TVC: Parkinson’s Disease. A New Method Will Help with Tremor
TVC, Program “Doctor I… ” Tuesday, February 15, 2022Guest of the program – Igor Buzaev, co-founder of the V.S. Buzaev International Medical Centre®. Igor Vyacheslavovich talks about a new method for eliminating tremor – MRI-guided focused ultrasound.
Transcript:
Irina Pershina : Good morning, dear viewers! On air is the program “Doctor I” and the hosts – Kirill Radzig and Dr. Irina Pershina
Kirill Radzig : Today in the issue…
Irina Pershina : Parkinson’s Disease: How Can a New Treatment Method Help Eliminate Tremor?
Kirill Radzig : What is Gerodietetics, or all about the dietary characteristics of elderly people
Irina Pershina : Rehabilitation Medicine: rehabilitation and treatment after injuries
Kirill Радциг : The latest technique – MRI-guided focused ultrasound, can replace the scalpel for surgeons in treatment essential tremor and Parkinson’s disease
Irina Pershina : How does this technology help patients get rid of limb tremors and return them to a normal, everyday life healthy life? Let’s discuss directly now. Our guest is – interventional cardiologist, Doctor of Medical Sciences researchIgor Buzaev. Good morning!
Igor Buzaev : Hello!
Irina Pershina : Doctor, what is Parkinson’s disease?
Igor Buzaev : Parkinson’s disease is neurodegenerative disease. Cells that in produce dopamine in the brain – mediator that transmits information from one cell to another, begin to die. As a result, the transmission of information from one cell to another begins to suffer, and this causes such symptoms, such as stiffness, slowed movements, tremor, muscle rigidity. Currently, in Parkinson’s disease, medications are usually prescribed that replace this dopamine, deliver его into the brain But unfortunately, these medications over time begin to weaken in their effect. There is even one study that microbiome a person uses dopamine from these medications for food, which is why the substance does not reach the desired place. Therefore, in addition to conservative methods, surgical treatment methods are used, among which deep brain stimulation can be highlighted Thalamotomy gamma knife and radiofrequency ablation. Deep brain stimulation is a procedure when special the electrode is inserted through the brain tissues, into the very depth – into the thalamus, is established electrode and joins к нему special electrostimulator that causes stimulation of nerve cells and removes impact on tremor. Deep brain stimulation requires replacing the stimulator every 7 years, which is a drawback of the method. Additionally, all surgical interventions that involve incisions have a high risk of bleeding, they can cause inflammation, suppuration. Here for any surgical methods related to “major” surgery, particularly neurosurgery, of these phenomena we are always afraid
Kirill Radzig : Here’s the method we’re talking about today, how is this conducted operation, if it can be called that?
Igor Buzaev : Since we provide enough strong mechanical action on tissue, it’s called surgery, performed exclusively by a neurosurgeon The essence of the method is that a special helmet is placed on the person’s head. The helmet contains 1024 ultrasound transmitters. Then, the patient with the helmet is directed to an MRI. The neurosurgeon marks the target points on MRI images where the ultrasound is then focused. The ultrasound is focused in a small point near 1 мм., the accuracy of the installation is 0.1 mm Further, step-by-step heating is performed first, we can heat the neurons to a state where they «turned off, but not dead and were not damaged. Thus, we can them «Put to sleep and check what will happen if we apply our strength in this place If the patient’s tremor has subsided and there are no side effects, we have chosen the correct target. Then we perform a repeat sonication already at a higher temperature, up to 60 degrees
Irina Pershina : What you are telling me, I have evokes associations with such precise brain welding, yes. So, these ultrasound elements are directed to the correct contacts, and something happens there – some magic, when a person’s limbs stop trembling
Igor Buzaev : Yes, indeed, such a magical and impressive technique. When I learned about it, even with my tendency to I was skeptical about innovations But then, when I saw it live, we decided that this is probably something worth pursuing in life. I changed my field to dedicate myself to it.
Irina Pershina : What happens after the treatment ends? We have seen that a person’s tremor disappears. But can it return again? Can other areas be affected? After all, Parkinson’s disease is still incurable
Igor Buzaev : При Parkinson’s disease deficiency dopamine is not eliminated. And therefore, of course, the disease may progress. Medication is definitely required medications containing dopamine. But we significantly improving quality of life. And for most patients, the effect is quite lasting, more than a year. We started working in May 2020. A year and a half we observing our patients и see enough good results
Irina Pershina : How do you think is this method the future? Perhaps, in a few years, exactly he replace all the others?
Igor Buzaev : In the 90s, when I began my medical career, endoscopy was an exotic procedure. Now people almost all operate endoscopically. I see the same thing now: focused ultrasound can become routine. Now we have started with essential tremor, then – Parkinson’s disease. Then there will be epilepsy, tumors, inaccessible surgeons in complex localizations. There are studies that now started on Alzheimer’s, there is a slightly different mechanism of action. We see that this method is gaining momentum everywhere. In addition, the method is already used for the treatment of prostate cancer, uterine fibroids, bone tumors This becomes the surgery that is extremely precise and controlled.
Kyrill Радциг : I am here honestly, I can say: то, what I saw – it’s just some kind of miracle when you can penetrate the human body without an incision and affect certain organs inside, at a distance from the device. Tell me, please, as far as I know, you are with with your spouse, were the first in Russia to perform such an operation. Tell us, how did you decide to do this when it was still unknown how it works, here’s how do this?
Igor Buzaev : When my wife – Rezida Maratovna, a neurosurgeon, told me about this method… And I сам – cardiac surgeon, I operate on children and adults, I perform stents. And when she told me this, I at first, I also doubted: something too magical, something too incredible And then we went to Seoul with the doctor Chango, professor. We participated in several surgeries, saw result. And then we decided: this is what you need to invest in and be the first.
Irina Pershina : We wish you success in your work, wish you new discoveries, achievements, and as many recoveries as possible patients. Thank you very much for your work and for visiting us today!
Igor Buzaev : Thank you!
Irina Pershina : Stay with us, we’ll be right back after the break.