Parkinson’s case: can surgery cure Parkinson’s disease for 7 years?

Parkinson’s disease patient Shi Mou, 62 years old, has been suffering from the disease for more than 7 years. He can barely walk on his own, but when he walks, he tilts his upper body forward, takes small steps, and has difficulty in turning and stopping. He was in more mental than physical pain and was depressed, so he came to our hospital for treatment. The following is the case of Toki. Name: Say Gender: Female Age: 62 years old The patient was admitted with the main reason of “progressive limb tremor and rigidity for 7 years”. Case characteristics: 1. elderly female, 62 years old; 2. 7 years of disease duration. Main clinical manifestations: limb tremor, muscle rigidity, and motor retardation; 3. He had normal speech and speech sounds, and was moderately responsive. There was no deformity in cranial appearance. Facial expression was slightly dull, no swallowing difficulty and choking cough. The neck was slightly stiff. He could walk on his own, with a slight forward tilt of the upper body, small stride length, difficulty in steering to stop, and no swing of the upper limbs when walking. Preliminary diagnosis: Parkinson’s disease Treatment: After admission, the patient’s diagnosis of Parkinson’s disease was clear and there were indications for surgery, and there were no contraindications to surgery. Stereotactic deep brain electrode implantation was performed under local and general anesthesia, and the procedure went smoothly. Discharge diagnosis: Parkinson’s disease Discharge medical advice: pay attention to rest, strengthen nutrition, increase body weight, and enhance physical fitness. Pay attention to protect the incision and prevent infection. Follow up on indisposition. Parkinson’s disease is a chronic disease that requires lifelong medication to control, but the medication will have a limited duration of action. At the end of the course of the disease, the medication will have little effect, so surgery should be added to the treatment. Deep brain electrode implantation is a well established and safe treatment that is very effective in improving Parkinson’s symptoms. Deep brain electrode implantation is a procedure that uses electrodes implanted in the brain to deliver electrical impulses to the relevant nuclei that control movement and regulate abnormal electrical activity, which can significantly improve the symptoms of bradykinesia/movement disorder, muscle rigidity and/or tremor in Parkinson’s patients and significantly reduce the side effects of medications.