ONCOLOGIC SURGERY

Oncologic Surgery

'Deep Brain Stimulation' means that the nuclei containing specialized cells are continuously stimulated by low electric current. This surgical treatment is used in the treatment of Parkinson's disease, epilepsy, essential tremor, chronic pain, movement disorders such as dystonia, and psychiatric disorders such as obsessive-compulsive disorder and major depression. Through Deep Brain Stimulation, the brain's electrical activity can be controlled, regulate abnormal impulse and treated in a controlled manner in the special nuclei of the brain. When appropriate illnesses are applied, it is revealed that the quality of life increases, the side effects related to the drugs decrease, the financial burden also decreases significantly and the patients contribute significantly to their comfortable life.

 

Parkinson's disease is a neuro-degenerative disease that occurs more often in men after age 50, and brain cells that produce hormone called dopamine occur in the brain. The disappearance of these cells in the substantia nigra causes the nucleus cluster responsible for the movement to fail to reach a sufficient dopaminergic signal to the basal ganglia. This reduces the stimulant effect of the brain shell and results in complaints such as tremor, bradykinesia, impaired balance, and stiffness in the muscles. Drug therapy in Parkinson's disease is L-DOPA or the same (agonist) drugs. This type of surgery should definitely be considered in patients with severe psychiatric disease and dementia who respond well to drug treatment but do not tolerate the side effects of the drugs. In appropriate selected patients, they are seriously reduced in parkinson’s disease findings and provide significant improvement in quality of life. Patient selection and pre-surgical procedures are performed by neurologist and neurosurgeon. It is important to evaluate L-dopa drug efficacy while the patient is on medication  and without medication . Later, detailed brain MRI examinations and neuropsychiatric evaluation of the patients who are suitable for surgery are performed.

 

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