Parkinson’s disease case: surgery improves tremor, rigidity

Mr. Yang, a Henan native, is 67 years old and has suffered from Parkinson’s disease for more than seven years. At first it was just a light finger tremor, which Mr. Yang did not pay attention to. Later, Mr. Yang became anxious when his right limb trembled and he walked with a shuffling step. After being diagnosed with Parkinson’s disease in Henan, Mr. Yang has been taking medication, but the effect has been less than ideal, and the side effects are also very large. In order to seek surgery, Mr. Yang came to the hospital for treatment. Mr. Yang’s surgery was very successful. The following is his case for patients’ reference. Name: yls Gender: male Age: 67 years old Admitted for “progressive limb tremor and stiffness for more than 7 years”. Condition at admission: 1. Elderly male. 2. The patient had tremor of the right finger without obvious cause 7 years ago, and difficulty in fine finger movements, which was not taken seriously. 3. Two years later, he developed involuntary tremor of the right limb, which was progressively aggravated, with slow movement, inactivity, and shuffling of the right lower limb when walking. She was diagnosed with Parkinson’s disease in a hospital in Henan province, and was given oral Metobar, which she stopped taking a few days later. Four years ago, the symptoms gradually aggravated, began to take Medoxomil again, after taking the drug, the symptoms improved significantly, half a year ago, began to appear in the left limb of the tremor, began to take Senforo, after taking the drug, conscious of the side effects of the obvious, stop taking Senforo. In order to seek further diagnosis and treatment, she came to our outpatient clinic and was admitted to the hospital with “Parkinson’s disease”. After the disease, his general condition was fine, his spirit was fine, his appetite was fine, and his bowel movements were normal. Preliminary diagnosis: Parkinson’s disease Treatment: After admission to the hospital, we actively improved the relevant examinations and preoperative preparations, there is no absolute contraindication to surgery, under local anesthesia + general anesthesia, the patient underwent implantation of the left side of the deep brain electrical stimulation surgery, and the operation went smoothly, there was no special adverse reaction during and after the operation. After the operation, the patient was routinely given hemostasis, prevention of infection, nutritional support and so on. The patient recovered well and the wound healed well. At the time of discharge: the patient’s general condition was good, clear speech, good mental state, good diet and sleep, stable vital signs, normal body temperature, good general activities. Wound healing was good, and all stitches were removed. Discharge diagnosis: Parkinson’s disease Discharge advice: pay attention to rest, strengthen nutrition. Continue the preoperative medication regimen with oral medication and psychological counseling. Parkinson’s disease has an insidious onset and is indeed easy to be overlooked. So in daily life, how to determine whether you are a normal “tired shivering” or “Parkinson’s disease”? 1. When you are tired, your body will shiver and the symptoms will disappear after resting appropriately, while the symptoms of Parkinson’s disease will persist and gradually worsen. 2. Stiffness and pain in the limbs caused by overexertion will return to normal in a week or so, but if the stiffness persists for a long time, you should go to the hospital in time. 3. If the symptoms of tremor and stiffness are accompanied by emotional anxiety and depression, you should pay more attention to them and consult a doctor immediately. Depression is also a harbinger of Parkinson’s disease. Treatment of Parkinson’s disease: At present, the main treatment is medication plus deep brain electrical stimulation. Parkinson’s disease patients are in accordance with the course of the disease and symptoms to develop treatment methods, early generally the best effect of medication, and in the middle and late stages can be considered deep brain electrical stimulation. Deep brain electrical stimulation is currently the safest and most effective surgical method for treating Parkinson’s disease, with minimally invasive and reversible characteristics.