Neurosciences deal with many critical problems with patients. One of them known as ‘Movement Disorders’ refers to a group of conditions in the nervous system, which are known to cause abnormally increased movements, of both the voluntary and involuntary kind. Alternatively, Movement Disorders can also create slow or reduced movements in a person.
This disorder is caused due to multiple disturbances of the nervous system, which is connected to excess or paucity hyperkinesia of automatic or voluntary movements. To simplify and bring it to a practical level, it is usually diagnosed into parkinsonism and the dyskinesias. The diagnosis part, on the other hand, is not a simple task, as even the best-trained neurologists find it difficult sometimes to go to the depth of the problem when it comes to Movements Disorders.
Movements Disorders are known to include the following conditions
- Huntington’s disease
- Multiple system atrophies
- Parkinson’s Disease
- Progressive supranuclear palsy
- Restless Legs Syndrome
- Tourette’s syndrome
- Wilson’s disease
While Movement Disorders are primarily associated with Parkinson’s disease, the treatments are very much based on that disorder. Taking that into consideration, the first line of treatment would be to use medications that tend to increase the dopaminergic simulation in the brain. These drugs are known to improve on the symptoms in so many cases; however, they are also prone to become ineffective over time. Doctors, at this point, consider switching to other forms of treatments, including that of neurosurgery. This is common in Parkinson’s Disease and Movements Disorder.
Surgical options include in-depth brain simulation, which is also one of the most common types of surgical treatment used in cases like these and help in increases dopamine in the brain.
On the other hand, some patients with movement disorders stop responding altogether to medications, and thus methods like ultrasound and in-depth brain simulation are then suggested and used.
Medications that might be used to treat Movements disorder –
- Anti Seizure medications
- Dopamine Agonists
These medications, however, have their own set of side effects attached to it. Like Antiepileptics can cause drowsiness, nausea, dizziness or vomiting. On the other hand, it can cause a lack of coordination and imbalance in the patient, along with dizziness, nausea and unwarranted fatigue. Similarly, Tranquilizers like benzodiazepines may cause blood clots as well. Beta Blockers are known to have side effects ranging from depression, slowed heart rate, lightheadedness, and nausea. Similar side effects are associated with most medications used in the treatment of Movements disorder.
Ablative Surgery, on the other hand, is a different kind of treatment used to treat movement disorder. In this, the neurosurgeons target the ablates, the area of the brain that is known to produce chemical and electrical impulses that cause abnormal movements in patients. Neurosurgeons keep the patient awake during this procedure and use only local anesthesia to numb the targeted area. This helps in determining if the method is working on the patient or not,
The risky part about this surgery is the fact that sometimes there is no knowledge as to how much of tissue area is to be destroyed, and this might cause some complications.
Conclusion – Clinically, there is no specific cure for Movements Disorder which occurs due to a neurological problem, but there are other varieties of this problem that are caused due to lack of Vitamins and excess drug induce in patients. These, however, can be cured with various treatments.
But, the most critical Movements Disorder has, as mentioned earlier, no specific treatments clinically, like in the case of Parkinson’s disease. However, neurologists always are exploring different methods to suppress and fight symptoms at best. Managing symptoms still gives a specific relief from the constant troubles movements disease could provide a person.
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Medisys Hospitals is a growing super specialty hospital in Hyderabad that represents the vision and mission of a group of highly qualified and experienced veteran medical professionals. Started in June 2016, it is a 200-bedded hospital with all medical and surgical specialties available. We rely on our in-house state-of-the-art diagnostic and therapeutic possibilities to provide high-level care for our patients.