The surgeon makes an evaluation as to which procedures may be of benefit to the patient, and has close collaboration with the neurologist. The decision-making process may involve the surgeon and the neurologist as well as the patient or patient’s caregiver.
Once the decision is made to have the surgery a workup is conducted that may include the following:
A brain MRI in order to rule out other conditions and to find out the degree of brain atrophy. If there is a significant amount of atrophy it would increase the risk for perioperative hemorrhage.
Neuropsychological testing will be conducted in order to rule out cognitive impairment, which may be worsened during the surgical procedure.
A psychiatric evaluation may be ordered so that active psychiatric disease can be ruled out and any past psychiatric history can be evaluated.
A fluorodopa PET scan to rule out multiple system atrophy.
Lastly, a medical examination will be done so that the general health of the patient can be determined prior to surgery in order to determine if the patient is fit for surgery.
The purpose of surgery is for management of the symptoms of Parkinsonís disease and to promote better quality of life. Surgery is not a cure for Parkinsonís and is not a preventative for the progressive nature of the disease.
Your doctor will go over all of the surgical procedures offered for Parkinsons along with the projected benefits, and the risks that are associated with each of the procedures. It is possible that there may be multiple surgeries that will be necessary in order to manage the disease as the years go by.
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