Parkinson's Disease — Neurology & DBS Surgery in Noida

There is currently no cure for Parkinson's disease. However, symptoms can be very effectively controlled with medication and, in selected patients, deep brain stimulation (DBS) surgery for many years. Research into disease-modifying treatments (including alpha-synuclein-targeted therapies) is active. Dr. Namita Kaul and Dr. Kapil Singhal at Team Sushrut provides regular reviews to optimise medication as the disease evolves.

Yes. Dr. Namita Kaul and Dr. Kapil Singhal , Director Neurology, Medanta Hospital, Sector 50, Noida pioneered Noida's first DBS programme. DBS surgery for Parkinson's disease is performed at Medanta Hospital, Sector 50, Noida. Dr. Singhal's team provides comprehensive DBS candidacy evaluation including levodopa challenge testing, neuropsychology, and MRI.

Levodopa is started when symptoms begin to significantly affect daily function — typically when one-sided tremor, rigidity, or slowness impacts walking, work, or self-care. The decision to start levodopa is individualised; some neurologists delay initiation in young patients to reduce the risk of early levodopa-induced dyskinesia, using dopamine agonists first. Dr. Singhal at Team Sushrut tailors the medication strategy to each patient's age, symptom burden, and occupational requirements.

Essential tremor (ET) is an action tremor (occurs when moving, not at rest), typically bilateral, primarily affecting hands and head, with no associated rigidity or bradykinesia. Parkinson's tremor is a resting tremor, typically unilateral at onset, associated with rigidity and slowness. Both conditions are treatable but with different medications. Misdiagnosis is common; Dr. Kaul and Dr. Singhal at Team Sushrut provides expert movement disorder assessment to distinguish between them.