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	<title>Symptom Advice .com &#187; dr helen</title>
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		<title>New treatment offers relief for those with Parkinson&#8217;s disease</title>
		<link>http://symptomadvice.com/new-treatment-offers-relief-for-those-with-parkinsons-disease/</link>
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		<pubDate>Wed, 09 Mar 2011 05:17:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[disease symptoms]]></category>
		<category><![CDATA[5 million]]></category>
		<category><![CDATA[dr helen]]></category>
		<category><![CDATA[stanford hospitals and clinics]]></category>

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		<description><![CDATA[Font Size: More than 1.5 million people are living with Parkinson&#8217;s disease &#105;&#110; &#116;&#104;&#101; U.S. While &#116;&#104;&#101; disorder tends to be more common &#105;&#110; older people, &#105;&#116; drastically changed one woman&#8217;s life before &#104;&#101;&#114; 40th birthday. A new treatment is now offering relief. Driving, pouring coffee, and flipping through a book, all simple &#116;&#104;&#105;&#110;&#103;&#115; we [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/03/1299647831-56.jpg%3Fw%3D468%26h%3D297" style="clear:both;clear:both;margin:0 15px 15px 0" />Font Size:
<p>More than 1.5 million people are living with Parkinson&#8217;s disease &#105;&#110; &#116;&#104;&#101; U.S.</p>
<p>While &#116;&#104;&#101; disorder tends to be more common &#105;&#110; older people, &#105;&#116; drastically changed one woman&#8217;s life before &#104;&#101;&#114; 40th birthday. </p>
<p>A new treatment is now offering relief.</p>
<p>Driving, pouring coffee, and flipping through a book, all simple &#116;&#104;&#105;&#110;&#103;&#115; we take &#102;&#111;&#114; granted, became a &#098;&#105;&#103; challenge &#102;&#111;&#114; Resa King.</p>
<p>Resa &#115;&#097;&#105;&#100;, &#8220;For me, &#105;&#116; was &#114;&#101;&#097;&#108;&#108;&#121; intolerable. I couldn&#8217;t &#114;&#101;&#097;&#108;&#108;&#121; walk because people &#116;&#104;&#111;&#117;&#103;&#104;&#116; I was drunk.&#8221;</p>
<p>At just 39, Resa &#103;&#111;&#116; &#116;&#104;&#101; news. &#104;&#101;&#114; constant shaking and inability to control &#104;&#101;&#114; own movements was an early onset of Parkinson&#8217;s Disease. Medicine initially offered relief, &#098;&#117;&#116; &#116;&#104;&#101; side effects became just as debilitating.</p>
<p>Resa &#115;&#097;&#105;&#100;, &#8220;You take &#116;&#104;&#101; medication &#102;&#111;&#117;&#114; times a day, so you go through this valley, rising &#102;&#111;&#117;&#114; times a day.&#8221;</p>
<p>Desperate &#102;&#111;&#114; relief, Resa &#116;&#114;&#105;&#101;&#100; deep brain stimulation &#111;&#114; DBS.</p>
<p>Dr. Helen Bronte-Stewart, MD, MSE, is an Associate Professor &#097;&#116; &#116;&#104;&#101; Department of Neurology and Neurological Sciences and Director, Stanford Movement Disorders Center &#097;&#116; Stanford Hospitals and Clinics.</p>
<p>Dr. Bronte-Stewart &#115;&#097;&#105;&#100;, &#8220;The advantage of deep brain stimulation is that you don&#8217;t take anything by mouth, so it&#8217;s &#8216;on&#8217; all &#116;&#104;&#101; time, so &#116;&#104;&#101; patients don&#8217;t go &#105;&#110;&#116;&#111; &#8216;on&#8217; periods and &#8216;off&#8217; periods.&#8221;</p>
<p>Stanford doctors implanted a pacemaker-like device &#105;&#110;&#116;&#111; Resa&#8217;s chest. Wire &#102;&#114;&#111;&#109; &#116;&#104;&#101;&#114;&#101; went &#105;&#110;&#116;&#111; Resa&#8217;s brain, sending out pulses of electricity that &#104;&#101;&#108;&#112; ease &#116;&#104;&#101; uncontrolled movements. &#108;&#105;&#107;&#101; &#097;&#110;&#121; brain surgery, there&#8217;s a risk of infection and hemorrhaging. &#098;&#117;&#116; &#097;&#102;&#116;&#101;&#114; DBS, patients often experience less stiffness and tremors. &#109;&#111;&#115;&#116; are able to cut &#116;&#104;&#101; medications &#105;&#110; &#104;&#097;&#108;&#102;.</p>
<p>Dr. Bronte-Stewart &#115;&#097;&#105;&#100;, &#8220;That translates &#105;&#110;&#116;&#111; &#098;&#101;&#105;&#110;&#103; able to walk faster, take bigger strides, and &#104;&#097;&#118;&#101; a more predictable lifestyle.&#8221;</p>
<p>While DBS did &#110;&#111;&#116; erase all of Resa&#8217;s symptoms, &#104;&#101;&#114; close friends saw a change immediately. And &#102;&#111;&#114; Resa, those everyday tasks became that &#109;&#117;&#099;&#104; more bearable.</p>
<p>Resa &#115;&#097;&#105;&#100;, &#8220;Now, people &#099;&#111;&#109;&#101; &#117;&#112; to me and say, &#8216;You&#8217;re &#100;&#111;&#105;&#110;&#103; so &#109;&#117;&#099;&#104; &#098;&#101;&#116;&#116;&#101;&#114;.&#8217; I say, &#8216;Does &#105;&#116; &#114;&#101;&#097;&#108;&#108;&#121; show that &#109;&#117;&#099;&#104;?&#8217; &#116;&#104;&#101;&#121; say, &#8216;Oh yeah, &#105;&#116; shows.&#8217;&#8221;</p>
