Electroconvulsive Therapy Proven to Help Parkinson Patients|使用深部腦刺激手術 改善帕金森氏症狀


Parkinson's disease is one of the most common movement disorders among adults. A patient surnamed Chang, who also suffered from Parkinsons disease for more than 20 years finally underwent an operation in which a robot named "ROSA" administered Deep Brain Stimulation with electroconvulsive therapy. The surgery severely improved the patient's quality of life


The 61-year old Mr. Chang tears up as he cuts a cake that represents his rebirth. He used to work in the advertising business and at the age of 41, he was diagnosed with Parkinson. He managed to keep the symptoms under control with medication during the early stages of the disease. However, as the disease progresses to later stages, the symptoms can no longer be controlled. The severe tremors have made it impossible for him to get dressed, drink water, or stand. His life has been severely affected, and he could no longer work. After undergoing an operation in which a robot named "ROSA" administered Deep Brain Stimulation with electroconvulsive therapy, Mr. Chang could finally return to his normal life.

When the disease was at its worst, my writing became smaller and smaller. After the operation, I've recovered from the symptoms and my head is clear again.

Doctors said that Parkinson's disease is one of the most common movement disorders among adults. It's most commonly seen among people in their 50's, and three people out of one thousand suffer from such disease. The common symptoms include tremors in the hands, stiffness in the limbs and slow movements. And the symptoms tend to worsen over time, to the point where a patient's face would no longer show expressions, and can only shuffle instead of walk, which makes the person more likely to fall. The top choice for medication is Levodopa, which has proven to be able to control early symptoms for most patients. Some patients, however, would develop motor fluctuations and dyskinesia and will require stimulation to deeper layers of the brain via operations. The success of the operation depends on how accurate the electric shock could reach the target portion of the brain.

If the electric shock cannot accurately reach the target area of the brain, the operation would be ineffective and the patient's face could twitch. If the shock is applied with precision, there would be less side effects and we'd need to use less electricity.

The doctor said although Parkinson's disease isn't lethal like stroke or cancer, it could severely affect the patient's quality of life. Electroconvulsive therapy is now covered under the national health insurance program which makes it much less of a financial burden for the patients.



切下象徵重生的蛋糕,還流下喜悅的眼淚,今年61歲的張先生原本從事廣告工程工作,沒想到在41歲那年被醫院診斷出罹患帕金森氏症,發病初期服用藥物控制良好,但到了後期服用多種藥物都無法得到有效控制,嚴重顫抖使他無法穿衣、喝水、站立,日常生活功能都受影響,也無法工作,直到使用勵羅莎手術機器人執行深部腦刺激手術,才恢復正常生活。

病患 張先生表示:「最嚴重的時候,我字體變越寫越細,越寫越小,那手術過後,我突然又恢復了,頭腦思緒更清楚了。」

醫生表示,帕金森氏症是成年人最常見的動作障礙疾病之一,好發年齡平均在50歲以上,約每一千人會有三人罹患此病,常見的症狀為手抖、四肢僵硬及動作緩慢,隨著時間過去病徵會變嚴重,臉部無表情、走路步態變成小碎步,重心前移易跌倒,目前帕金森氏症的首選治療為左多巴等藥物,大多數患者初期症狀都能控制良好,部分患者在藥物治療數年後會產生嚴重藥物波動及異動症,因此就需要利用深部腦刺激手術來做治療,而手術的成功與否就取決於置放電極位置的精準度。

雙和醫院神經外科醫師 羅偉倫表示:「如果放置不精準的話,他電刺激的話,效能就會變得比較差,患者會比較容易臉抽搐,如果放置得越精準,這些副作用就會降低,我們電量也會比較省。」

醫生表示,帕金森氏症雖然不像腦中風或癌症一樣危及生命,但嚴重影響病患生活,目前健保已核准在特定情況下,給付深部腦刺激手術所需的電池,大幅減少病患的負擔。
 

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