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Early Parkinson's Surgery

Reviewed By: Louise Chang,

SOURCES: 2007 Medical Reference from Medstar Television. David Charles, MD, neurologist, Vanderbilt University Medical Center, Nashville, TN.

© 1999-2011 Medstar Television

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Narrator:

Dale Nevels (NEVV ulz) was wide awake when electrodes were implanted in his brain.

Dale Nevels, Patient:

It's an unusual feeling to have someone working on your head, and you can't see but you're, you're back there, you know, he's back there and you're trusting that person immensely.

Narrator:

Dale is part of a unique study at Vanderbilt University Medical Center testing deep brain stimulation, or D-B-S.

David Charles, MD, Neurologist, Vanderbilt University Medical Center:

The stimulation therapy helps reduce the over-activity of just a certain area of the brain that's been found to be partially responsible for the symptoms.

Narrator:

Surgeons place wire leads into both sides of the brain. Then, an electrical signal blocks erratic impulses that trigger tremors and other symptoms. Since D-B-S has only been used in patients with advanced Parkinson's, it's posed an intriguing question.

David Charles, MD, Neurologist, Vanderbilt University Medical Center:

If the therapy were applied in the very earliest stages of Parkinson's disease, could it prove to slow the progression of the disease?

Narrator:

Several weeks after the implant surgery, Dale's wire contacts were turned on and tuned-in. And once the settings are made, Dale's signature is transformed.

Dale Nevels, Patient:

Just in 30-minutes time, the signature was like two different days, two different guys had signed it. It was amazing.

Narrator:

Results like this are anticipated from deep brain stimulation.

David Charles, MD, Neurologist, Vanderbilt University Medical Center:

One of the great things about it, is it helps a whole host of symptoms from Parkinson's disease. It can improve not only tremor, but also stiffness in the muscles.

Narrator:

And now Dale is ready to set his sights on the golf course where Parkinson's interfered with his game.

Dale Nevels, Patient:

I'm going just play golf like there's no tomorrow.

Narrator:

For WebMD, I'm Sandee LaMotte.

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