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By Melinda Smith
Washington, DC
19 September 2006
watch New Parkinson's Treatment
There is new hope for many patients suffering from the progressive neurological disorder1 called Parkinson's disease. A recent study by a team of German doctors reports improvement in advanced Parkinson's symptoms after patients undergo a surgical2 form of brain stimulation3. VOA's Melinda Smith has more on the procedure and how it might help patients in the early stage of the disease.
The most visible sign of Parkinson's disease is the tremor4. It often begins in one hand, even when that hand is not in use. As the disease progresses, so do a host of other symptoms, says Neurologist David Charles of Vanderbilt University in Nashville, Tennessee:
Dr. David Charles
"Tremor, stiffness in the muscles, slow movement, difficulty with walking and balance, and then in approximately 20 percent, potentially more, people also have memory difficulties associated with Parkinson's disease," said Dr. Charles.
The World Health Organization estimates that four to six million people suffer from Parkinson's disease. But that figure is expected to increase dramatically as many developed countries report increases in their elderly populations. In the United States, one and a half million Americans have been diagnosed with the disease.
Parkinson's disease typically begins in people aged5 60 to 65. For the first few years medication is usually effective. By the time the disease reaches the later stage, medication often fails to control physical disabilities that affect a patient's quality of life.
New Parkinson's treatment using deep-brain stimulation
Treatment has proven successful in 25 percent of patients with advanced Parkinson's who underwent a surgery called Deep Brain Stimulation. Electrodes are placed in an area of the brain known as the subthalamic nucleus6, which often triggers the overactivity. Electrodes are connected to a pacemaker inserted in the chest. They send out a signal to calm the tremors7 and muscle stiffness.
Dr. David Charles explains. "The stimulation therapy somehow -- and this is not clearly understood -- interrupts that overactivity and therefore reduces the symptoms of Parkinson's disease."
Evan Stern had deep brain stimulation four years ago He says, "After the operation everything was alleviated8 to some degree -- some completely -- my tremor's gone completely."
The team of neurologists at Vanderbilt University is beginning to use deep brain stimulation among some patients in the early stage. Dr. Charles says doing stimulation therapy early might just slow down the illness before it is too late:
"There's good evidence that for at least five and now seven years after surgery, patients continue to receive benefit,” says Dr. Charles. “But when applied9 in the late stages of the disease, it really helps with the symptoms but it does not offer a cure, nor does it stop the progression of the disease."
Research into deep brain stimulation in the early stages has begun with just a few patients. It will be expanded to include several hundred in the larger follow-up study.
1 disorder | |
n.紊乱,混乱;骚动,骚乱;疾病,失调 | |
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2 surgical | |
adj.外科的,外科医生的,手术上的 | |
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3 stimulation | |
n.刺激,激励,鼓舞 | |
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4 tremor | |
n.震动,颤动,战栗,兴奋,地震 | |
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5 aged | |
adj.年老的,陈年的 | |
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6 nucleus | |
n.核,核心,原子核 | |
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7 tremors | |
震颤( tremor的名词复数 ); 战栗; 震颤声; 大地的轻微震动 | |
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8 alleviated | |
减轻,缓解,缓和( alleviate的过去式和过去分词 ) | |
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9 applied | |
adj.应用的;v.应用,适用 | |
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