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PARKINSON’S DISEASE


About Parkinson’s Disease

Institute of Neurosciences at Vimhans Nayati Super Speciality Hospital is dedicated to offering holistic and comprehensive care to patients suffering from Parkinson’s disease with the aim of improving the quality of their life. Parkinson’s disease is a progressive disorder that affects the nervous system and leads to shaking, muscle stiffness and tremors that make it difficult to carry out normal day to day functions and maintain posture, balance and coordination. It initially starts as mild tremors. The condition might also affect the patient’s ability to speak. The incidence of Parkinson is considerably lower in India but still, the problem cannot be taken lightly. As of now, there is no treatment to completely cure the patient however, the symptoms can be easily managed with the right care.

Symptoms that should not be taken for granted

During the initial stages of Parkinson’s disease, the patient may not feel any major symptoms, just slight tremors that may usually go unnoticed. The symptoms usually develop in one part of the body and radiate throughout the body over time. Some of the major symptoms associated with Parkinson’s disease include:

  • Mild tremors that usually start in the limbs and aggravate with time
  • Bradykinesia or slowing down of movement that makes it difficult to complete tasks
  • Muscle rigidity that curtails the range of motion
  • Visible abnormality in balance and posture
  • Loss of involuntary movements like blinking and smiling
  • Inability to speak fluently
  • Change of handwriting

What triggers Parkinson’s Disease?

Parkinson’s disease is triggered by the breaking down of the neurons or nerve cells present in the brain. The loss of these neurons leads to the lowering of the dopamine levels which is believed to be the major cause of Parkinson’s disease.

Factors that increase your vulnerability to Parkinson’s Disease

Factors that are likely to increase your vulnerability to Parkinson’s Disease include:

  • Genes
  • Environmental factors
  • Lewy bodies and Alpha-synuclein found within them

How our experts diagnose the problem

Various state of the art diagnostic procedures offered at Vimhans Nayati include:

  • Physical examination to determine the extent to which the problem has progressed.
  • SPECT (single photon emission computerized tomography) scan or DaTscan (dopamine transporter scan) to back the suspicion of Parkinson’s disease.
  • Imaging tests like MRI and CT scan to rule out the prevalence of other disorders that might be responsible for the symptoms.
  • Regular health assessments for proper neurological evaluation.

Treatment options offered by our expert team

At Vimhans Nayati we offer a wide range of medicinal and surgical options for the management of Parkinson’s disease with the aim of improving the patient’s quality of life. These include medications as well as surgical interventions.

The medicines help to relieve the symptoms and elevate the dopamine levels to a healthy scale. These include Carbidopa-levodopa, dopamine agonists, MAO B inhibitors, Anticholinergics, Amantadine etc.

Surgical interventions include deep brain stimulation or DBS. This involves the implantation of special electrodes in specific parts of the brain which are conned to a small impulse generator placed under the skin in your chest with thin wire. The device helps to generate impulses which are sent to the brain to control the symptoms. It is usually recommended for patients with advanced Parkinson’s.

Chairman Neurosciences And Director Clinical Services

Dr. Shamsher Dwivedee

MBBS, MD, DM (NEUROLOGY)

He is one of India’s most renowned neurologists with a rich experience of over 3 decades in clinical neurology.

  • Part of the team which performed the first DBS program of South East Asia.
  • In 2013 he established the Multiple Sclerosis Clinic at Vimhans.
  • He had established College of Clinical research at Vimhans. He initiated Diplomat National Board (DNB) programme in Neurology at Vimhans & PSRI.
  • Has to his credit largest number of clinical trials in India for various neurological disorders.
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Head - Neurointervention & Principal Consultant Neurosurgery

Dr. Sumit Goyal

MBBS, DNB (NEUROSURGERY), FINR (FOUNDATION ROTHSCHILD PARIS, FRANCE)

He is an accomplished neurosurgeon, with over 15 years of hands-on experience in the field. He is one of the few neurosurgeons who is also trained in neurointervention.

  • Senior Consultant, Department of Neurosurgery and Neuro-intervention at PSRI Hospital, New Delhi
  • Associate Consultant, Department of Neurosurgery Sir Ganga Ram Hospital , New Delhi
  • Assistant Professor at Ganga Ram Institute of Post Graduate Medical Education and Research (GRIPMER)
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