Parkinson's disease treatment in Noida. Dr. Kapil Singhal (DM AIIMS), Noida's first DBS programme pioneer at Medanta Hospital. Medication optimisation and DBS surgery. Team Sushrut.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Resting tremor
pill-rolling tremor of the thumb and fingers, typically one-sided initially
Title
Rigidity
stiffness of arms, legs, or neck
Title
Bradykinesia
slowness of movement, reduced arm swing, shuffling gait
Title
Postural instability
balance problems and falls (later stages)
Title
Micrographia
small handwriting
Title
Masked face (reduced facial expression)
Title
Soft voice (hypophonia)
Title
Non-motor symptoms
c
Treatments
Title
Levodopa/carbidopa (gold standard medication)
Title
Dopamine agonists (ropinirole, pramipexole)
Title
MAO-B inhibitors (selegiline, rasagiline)
Title
COMT inhibitors (entacapone, opicapone)
Title
Deep brain stimulation (DBS) of STN or GPi for motor fluctuations and dyskinesias
Title
Physiotherapy, voice therapy (LSVT), occupational therapy
Title
Caregiver education and support
