Mr. Wang is 70 years old and has a 10-year history of hypertension and a 7-year history of Parkinson’s disease. Seven years ago, Mr. Wang’s left leg was stiff for some reason, walking and dragging. The hospital took a look, but it is “Parkinson’s disease”, 7 years WangLaoZi around to seek medical treatment, the condition is sometimes good and bad, the effect is not too ideal. In the past year, his symptoms have worsened, and he heard that he could have surgery, so he came to the hospital. The following is the case of Mr. Wang. Name: wdm Gender: male Age: 70 years old Patient complained of “progressive limb stiffness and slow movement for 7 years” Condition at admission: The patient had symptoms of stiffness in the left lower limb with no obvious cause 7 years ago, and dragged his feet when walking, so he was seen at a hospital in Xi’an and was considered to have Parkinson’s disease. “Three years ago, the stiffness of the left lower extremity worsened and the right lower extremity stiffness appeared, so the patient went to a hospital in Beijing and was diagnosed with “Parkinson’s disease”, and the dose of methocarbamol was adjusted and Morpholol was added, and the symptoms improved after oral administration. The symptoms improved after oral administration. In the past year, the stiffness of both lower extremities was significantly increased, and the movement was slowed and the gait was forward leaning. In order to seek further treatment, he came to our outpatient clinic and was admitted as “Parkinson’s disease”. After the disease, he was mentally well, had a good appetite, slept well, had constipation, and normal urine. Past medical history: He was in average health and had a history of “hypertension” for 10 years. Usually he takes oral nifedipine extended-release tablets, and his blood pressure is well controlled. Preliminary diagnosis: 1. Parkinson’s disease 2. hypertension Treatment history: After admission to the hospital, we actively improved the relevant examinations and preoperative evaluation, and there were indications for surgery and no contraindications to surgery. Stereotactic bilateral deep brain electrode implantation was performed under local anesthesia + general anesthesia, and the procedure went smoothly. The patient had no special discomfort reactions during and after the operation, and the patient recovered well after the operation. Condition at discharge: the patient was in good general condition, clear consciousness, good mental status, stable vital signs, normal body temperature, acceptable food and urine, good general activity, and grade A incision healing. Discharge diagnosis: 1. Parkinson’s disease 2. hypertension Discharge medical advice: pay attention to rest, strengthen nutrition, increase body weight, and enhance physical fitness. Pay attention to the protection of the incision, after one month before you can wash your hair with warm water, avoid scratching the wound to prevent infection. Continue to take anti-Parkinson’s disease drugs in the preoperative program. Follow up on indications. The pacemaker brain surgery (DBS) is a minimally invasive procedure that causes minimal damage to the body; it also uses a surgical positioning system to develop a surgical plan that ensures accurate target location and safe electrode implantation paths. Because of its minimally invasive and safe features, the procedure can be performed at an older age. So when is the best time to operate? When the efficacy of the drug decreases, the effect of the drug wears off quickly or there are adverse reactions, then receiving brain pacemaker surgery can achieve significant results, and the possibility of restoring normal living and working ability after surgery is much greater than that of patients with advanced Parkinson’s disease.