Parkinson's Disease is a chronic progressive neurodegenerative disorder that affects the central nervous system, primarily impacting motor functions. Symptoms may include tremors, rigidity, and postural instability.

At our clinic, we provide comprehensive treatment. Initially, we review the patient's medical history, complaints, and main clinical symptoms to determine the primary algorithms for further examination. Next, we select the necessary treatment (complex neurosurgical operations, surgical procedures), followed by a rehabilitation course based on proven techniques for restoring lost functions and halting disease progression.

Epilepsy is a disorder characterized by sudden paroxysms caused by increased activity of neurons in the brain. These paroxysms are accompanied by spasms and convulsions, as well as loss of consciousness. As one of the most common neurological diseases worldwide, epilepsy can develop either as a side effect of another pathology or independently. One of the main symptoms of epilepsy is seizures, which have a cyclical nature and may include motor function disruptions, sensory organ failures, and emotional fluctuations.

Seizures can be single or serial, with primary signs including tongue biting, frothing at the mouth, cessation of breathing, convulsions, and gasping. The treatment process for epilepsy, regardless of the methods, takes a long time during which the patient must be under observation.

There are several treatment methods:

• Medication Treatment. The main drugs used are anticonvulsants from different groups, which help stop seizures and prevent their recurrence. However, drug therapy aims to eliminate not only the seizures but also their underlying causes.
• Non-Medication Treatment. Many doctors recommend therapeutic exercises or yoga in addition to the main course of treatment.
• Surgical Treatment. Surgical intervention is rarely required and is performed when classical methods fail. Surgical treatment of epilepsy is divided into two types: removal of the brain area causing the seizures or implantation of a stimulator (for partial seizures), or the subpial transection method.

One of the most effective surgical treatments for Parkinson's disease is called deep brain stimulation (DBS). This method involves implanting electrodes into the brain, which then deliver electrical impulses to stimulate brain tissue, helping to overcome tremors, stiffness, and slow movements. This surgery is not intended for all patients with Parkinson's disease — it is performed on patients who meet specific criteria (link - patient selection for Deep Brain Stimulation).

The procedure is divided into two main stages:
1.Bilateral implantation of deep electrodes
2.Implantation of a permanent pulse generator and extension cables, followed by system connection

Neurosurgical treatment for Parkinson's disease is performed when medication therapy does not yield the desired effect, and the symptoms lead to patient disability. Stereotactic surgery is a minimally invasive method of intervention in brain tissue. Depending on the type of intervention (destruction, stimulation, or biopsy), the main stage of the surgery is subsequently conducted. Stereotactic neurosurgery includes thalamotomy, subthalamotomy, and pallidotomy. Stereotactic thalamotomy is a type of surgical intervention that involves breaking down certain areas of the thalamus.

This can be done mechanically, ultrasonically, electrothermally, or using radiofrequency. Thalamotomy targets the foci causing pathological symptoms. Due to its precision, focus on pathological impulses, safety, and minimally invasive nature, thalamotomy is considered an extremely effective method for treating Parkinsonism and other diseases of the nervous system.

Pallidotomy is a surgical procedure that involves destroying specific areas of the globus pallidus on one side. Unlike thalamotomy, pallidotomy is performed when the patient has predominantly unilateral stiffness and slowness. This surgery is highly effective in treating severe motor disorders and the consequences of medication-induced dyskinesia, which is accompanied by involuntary movements. There are cases when thalamotomy and pallidotomy are contraindicated. Whether these medical interventions are appropriate is determined by the doctor during the examination of the patient's medical history.

RANC therapy (Radioactive Antibody Therapy) is a treatment method where radioactive isotopes are bound to monoclonal antibodies for targeted action on cells. RANC therapy can be used to treat conditions that are difficult to manage with conventional, traditional therapy.

This includes:

• Pain in the spine, shoulders, forearms, hands, knee, and hip joints, as well as headaches
• Pain associated with trigeminal nerve damage
• Pciatic nerve damage
• Heart area pain
• Intervertebral disc herniation
• Post-stroke consequences, etc.

Selective Dorsal Rhizotomy (SDR) is a highly effective and reliable neurosurgical method for correcting muscle tone, designed to treat patients with the spastic form of cerebral palsy (CP). SDR alleviates pain symptoms and muscle-tendon tension by severing the spinal nerve roots with neurophysiological monitoring. Through a small incision, the vertebral lamina is removed to access the spinal cord, after which the nerve roots separate into fibers. The fibers that cause muscle tone are stimulated with an electrical impulse.

The surgeon then severs the spastic fibers. Postoperative motor development depends on the child's abilities. Progress is also dependent on rehabilitation. Doctors recommend performing exercises for six consecutive months to help initiate movement and balance.

An Electroencephalogram is a diagnostic method used to record the brain's electrical activity. This non-invasive technique is based on capturing electrical signals generated by brain neurons. At our clinic, we use a Japanese 64-channel digital EEG system for data acquisition, processing, and archiving. With the capability to display 64 channels, this equipment is highly efficient for both basic EEG studies and research in epilepsy centers, sleep research centers, and scientific laboratories. During the examination, patients are placed in single, comfortable rooms equipped with continuous EEG recording systems, video and audio recording, two-way communication with medical staff, and multi-channel television. Throughout the study, patients continue their usual activities.