

Therefore, the treatment of Parkinson's includes two aspects: drug treatment and surgical treatment. Drug treatment can make us enter the first "honeymoon period", and surgical treatment will make us enter the second "honeymoon period", and surgical treatment After a considerable number of patients will reduce the dose, thus making the second "honeymoon period" more durable.