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Eye tremors and dbs


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#1 grandma

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Posted 19 May 2011 - 11:24 AM

My husband was diag. with pd six years ago. It started with eye problems of aproxia and blevero spasms. He is now on siniment and the medication seems to make the eye problems worse. We have tried the botox injections for the eyes but it only helps for about a month and a half. Would the dbs be able to help control the eye problems?

#2 Dr. Okun

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Posted 20 May 2011 - 06:31 AM

We usually try Botox A and B before we quit as that is the best treatment.

We then examine as blepharospasm and apraxia of eyelid opening could be PSP and not PD (or another parkinsonism)--these respond less well to DBS.

If the above checks out and you are sure it is PD there is a possibility DBS could help-- but not a guarantee.

Also certain DBS settings particularly in the STN target can exacerbate or make worse.

Is there a relationship to timing of sinemet doses or amount of doses to the eye issues?

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#3 grandma

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Posted 20 May 2011 - 08:15 AM

We usually try Botox A and B before we quit as that is the best treatment.

We then examine as blepharospasm and apraxia of eyelid opening could be PSP and not PD (or another parkinsonism)--these respond less well to DBS.

If the above checks out and you are sure it is PD there is a possibility DBS could help-- but not a guarantee.

Also certain DBS settings particularly in the STN target can exacerbate or make worse.

Is there a relationship to timing of sinemet doses or amount of doses to the eye issues?

The eye problem becomes worse within about a half hour of taking the PD medications.

#4 Dr. Okun

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Posted 20 May 2011 - 10:22 AM

You should work with your neurologist to try to see if decreases in dose and maybe tightening intervals may solve the issue,

The neurologist should also diagnose specifically the actual movement--a short video for the neurologist will help he/she.

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#5 grandma

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Posted 30 May 2011 - 01:06 PM

I forgot to mention that the tremors which are severe in his right arm and hand and both legs are not getting any better with the amount of sinimet that he is on. he takes 350 mg four times a day. would something else help?

#6 Dr. Okun

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Posted 31 May 2011 - 08:07 AM

If he has DBS, he needs a review of lead locations, settings, and medications....

SOme work to be done.

Seek an expert.

Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips





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