<p>The therapy typically works &#098;&#101;&#115;&#116; &#105;&#110; &#116;&#104;&#101; mid-stages of &#116;&#104;&#101; disease and &#100;&#111;&#101;&#115; &#110;&#111;&#116; &#104;&#101;&#108;&#112; patients with speech &#111;&#114; cognition problems.</p>
<p>This surgery is &#098;&#101;&#105;&#110;&#103; &#100;&#111;&#110;&#101; locally.</p>
<p>A few years &#098;&#097;&#099;&#107; I took you &#105;&#110;&#115;&#105;&#100;&#101; &#116;&#104;&#101; operating room with neurosurgeon Dr. Robert Yount &#102;&#111;&#114; &#116;&#104;&#101; procedure.</p>
<p>If you &#119;&#111;&#117;&#108;&#100; &#108;&#105;&#107;&#101; to &#115;&#101;&#101; that story, click here.</p>
<p>TOPIC: SHOCKING THE SHAKES FROM PARKINSON&#8217;SREPORT: MB #3265</p>
<p>BACKGROUND: Parkinson&#8217;s disease (PD) is a disorder of &#116;&#104;&#101; brain that &#099;&#097;&#117;&#115;&#101;&#115; individuals to experience tremors and difficulty with walking, movement, and coordination. &#116;&#104;&#101; disorder &#109;&#097;&#121; affect one &#111;&#114; &#098;&#111;&#116;&#104; sides of &#116;&#104;&#101; body. &#097;&#099;&#099;&#111;&#114;&#100;&#105;&#110;&#103; to &#116;&#104;&#101; National Institute of Neurological Disorders and Stroke, &#116;&#104;&#101;&#114;&#101; is &#110;&#111; cure &#102;&#111;&#114; PD, &#098;&#117;&#116; a variety of medications and therapies can provide dramatic relief &#102;&#114;&#111;&#109; &#116;&#104;&#101; symptoms. One &#115;&#117;&#099;&#104; treatment is deep brain stimulation (DBS). DBS is a surgical procedure used to treat a variety of disabling neurological symptoms, &#098;&#117;&#116; it&#8217;s commonly used to treat PD patients. &#105;&#110; 2002, DBS was FDA-approved to treat Parkinson&#8217;s. </p>
<p>TREATMENT: During DBS, a &#116;&#104;&#105;&#110; lead containing electrode contacts is implanted &#105;&#110;&#116;&#111; a specific target area &#105;&#110; &#116;&#104;&#101; brain. &#116;&#104;&#101; lead extends through a small opening &#105;&#110; &#116;&#104;&#101; skull below &#116;&#104;&#101; skin and is connected to an extension wire with a connection behind &#116;&#104;&#101; ear. &#116;&#104;&#101; wire is connected to an impulse generator that is implanted under &#116;&#104;&#101; skin just below &#116;&#104;&#101; collarbone. Once &#116;&#104;&#101; &#115;&#121;&#115;&#116;&#101;&#109; is &#105;&#110; &#112;&#108;&#097;&#099;&#101;, electrical impulses are sent &#102;&#114;&#111;&#109; &#116;&#104;&#101; neurostimulator &#117;&#112; along &#116;&#104;&#101; extension wire and &#116;&#104;&#101; lead and &#105;&#110;&#116;&#111; &#116;&#104;&#101; brain. These impulses block &#116;&#104;&#101; electrical signals that cause PD symptoms. Programming of &#116;&#104;&#101; stimulation is easy and painless using an external magnetic control box. &#116;&#104;&#101; patient is left awake during &#116;&#104;&#101; surgery (which typically lasts &#116;&#119;&#111; to three hours). &#111;&#110; average, &#116;&#104;&#101; hospital stay is 24 hours. &#116;&#104;&#101; stimulators are turned &#111;&#110; &#102;&#111;&#114; &#116;&#104;&#101; first time three weeks &#097;&#102;&#116;&#101;&#114; implantation. (SOURCE: University of Miami)</p>
<p>PROGNOSIS: &#097;&#116; present, DBS is used &#111;&#110;&#108;&#121; &#102;&#111;&#114; patients whose PD symptoms &#099;&#097;&#110;&#110;&#111;&#116; be adequately controlled with medications. DBS specifically helps treat tremors, rigidity, stiffness, slowed movement, and walking problems. &#097;&#108;&#116;&#104;&#111;&#117;&#103;&#104; &#109;&#111;&#115;&#116; patients &#115;&#116;&#105;&#108;&#108; &#110;&#101;&#101;&#100; to take medication &#097;&#102;&#116;&#101;&#114; undergoing DBS, &#109;&#097;&#110;&#121; experience a significant reduction of their PD symptoms and are able to reduce their medications. &#116;&#104;&#101; &#097;&#109;&#111;&#117;&#110;&#116; of reduction varies &#102;&#114;&#111;&#109; patient to patient. &#116;&#104;&#101; reduction &#105;&#110; dose of medication leads to a significant improvement &#105;&#110; side effects &#115;&#117;&#099;&#104; as dyskinesias (involuntary movements caused by long-term &#117;&#115;&#101; of levodopa). &#105;&#110; &#115;&#111;&#109;&#101; cases, &#116;&#104;&#101; stimulation &#105;&#116;&#115;&#101;&#108;&#102; can suppress dyskinesias without a reduction &#105;&#110; medication. (SOURCE: Mayo Clinic)</p>
<p>FOR MORE INFORMATION, PLEASE CONTACT: Stanford Hospitals &amp; Clinics Movement Disorders Center(650) 723-6469</p></p>
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