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1.What is Parkinson's disease?
- Parkinson’s disease is a chronic movement disorder caused by a lack of dopamine in the brain.
- It may occur in the fourth or fifth decade of life, but it is more common after sixty.
2.What are the symptoms of Parkinson’s disease?
- Parkinson’s disease may be accompanied by several symptoms, the most important of which are slowness in movement, stiffness in body movement, or a continuous tremor during steadiness that disappear with movement.
- All or some of these symptoms may be present and may affect one side of the body or both sides at the same time.
- One of the characteristics of Parkinson’s disease is that it is an advanced disease whose symptoms increase with the passage of time.
3.What is the best treatment for Parkinson's disease?
- Pharmacotherapy is the basic part of treatment for Parkinson’s disease. The patient needs to increase the drug doses with time as a result of the natural progression of the disease.
4. When can Parkinson's disease surgery be performed?
- In the event of non-response to drug therapy or the appearance of side effects as a result of high drug doses.
- Or in the case of a short period of effect of the drug, the patient may resort to surgical intervention.
5.Does Parkinson's surgery eliminate the disease completely?
- There is still no definitive treatment for Parkinson’s disease worldwide. It is a chronic disease, just like pressure and diabetes, but all available medical or surgical treatments are intended to eliminate the symptoms of the disease and help patient lead a normal life.
6.What are the types of Parkinson’s surgeries?
- There are two types of surgical interventions for Parkinson’s paralysis, Ablation of deep brain nuclei or by deep brain stimulation.
7. What is the success rate of Parkinson's surgery?
- The success rate of Parkinson’s paralysis operations ranges from 70 to 85%, and this percentage varies from one case to another.
8.What is essential or primary Parkinson's disease?
- Essential or primary tremor disease is a tremor that affects the hands or legs and may affect the head or tongue and affects speech. The cause of Essential tremors is unknown. The patient’s tremor occurs while trying to eat, drink, write, and it disappears completely during stillness.
9. How do I differentiate between Parkinson's disease and essential or primary tremor?
- Essential tremor may affect the voice, but Parkinson’s does not. Essential tremors are usually felt more when in motion, but Parkinson’s tremors are felt more when at rest. Essential tremor symptoms can progressively get worse, but won’t necessarily shorten the patient’s life span
10. Can essential tremor disease be treated surgically?
- Pharmacological treatment is the primary treatment for primary tremors, but we may resort to surgical interventions in case of non-response to medications. Muscular tension can be treated surgically by cauterizing the deep nuclei of the brain or by installing a stimulation battery.
11. What is muscular totosis or dystonia?
- Disease or dystonia is involuntary movements that affect one side of the body or both sides together.
- These continuous movements may cause embarrassment to the patient or prevent him from performing his duties or living normally.
12.How can dystonia be treated surgically?
- Dystonia can be treated surgically by cauterizing the deep brain nuclei or by stimulating the deep brain cells.
13. What is Trigeminal Neuralgia?
- The fifth nerve pain is pain or electrical impulses that affect one side of the face or both sides together. It may affect the entire side, the molars and teeth area only, the eye area only, or both.
- The fifth nerve pain occurs as a result of the pressure of an artery from the brain arteries on the fifth nerve.
- The patient may feel these pulses or this pain while eating or drinking or while brushing teeth or while talking.
14. What are the different surgical interventions for the treatment of trigeminal nerve pain?
- The fifth nerve pain can be treated in the event of failure of drug treatment surgically, either by thermal frequency or by limited surgical intervention to lift the artery pressing on the nerve.
15.Is thermal frequency a permanent treatment for vertebral pain?
- Thermal frequency therapy is not a permanent treatment for pain. Its success rate is from 60 to 90%, and its effect extends from six months to 18 months.
16. What are epilepsy surgeries?
- Intractable epilepsy are cases that don’t respond to the maximum dose that can be given to an epileptic patient, and the patient continues to suffer from frequent convulsions despite adherence to medications and instructions.
- In the case of a specific epileptic focus, this focus can be eradicated. In the absence of a specific focus, the patient may respond to the installation of a vagus nerve stimulator.
17. Is epileptogenic focus resection suitable for all cases of intractable epilepsy?
- The epileptic focus can be removed only if there is a specific focus that is the source of continuous electrical activity. Either in the case of more than one focus or in the case of general electrical activity, this type of surgery may not be the best option.
18. In case of inability to remove the epileptic focus, is there another solution?
- In these cases, the patient may respond to the installation of a vagus nerve stimulator device.
19. How can vertebral pain be treated?
- The causes and methods of treating vertebrae pain differ from one patient to another and from one condition to another.
- Vertebrae pain can be treated either through pharmacological treatment with physiotherapy and weight reduction, by thermal frequency, by limited surgical or laparoscopic intervention, or by stabilizing the vertebrae, either through the surgical opening or through limited intervention through the skin.
20. What is the success rate of scoliosis correction surgery?
- With medical and scientific progress, the percentage reaches 99%, but the percentage may decrease slightly with the increase in the degree scoliosis.
22. Is there a certain age after which surgical repair of scoliosis can't be performed?
- No, but the lower the age, the better due to the more bone softness and ease of repair.
23. Will the person return to normal after the operation?
Yes, and this is according to a schedule set by the doctor. After a month and a half, he can exercise, after six months, he can lift weights, and after two years, he exercises his life normally.
24. When can a female get pregnant after undergoing a scoliosis correction operation?
- The woman can become pregnant one year after the operation.
25. Does the patient lose flexibility after scoliosis repair?
- No, but the younger the operation is performed, the better it is, and the spine is more supple and retains its suppleness after the operation.
26. When is surgery to correct scoliosis indicated angle?
- If the degree of scoliosis is more than 45 to 50 degrees, it is preferable to perform the operation so that doesn’t exceed that.
27. Dose wrong habits cause scoliosis the spine?
- No, but if the patient has a susceptibility, it may increase this susceptibility.
28. What are the other ways to treat scoliosis of the spine?
- Physiotherapy to strengthen the back muscles.
- Wear a supporting brace
29. What are the different types of operations used to repair scoliosis?
- There are many operations that are used to treat scoliosis, either by opening, by means of endoscopy, by limited intervention, or by means of an extendable bracket, but the intervention differs according to the nature of the condition and what is most appropriate for it.