Minimally Invasive Brain Surgery(Functional Stereotaxy) for Parkinson Disease

History

Ah Chay Tan, a 77-year-old male from Philippines, was admitted to Beijing Puhua International Hospital (BPIH) due to “progressive involuntary tremors of limbs for more than twelve years.”

Patient Ah Chay Tan suffered from Parkinson’s Disease since 1998. At the beginning, it presented as slight shaking of his right hand, then it gradually became worse. His general movements were affected: slow gait, worsening tremors, and deteriorating motor skills.

He decided undergo Stereotactic Operation treatment for Parkinson’s disease at BPIH in Beijing to see if it could help the situation.

Medical Condition before Minimally Invasive Brain Surgery for Parkinson’s Disease (PD)

Before Patient Ah Chay Tan began stereotactic operation, he could manage his daily life by himself. He could walk independently albeit very slowly, with a flexed posture, mild small shuffling steps, and little arm movement. He was able to write and eat by himself, as well as go up and down stairs. He could get in and out of bed, dress and undress slowly without too much difficulty. But he had resting tremor, which was more severe on his right hand. When he felt nervous, the tremor would be more obvious.

Due to high muscle tone caused by Parkinson’s disease, Patient Ah Chay Tan suffered stiffness in his limbs, as well as his trunk, which left him unable to perform fine movements.

Patient Ah Chay Tan’s speech was also impaired, which presented as slow, slurred speech. When examined at admission, masklike face was noted.

Minimally Invasive Brain Surgery for Parkinson’s Disease (PD)

Injections of neural growth factors for Parkinson’s disease, neural cell activation and proliferation therapy, Traditional Chinese Medicine (TCM), rehabilitation therapy, as well as medications for controlling his blood pressure.

Medical Condition after Minimally Invasive Brain Surgery for Parkinson’s Disease (PD)

Five weeks after his Stereotactic Operation for Parkinson’s disease (PD), Patient Ah Chay Tan’s speech was a little clearer than before. He had more facial expression, and more smiles. After his Stereotactic Operation, the stiffness in his limbs and trunk was improved, so that he was more flexible and it was easier for him to perform fine movements, and turn over his body in bed.

Patient Ah Chay Tan felt stronger, and was able to walk faster with more natural arm movements and improved posture. The tremors in both of his hands are less than before, and he is able to bring the tremor under his control.