top
+
Home Brain surgery

Category: Brain surgery

medicana healthpoint
17May

Scoliosis, one of the deformities that occur in the spine, can be diagnosed and treated at a young age. As is known, the vertebrae in the spine are lined up in a straight line from the neck to the waist. In rare cases, the vertebrae move left or right or turn around themselves. The three-dimensional deformity that occurs in this situation is defined as scoliosis. How to treat spinal curvature and scoliosis are among the frequently asked questions

Spinal curvature causes and symptoms

Causes of scoliosis or spinal curvature cannot be found in many cases. Scoliosis can be congenital or due to spinal curvature due to some diseases. The main causes of spinal curvature are as follows:

  • Congenital structural disorders,
  • Connective tissue diseases such as Marfan syndrome,
  • Physical trauma,
  • The difference in length in the legs,
  • Posture disorders,
  • Muscle diseases

Symptoms in spinal curvature are often not evident. School scans are important for early diagnosis of scoliosis. Level difference between the shoulders, visual disturbances, unsymmetrical situations that appear at the shoulder blades and breast level can be signs of scoliosis.

How is curvature of the spine scoliosis treated?

Curvatures up to 10 cm, called spinal asymmetry, do not have a negative effect on physical health. Therefore, for scoliosis treatment to be considered, the curvature must rise above 10 degrees. The treatment of scoliosis curvatures between 20 and 40 degrees is performed as physical therapy. The use of corsets and exercises are important in treatment. Curvatures over 40 degrees in the lumbar region and scoliosis curves over 45 and 50 degrees are corrected surgically.

How is the treatment in childhood scoliosis?

Spine development up to 15 degrees in childhood scoliosis is checked and monitored by the doctor. In children, rehabilitation may be required at an angle of 15-20 degrees cobb. Scoliosis exercises are movements focused on stretching and strengthening together with various techniques. Corset treatment can be applied to children over 20 degrees and above 5 years old. A body cast is preferred for children under the age of 5. In children with a curvature of the spine over 40 degrees, the progression of the curvature can be slowed down with corset treatment. In cases where corset treatment is not effective, scoliosis is tried to be corrected by placing rods on the spine without the need for fusion procedure, with the system of extensible rods.

How is adult spinal curvature treated?

In the treatment of adult scoliosis, physical therapy is used to correct the curvature and reduce the patient’s complaints such as pain. In intensive rehabilitation, a patient-specific physical therapy program is applied. The corset can also be used as a support method in the exercise treatment phase. Solving muscle spasm is essential in exercises. It is aimed to relieve pain. Exercises focused on increasing physical condition are applied under the direction of a physiotherapist.

Pain complaints of the patient can be severe in cases of advanced scoliosis. In addition, the patient loses balance and his ability weakens. In these cases, physical therapy may be inconclusive. Patients may experience incontinence and muscle weakness due to scoliosis. These problems make fusion necessary. With scoliosis surgery, the curvature is tried to be corrected by fusing the vertebrae to a degree to provide balance. Spinal surgery is a treatment method used when no response to non-surgical means is obtained.

Parkinson Hastalığında Derin Beyin Stimülasyonu (DBS)
25Mar

Parkinson’s disease is a brain disease that occurs with a lack of dopamine secretion. It is mostly a disease of advanced age and manifests itself as tremors in the body. It is a disease that slows down the movements of the individual and negatively affects their daily life, causing stiffness in the muscles. It causes difficulties in the person’s eating behaviors. Therefore, it significantly reduces the comfort of life.

How is Parkinson’s disease treated?

Since the root of the disease is the lack of dopamine secretion, the symptoms of the disease can often be controlled with medication. In advanced cases where drug therapy is not effective, surgical treatment may be necessary for a definitive solution. Is there a surgical treatment for Parkinson’s disease; The question is often asked. Parkinson’s can be treated with a brain pacemaker.

What is deep brain stimulation?

Deep brain stimulation, also known as brain pacemaker, is an operation that is becoming more common in the medical world. With deep brain stimulation, high-frequency microelectrodes are placed in one of the two regions of the brain, giving electrical stimulation.

Deep brain stimulation or brain pacing aims to significantly reduce the symptoms of the disease in Parkinson’s disease. Brain pacemaker surgery in Parkinson’s does not slow the progression of the disease.

Will deep brain stimulation treat parkinson?

In cases where Parkinson’s disease cannot be treated with medication, surgical intervention is required. In this case, can patients and their relatives be corrected by surgical intervention in Parkinson’s disease? they can ask their questions. Deep brain stimulation regulates the missing signal caused by dopamine deficiency in Parkinson’s patients. It has been found that surgery is a safe and effective method for Parkinson’s patients. It is an important treatment method for patients who are resistant to drugs, who are affected by the side effects of drugs and who cannot use drugs.

How is deep brain stimulation applied in patients with Parkinson’s?

Deep brain stimulation surgery in Parkinson’s patients begins with detailed magnetic resonance imaging in the brain. On the morning of the operation, images of the brain tomography are taken with a special frame placed on the patient’s head, and magnetic resonance images are combined with this image. From this coupling, the target point is determined. The target point has space coordinates in three dimensions. Target points are found by applying local anesthesia to the patient and electrodes are placed. In the next part of the surgery, the patient is taken under general anesthesia and a battery is placed under the skin in the chest area. The surgery is completed by connecting this battery to the electrodes placed in the brain. The procedure time is 5 or 6 hours.

Who gets a Parkinson’s brain pacemaker?

First of all, drug treatment of Parkinson’s disease is prioritized. Drug therapy is effective in patients with Parkinson’s. However, in patients who are resistant to drugs and cannot be corrected with drugs, brain pacemaker can be applied to patients with Parkinson’s disease between 5 and 7 years after the onset of the disease. However, patients should not be diagnosed with a disabling psychiatric disorder for brain pacemaking. Whether the surgical operation is suitable for the patient is decided by the doctor according to the patient’s disease history and general condition.

In patients after Parkinson’s treatment;

  • Involuntary behaviors such as tremors and spasms due to Parkinson’s disease are significantly reduced,
  • The slowing down of movements in patients with Parkinson’s is significantly controlled after the brain pacemaker application,
  • Patients continue to take their medication. In addition, the doses of the drugs are often reduced.
up-arrow-1