Deep Brain Stimulation Brain Pacemaker Procedure
When Parkinson Disease progresses, orally taken medicine may be insufficient, requesting more frequent or higher doses which causes the side effects to increase. If the periods when patients are slow reach more than 4-5 hours per day and involuntary movements deteriorate patients' quality of life despite all the dose adjustments, those patients are followed in Advanced Stage Parkinson's Disease Polyclinic. Those patients are candidates for device-aided treatments. Deep Brain Stimulation (brain pacemaker) is performed for patients who are eligible for surgery by neurosurgeons in our hospital. Apomorphine pump or Levodopa-Carbidopa Intestinal Gel (duodopa) by Percutaneous endoscopic transgastric jejunostomy placement can be performed for patients who are not eligible for surgery. Pacemaker adjustment is carried out and patients who apomorphine or duodopa pump is performed are followed in our Advanced Stage Parkinson's Disease Polyclinic.