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Dr Ravish Patwardhan Successfully Performs Deep Brain Stimulation for help with Parkinson's Disease

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Uploaded on May 9, 2011

http://ravishpatwardhan.com/about
Years after living with the progression of Parkinson's disease, R.C. had reached a point where medications were not helping him any more, and he sought the care of Dr. Ravish Patwardhan. Parkinson's disease is an insidiuous disease process, where the cause is not known, according to Dr. Patwardhan. The part of the brain involved includes a portion called the substantia nigra, where cells are noted to "denerate" or die off. However, this may be due to a change elsewhere in the brain. Dr. Ravish Patwardhan notes that some have theorized that Parkinson's disease is not so much a problem with the nerves of the brain which directly control movement, but rather the nerves which "plan" movement, or the pre-motor cortex neurons (rather than the motor cortex neurons themselves). Interestingly, the symptoms which patients experience, some of which include slowness of movement (also called "bradykinesia"), stiffness (or "rigidity") and shaking their hand like they are rolling a pill ("pill-rolling tremor") each may have to do with improperly controlled movement rather than lack of movement.

For example, in the movie "Awakenings" Robin Williams played a psychiatrist who is involved with a new "miracle drug" called L-DOPA. This movie showed that some patients appeared to be beyond help, until this drug then unlocked the brain to move more normally again. Since that time, (which, noted Dr. Ravish Patwardhan, really did happen), doctors and patients realized that the drug's effects were temporary, since the brain "got used to the effects" and something newer was needed. What happened in many cases was that the medication had to be taken more frequently to allow more effectiveness, and eventually it got taken to the point of where the side effects (such as abnormal movements of another type, called drug-induced dyskinesias) were more common, as were psychiatric changes in some. The technique of deep brain stimulation(DBS) then allowed these patients to take lesser doses, hence giving them better quality of life for a few more years. While many believe that Parkinson's disease is not curable, the goal is to help quality of life during its progression, according to Dr. Ravish Patwardhan.

Deep brain stimulation is a technique, performed over four separate stages, where the patient has an electrode placed precisely into an area of his brain (in this case, Dr. Ravish Patwardhan placed the electrode into the subthalamic nucleus). This is subsequently connected to a pacemaker-like device on the chest wall, which can be programmed from outside via remote control (as Dr. Ravish Patwardhan and his nurse Debbie are shown doing during the video).

R. C. was courageous in that he and his family chose to pursue deep brain stimulation. Consequently, his initial results, after deep brain stimulation was done, were tremendous -- he could walk more normally, turn more normally, and was able to behave more independently. Like a switch being turned on, he was able do things which he physically appeared to strain doing. Patients who suffer from Parkinson's disease, according to some scientists, have a greater than average intelligence, interestingly. People don't become demented with memory deterioration early in the disease, so people shouldn't confuse this with Alzheimer's disease, which is totally different. Because of his courage, R.C. and his family have been instrumental in allowing this technique to be brought to the area, and his quality of life benefited after placement.

About Dr Ravish Patwardhan MD:
http://drravishpatwardhan.com/
http://ravishpatwardhan.com/viewblog?...
Dr. Ravish Patwardhan began his neurosurgery practice in 2004, in the North Louisiana town of Shreveport, Louisiana. He specialized in various procedures involving the brain, spine, and peripheral nerves, having received both general neurosurgery training and fellowship training. Dr. Ravish Patwardhan performed both general and highly specialized procedures. Among the general neurosurgical procedures performed by Dr. Ravish Patwardhan, cervical diskectomy and fusion operations, lumbar microdiskectomy, lumbar fusion, ventriculoperitoneal shunts, and craniotomy for tumors and intracranial bleeds are some examples. In addition, highly specialized brain operations such as epilepsy surgery, deep brain stimulation, kyphoplasty for the spine, artificial disks for the cervical spine, and brain laser surgery for tumors have been performed by Dr. Ravish Patwardhan. For many of these operations, Dr. Ravish Patwardhan used a minimally invasive approach, which has resulted in a reduced length of stay in the hospital for patients, and subsequent quicker recovery allowing return to work and favorite activities.
http://drravishpatwardhan.com/dr-patw...

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