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DBS surgery

DBS surgery - "The surgical option for the patient in an advanced state"

A panel of doctors led by Prof. Rabei at the seminar in Yaakov memory 9/06/2004

Parkinson's disease develops in each patient at a different rate and form, but in general it can be said that in the first seven years, the symptoms of the disease are mild and develop slowly. After that, the symptoms increase and symptoms of dyskinesia and uncontrollable reactions begin. When the treatment of the symptoms of the disease with the help of conventional drugs no longer achieves its goal, the surgical option of implanting electrodes has existed for several years. The surgery does not cure the disease and does not significantly improve the stiffness and slowness problems, but achieves good results in reducing the tremors and dyskinesia.

70% of surgeries pass without complications.
15% of surgeries with minor complications
13% of surgeries with moderate complications
2% of surgeries with severe complications

(as of 2004).

Most of the failures are due to the selection of unsuitable patients for surgery.

Dr. Kushnir - is in favor of postponing the surgical option as much as possible due to the risks involved, even though they are small.

Dr. Schlesinger - favors the surgical option while carefully selecting the appropriate patients.

Dr. Hassin - favors the surgical option while explaining and clarifying to the patient that the surgery is not a one-time operation but rather the initiation of a regular activity of medicinal directions and balances as well as treatment of possible infections in connection with the implanted equipment.

Dr. Zeldati - favors the surgical option due to the good results achieved in the field of involuntary movements and tremors.

Dr. Giladi - favors the surgical option while carefully screening the candidates for surgery and only after exhausting all other options such as apomorphine injection. The introduction of additional drugs for use such as patches for delayed release of the drug through the skin and the like, will give the doctors additional tools to treat patients, before needing the surgical option .

Note: The summary was made to the best of my understanding and should not be seen as a recommendation for any course of action and certainly not as a substitute for consultation with a specialist doctor.

Registrar: Daniel Neuman
THL