[Depth] Medical giants will change the rules from the "head"?

So far, more than 20,000 people around the world have received brain pacemaker therapy, and more people in China have understood and accepted brain pacemaker treatment. It should be pointed out that although the effect of brain pacemaker (DBS) in controlling the symptoms of Parkinson's disease has been generally confirmed, the purpose of treatment is still to control symptoms, although some scholars at home and abroad believe that long-term chronic electrical stimulation in the deep brain Parkinson's disease progression can be delayed, but the academic community has not yet reached a general consensus in this regard, so patients can not expect brain pacemakers (DBS) to cure Parkinson's disease. Another feature of the pacemaker is that it can be adjusted for a long time as the patient progresses. From the long-term follow-up observation of patients who have been installed in Europe for 10 years and installed in China for 5 years, the brain pacemaker (DBS) Control of Parkinson's symptoms can be effective for a long time.

The medical giant has changed the rules from the "head"?

Brain pacemaker implantation fills the operating room with music

In May 2013, American musician Brad Carter was unable to play his beloved guitar because of Parkinson's disease. The surgeon operated on him and implanted a pacemaker in the brain to improve the hand twitch problem. During the operation, Carter also played the guitar to check the working condition of the pacemaker. The University of California, Los Angeles, Ronald Reagan Medical Center broadcasted the entire operation online, allowing his intraoperative play to spread throughout the world.

Carter is 39 years old and is a musician who likes to play guitar. In 2006, he found himself with a hand tremor and was diagnosed with Parkinson's disease. Parkinson's disease is a common degenerative disease of the nervous system. The pathological change is the degeneration of dopaminergic neurons in the substantia nigra. Dopamine is required in the brain to direct muscle activity, and lack of sufficient dopamine produces various activity disorders. The clinical manifestations of Parkinson's disease are resting tremor and laxity. The average age of onset of this disease is 60 years old, and patients with onset under 40 years of age are less common.

As the condition worsened, Carter gradually lost the ability to play the guitar. Physicians recommend that Carter accept "brain deep electrical stimulation", implant a pacemaker in his brain, release electrical impulses, stimulate the relevant areas of the brain to relieve the symptoms of hand tremor. Carter agreed to the surgery, but asked to play the guitar during the surgery to check if the pacemaker worked.

On May 23, surgery was performed at the UCLA Ronald Reagan Medical Center. The physician did not perform general anesthesia on Carter, but instead numbed it in a special way, allowing him to remain conscious during part of the procedure to assist the physician in detecting whether the electrodes of the pacemaker were placed in position. During the operation, Carter not only played the guitar, but also sang for a while, and also used his right hand to pick up a glass of water. Carter's surgery is the 500th brain pacemaker (DBS) implant operation performed by the hospital. The hospital has successfully broadcast the whole process of this operation as a "microchip" and became the first hospital in the world to conduct live brain surgery.

The video shows that before the operation, Carter sat on the hospital bed, facing the camera, and introduced the song he would sing along with the guitar during the operation. After the operation, he was lying on the bed with his head on the operating table and happily playing. Playing the guitar, the doctor wearing a blue surgical gown is busy with surgery. He said to the camera: "I am excited to play the guitar. (My performance) is original - the name is 'Drunk again'."

The University of California, Los Angeles campus also posted photos on Twitter to introduce the surgical procedure. The text of the first photo reads: "Okay... let's start." The following tweets include "Remove the skin and make a hole in the skull to prepare for the electrode", "Prepare the electrode, then The patient has been woken up," and so on.

Carter later talked to the media about his feelings under the suppression of disease: "I have lost my favorite people for many years. It has been quite difficult. It is heartbreaking that the disease still covers all my life." He said: "I want to make full use of the surgery to give me the album I recorded and share my story with you."

He said that this is to help reduce the fear of surgery in future patients. It is reported that more than 1 million people in the United States suffer from Parkinson's disease, and 100,000 of them live in essential tremors. A professor at the University of California, Los Angeles, said: Many patients will find that brain pacemaker (DBS) implantation surgery is good for stopping tremors, helping them to lead a normal life, and they will have the courage to face.

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