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The Dyskinesia Treatment Team was established in 2019 and consists of neurologists and neurosurgeons.
Although some people have sound limbs, they cannot live independently due to spontaneous tremor. It is difficult to perform daily basic movements such as picking vegetables, pouring water, squeezing toothpaste, and brushing teeth, let alone work. Because of the financial burden of tremor at home, they have difficulties in maintaining their livelihoods, and even affect their social activities.
Shuang Ho Hospital recently admitted a 42-year-old Mr. Wen, whose hands were shaking uncontrollably, which caused great trouble to his daily life, work and social life. After neurological evaluation and examination, the diagnosis was primary tremor. At the suggestion of the medical team of Shuang Ho Hospital, the Shenbo knife-"Magnetic Navigation Focused Ultrasound" treatment is adopted. This is a non-invasive and non-invasive precision treatment. There is no need to implant electrodes and batteries in the patient's brain. The complication does not require anesthesia, and the treatment is performed while the patient is awake, and it is completed in one go with MRI and MRI navigation.
Dr. Hong Qiandai, Department of Neurology, Shuang Ho Hospital, said that primary tremor is caused by nerve degeneration, which causes persistent tremors in different parts of the body. There is no specific underlying cause. It is the most common among the elderly, but it can also occur at any age. More than half of patients with primary tremor have a family history of hereditary diseases. It is estimated that about 400,000 people in China have such problems, and the symptoms of about 100,000 people seriously affect daily life. Their life will cause inconveniences, large and small, due to tremors. In addition to writing unable to accurately hold the pen, but taking the cup and sprinkling the water, in the operation of some more sophisticated affairs, such as taking the key to unlock, coming to them It is also a big challenge.
Traditionally, the first treatment for primary tremor is medication. If the symptoms cannot be controlled, further surgical treatment is required. Dr. Weilun Luo, Department of Neurosurgery, Shuang Ho Hospital, said that traditional surgery such as thalamotomy or deep brain stimulator (DBS) requires both to perform craniotomy on the patient's head and use a special blunt needle The location of the thalamus in the brain is continuously burned or implanted with a chip for electrical stimulation. Many patients are afraid of the need to open the brain and the need to place the electrode in the body, and they are stuck.
Compared with traditional surgical invasive surgery, the Shenbo knife-"Magnetic Navigation Focused Ultrasound" is a non-invasive and non-invasive treatment. Dr. Hong Qiandai emphasized that through more than 1,000 ultrasound probes to concentrate energy in the thalamus, heating the local brain area makes nerves Necrosis to interrupt the nervous circuit that produces tremor. No anesthesia or skull opening is required during the process. During the execution of the treatment, energy can be accurately guided to the target nucleus (length and width about 2 mm) through MRI, and the tremor is immediately completed It will be the mainstream treatment to replace craniotomy in the future.
Mr. Wen, a patient suffering from tremor, mentioned that he used to be a video game maintenance technician, and suddenly became sick at the age of 35, changing his life from color to black and white. Drug therapy was adopted at the early stage of the onset, and tremor was well controlled. After 2 years, the medication is not well controlled and the degree of tremor is getting worse. In the face of taking medicine, he could not effectively improve his tremor, prevented him from eating normally with his family and friends, and could not find a job, which affected his social activities, which in turn affected his psychological level, which made him discouraged in life and had despair. After a series of precise examinations in Shuang Ho Hospital, such as writing test, pouring water test, hand-painted spiral chart test, etc., the medical team of Shuang Ho Hospital used the Shenbo knife precise treatment technology to complete the tremor treatment at one time, improve his quality of life and recover confidence.