
In a first, Ganga Ram hospital doctors treat Parkinson's tremors without surgery
Patients suffering from Parkinson's tremors might find relief as doctors have used a non-surgical method to treat the condition.Doctors at Sir Ganga Ram Hospital in New Delhi treated a patient successfully using a method called MRI-Guided Focused Ultrasound (MRgFUS).According to the experts, this is the first time this method has been used to treat Parkinson's disease in North India.advertisement
Parkinson's disease is a brain condition that affects how a person moves. It happens when certain nerve cells in the brain that produce a chemical called dopamine begin to break down or die.Dopamine helps control smooth and balanced movement, so when its levels drop, a person can have trouble moving normally.Common symptoms of the condition include tremors (shaking), especially in the hands, stiff muscles, slowed movements, balance and coordination problems, and small handwriting or changes in speech.Over time, it may also lead to issues like depression, trouble sleeping, or memory problems.Reema (name changed), a retired schoolteacher, had been battling severe hand tremors for years. These tremors made everyday tasks like drinking water, eating, or writing nearly impossible.Despite visiting several doctors and trying different medicines, nothing helped.advertisementWhen she was advised to undergo Deep Brain Stimulation, a complicated brain surgery, she was terrified and chose to continue living with the problem.
Parkinson's disease is a brain condition that affects how a person moves. ()
That changed when she learned about a new non-invasive treatment available in Delhi. Initially considering travelling to the UK for the procedure, Reema was relieved to find the same technology here in India.She underwent the MRgFUS procedure, conducted by Dr. Anshu Rohatgi, Vice Chairman of Neurology, and saw results immediately. Her right hand stopped shaking during the treatment itself.The next morning, she could hold a glass of water, eat a sandwich, and even write her name, simple acts that felt like major milestones.MRgFUS is a modern treatment that doesn't require any cuts or implants. It works by using focused sound waves to target the exact part of the brain causing the tremors.The procedure is done using an MRI, which ensures high accuracy. It is especially useful for people with Essential Tremors (a common neurological disorder) and Parkinson's Disease where shaking is the main symptom.advertisement'This is a completely non-invasive technique, so patients avoid the risks of open surgery and recover faster,' said Dr. Satnam Chhabra, Chairman of Neurosurgery.'This is part of our ongoing effort to bring the latest technology to our patients. For those who don't respond to medicines, this treatment offers a new lease on life,' Dr. Ajay Swaroop, Chairman of the hospital's Board of Management, said.Must Watch
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Focused ultrasound is a non-invasive technique that uses sound waves, guided by MRI, to target and destroy tiny areas of brain tissue responsible for tremors, without impacting surrounding healthy tissues. It does not require anaesthesia, surgery, or recovery time. 'A great alternative to traditional brain surgery, focused ultrasound can be beneficial for patients who haven't responded well to medication or prefer non-invasive procedures. Patients come in shaking and walk out with steady hands after the procedure. The treatment requires no surgical incisions or implants, and the mild transient numbness is resolved within days,' said Dr Sunil Patra, senior neurosurgeon at Manipal Hospitals, Bhubaneswar. Dr Sahoo said MRgFUS uses over 1,000 beams of focused ultrasound energy directed at a precise point in the brain, typically the thalamus, which is involved in motor control. Guided in real time by high-resolution MRI imaging, the treatment raises the temperature of the targeted tissue to a point where it is thermally ablated, disrupting the abnormal brain circuits causing tremors. 'The entire process is performed without scalpels, anaesthesia, or hospitalisation. Patients remain awake and responsive, allowing physicians to evaluate the effects in real time. Most patients experience immediate and significant reduction in tremor, immediately after the procedure. It, however, costs around `25 lakh, almost double the cost of DBS,' he added. DBS, on the other hand, involves implanting electrodes into specific brain regions such as the subthalamic nucleus or globus pallidus, guided by MRI. These electrodes deliver controlled electrical pulses that modulate abnormal brain activity. DBS can significantly reduce tremors, stiffness, and medication dependence. 'In DBS surgery or brain pacemaker surgery, small burrholes (keyhole) are made in the skull and electrodes are placed deep inside the brain under stereotactic guidance. These electrodes will be connected to a battery placed in the subcutaneous pouch in the upper chest. Based on the patient's symptomatic profile, the electrodes can be activated by switching on the battery with specified current. The electrodes will stimulate the desired neurons and give symptomatic relief,' Dr T P Jeyaselva Senthilkumar, senior consultant neurosurgeon, SRM Global Hospitals, Chennai. 'It is a one-day procedure and requires the patient to stay at the hospital for five days for observation and wound healing. The programming of the impulse generator battery will begin after two weeks, once the patient is stable. It is another one-day procedure,' added Dr Asha Kishore, director of the Parkinson's and Movement Disorders Centre at Aster Kerala Cluster. 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