The initial treatment of Parkinson's disease, which is more commonly known as an advanced age disease in the society and usually occurs in people over 60 years of age, is medical therapy, and a significant portion of patients respond well to medical treatment.
In cases when drug treatment becomes insufficient despite high doses, or if the duration of improvement provided by drug therapy gradually decreases, or if the patient spends a large part of the day stiff, or if the side effects of drugs such as involuntary movements start, then when medical treatment becomes insufficient and / or side effects of drugs occurr, the surgical method, deep brain stimulation surgery comes to the fore.
In some cases, surgery cannot be recommended for a young patient, and we may find an elderly patient suitable for surgery. In summary, age alone is not a criterion; many criteria such as the patient's response to medications, mental state, anatomical structure of the brain; In particular, whether the patient has a chance for treatment other than surgery determines the decision for surgery. If the patient is suitable for surgery and can benefit from surgery; If there is no other treatment option that can improve the quality of life of the patient other than Deep Brain Stimulation surgery, and if the patient does not have a condition that prevents him from undergoing surgery, Deep Brain Stimulation surgery can be recommended and applied to an elderly patient.
When we recommend surgery to a patient, anesthesia, cardiology and psychiatry specialists evaluate whether the patient can be operated on and the surgery is decided with the approval of the relevant branches. Even if the age of the patients is advanced, since these operations are performed while the patient is awake and talking to us under local anesthesia, and in the last stage, the patient is put to sleep for half an hour while the neurostimulator is placed, if there is no major obstacle, the patient's surgery is generally allowed.