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Recognizing and Treating Parkinson’s Disease: Advice from a Neurology Specialist

[헬스코리아뉴스 / 박원진] Even if you notice unusual behavior or changes, if you ignore them, you can put your health at risk. Specialists say: “If the size of your handwriting or voice has become smaller, you no longer smell well and you drool more frequently, you should suspect Parkinson’s disease, which is one of the three major geriatric brain diseases along with dementia and stroke”.

Professor Ahn Tae-beom from the Department of Neurology at Kyung Hee University Hospital said of Parkinson’s disease: “The pattern and onset of symptoms varies from patient to patient, so in the past we have focused on symptoms of motor abnormalities such as tremors and slowness, but recently we have focused on depression, including dementia, abnormal sense of smell and sleep disturbances.” “We also consider non-motor symptoms as if they were a combination,” he said.

He advised: “If you have tremors or seem slow and dull while sitting, it is better to have an examination and neurological examination rather than accept it as part of the aging phenomenon.”

According to Professor Ahn, the first symptoms of Parkinson’s disease only appear several years after the destruction of the brain’s nerve cells. Since symptoms appear gradually, it is important to obtain an accurate diagnosis under the observation of a professional doctor.

Professor Ahn Tae-beom from the Department of Neurology at Kyung Hee University Hospital explains the treatment for Parkinson’s disease.

Parkinson’s disease is largely divided into three types. ▲Idiopathic Parkinson’s disease with unknown cause ▲Secondary Parkinson’s disease caused by stroke, post-infectious encephalopathy, etc. ▲Parkinson syndrome, which is similar to Parkinson’s disease but has a weak response to treatment and progresses rapidly.

Professor Tae-beom Ahn said: “The most important thing in the diagnosis of Parkinson’s disease is the results of the neurological examination, and if necessary, brain MRI and PET examination can be combined to increase the accuracy of diagnosis”. think only about treating the symptoms immediately, rather consider the entire disease process and develop an appropriate treatment plan,” he said.

He continued: “Although each patient has the same symptoms, the severity of symptoms and response to medication are different, so treatment should be tailored to each patient.”

Treatment methods include medications, rehabilitation and exercise. Drug treatment should not be postponed just because symptoms are mild and do not interfere with daily life. This is because dopamine deficiency can make the abnormalities worse.

If symptoms of motor fluctuations (rigidity, bradykinesia, gait disturbance, etc.) are worsened due to long-term medication use, surgical treatment should be considered. There are two types of surgery: destruction of part of the brain tissue and deep brain stimulation, which involves inserting electrical electrodes into the brain and passing an electrical current through them.

Professor Ahn explained: “No treatment currently in use can restore lost brain cells to normal, but it is important to initiate appropriate treatment together with early diagnosis when the first non-motor symptoms are detected.”

He said: “For Parkinson’s disease, the treatment effect can be maximized if patients and guardians understand the disease well and actively participate in the treatment process. If early diagnosis, appropriate exercise and drug treatment are done well, there is a possibility that a stable life can be maintained for a considerable period of time: “It’s high,” he said.

For Parkinson’s disease patients, exercise is as important as taking medications. There is no limit to the type of exercise. Professor Ahn’s advice is that it is best to carry out activities such as walking, bare-knuckle gymnastics, treadmill, yoga, etc. every day, within the limits of your abilities and with an intensity that leaves you breathless for about 30 minutes at a time. time.

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