When it comes to Parkinson disease, many people think of Parkinson syndrome. In life, many people who do not have professional medical knowledge cannot clearly distinguish between these two diseases, and even confuse or completely equate them in many cases. .So what kind of disease is Parkinsonism and what are the specific effects it has on people?Today we will learn about it through a case.
Aunt Li is 68 years old this year. Seven years ago, there was no obvious cause for involuntary shaking of the lower left limb, which was a static tremor. She visited a hospital without a clear diagnosis and the drug treatment was ineffective.After half a year, it developed to the upper left limb and there was also a static tremor, slow movement, a slight stiffness of the limbs, and a loss of smell.Aunt Li, who has sought medical treatment for many times, developed involuntary shaking and stiffness of her limbs two years ago, and her movement was slow (difficult to start and slow to turn around). The symptoms were mainly on the left side.
For further treatment, he came to our hospital.After a joint diagnosis by several experts in our hospital, it was found that Aunt Li is not a simple Parkinsonism, but belongs to Parkinsonism syndrome. There is an essential difference between the two.Parkinsonism also includes other diseases caused by other reasons that are similar to the symptoms of Parkinsonism.After fully communicating with Aunt Li herself and her family, it was decided that Professor Tian Zengmin would perform robotic stereotactic surgery for her to solve the problem of shaking and slow movement of the left limb.The difference between Parkinsonism and Parkinsonism1 Different age of onsetParkinsonism can occur in any age group, and the youngest patient with Parkinsonism that our hospital has ever treated is only 26 years old.Parkinson's disease usually develops in middle-aged and elderly people. In recent years, with the increase of social pressure, it has also shown a trend of youth.2 Different clinical manifestationsClinically, in addition to the same manifestations as Parkinson's disease such as slow movement, sluggish expression, increased muscle tone, tremor, etc., Parkinson's syndrome often has the same manifestations left over from the original onset.
The 26-year-old juvenile patient with Parkinson's syndrome mentioned earlier is also accompanied by hereditary spastic paraplegia.The imaging manifestations of Parkinson's disease are not characteristic, while Parkinson's syndrome often has corresponding changes or characteristic changes.3The etiology and pathogenesis are different.The pathological changes of Parkinson's disease are mainly due to the degeneration of dopamine neurons in the melanoplasm of the midbrain, so that they cannot produce enough dopamine and become ill.On the other hand, Parkinson's syndrome is a syndrome of known etiology. The pathological changes in the brain are caused by lesions of the brain, the melanoplasm and striatum pathways of the midbrain, and degeneration of dopamine neurons, resulting in insufficient production of dopamine or inability to transmit dopamine to maintain normal nerve function. Caused.4 Different treatments.The treatment of Parkinsonism is not the same as the treatment of Parkinsonism. Early drug treatment has a better effect on Parkinsonism, but the effect on Parkinsonism is poor.Technical introduction.
Robotic stereotactic surgery.In 2019, Nuolai International Medical Center introduced robot-assisted frameless brain stereotactic surgery. With the help of medical image scanning, three-dimensional visualization, multi-modal image fusion and other technologies, the brain lesion area can be accurately found.After planning the puncture path to accurately reach the surgical target, and solving the lesion problem through thermal coagulation, biological therapy, etc., brain diseases can be fundamentally treated, and the effect is very mature and successful.Technical advantage.Compared with the trauma caused by traditional craniotomy, frameless brain stereotactic surgery has the advantages of scientific and technological innovation in four aspects: minimally invasive, accurate, efficient and safe.The entire operation takes only 30 minutes, the wound is only 2-3 mm, and the positioning accuracy reaches 1 mm. After 2-3 days of postoperative observation, you can be discharged from the hospital.The risk rate of surgery such as infection and bleeding is much lower than 1%, and it has obvious effects on nearly 100 kinds of extranasal diseases such as cerebral palsy, epilepsy, cerebral hemorrhage, and Parkinsonism.
After the operation, combined with a series of symptomatic treatments such as drugs and rehabilitation, Aunt Li's upper left limb trembling, stiffness and other symptoms were significantly reduced, and walking was more flexible than before. The patient and his family were very satisfied with the treatment effect.
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