Can Movement Disorders Be Treated with Botox?

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Botulinum toxin, known as Botox, has been used as a treatment method in some movement disorders. Some movement disorders such as hemifacial spasm and blepharospasm can be treated with this technique.
Hemifacial Spasm (contraction in one hundred, twitch)
What is Hemifacial Spasm?
It is a discomfort caused by involuntary contraction or twitching in half of a face. It affects the eyelids, cheek and mouth corner. It may occur continuously or intermittently.
What are the Symptoms of Hemifacial Spasm?
Initially, patients complain that they are more likely to break one eye. Then the contraction of the upper and lower eyelid and withdrawal in the mouth corner are accompanied by contraction. Increases the intensity with excitement, distress, fatigue and the use of facial muscles (eg chewing, speaking, facial muscles, etc.). Patients with such complaints have recently had eyeglasses changes or if tooth extraction has been performed, indicating that their complaints have occurred accordingly. These conditions facilitate the emergence of symptoms.
Why is this disease occurring?
The exact cause is unknown. However, in some of the cases, anomalies in the veins close to the face can cause this disease.
Can Hemifacial Spasm be cured by Botox treatment?

Medical treatment is often inadequate. Botulinum toxin application results in more successful results.
Blepharospasm (involuntary contraction of the eyelids)

What is Blepharospasm Disease?

It is an intermittent or sustained bilateral involuntary contraction of the eye muscles.
What are the symptoms of blepharospasm?
In patients, the first complaints begin in one eye, and in this eye uneasiness, frequent clipping, burning, sensitivity to light occurs. Difficulties arise while watching television, reading things or driving. These complaints gradually increase and involuntary closure of the eyelids is observed in both eyes. Even if you are asked, eyes cannot be opened. In advanced cases, the eyes may remain closed. Patients can therefore refer to eye clinics. Blepharospasm (eye closure spasm), this situation usually increases with stress, sleep is lost. Bright light enhances eye closure spasms, so most patients use dark-colored glasses. Spasms may increase when they are looking up or down, talking, eating, laughing, singing. Blepharospasm is more common in women, and the incidence above 50 years of age increases. In some patients, the contraction of the facial and neck muscles can be added to the eyelids.
Why does blepharospasm occur?
Usually the cause is unclear, but some patients may have lesions in certain parts of the brain. These lesions often develop due to stroke, multiple sclerosis, brain involvement and surgical interventions. It may occur in patients with refractory contractions, Parkinson’s disease, pediatric patients and eye disease.
Can blepharospasm be treated with Botox?
Drug therapy is generally unresponsive and with Botox treatments, in the first period, goodness develops for 3 months.

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Why Parkinson’s Disease? What are the Symptoms?

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What is Parkinson’s disease?
Parkinson’s disease is a progressive disease that starts with tremors, especially with slow motion (bradykinesia) and muscle stiffness. In the advanced stages of the disease, the balance disorder can be added to the table.
Where does Parkinson’s disease often start?
The disease often starts with a tremor in one hand. When the patient is at full rest, the movements are counted as money counts, or movements such as a rosary. The patient may become noticeable when walking, and may decrease when holding an object.

What’s the cause of Parkinson’s?
Parkinson’s disease is caused by the loss of dopamine-producing brain cells. When the loss of dopamine-producing cells increases to 70%, symptoms are seen. Dopamine is a chemical substance that plays a role in the control and coordination of movements.
What factors affect the likelihood of developing Parkinson’s?
The rate of occurrence in individuals over 65 years is around 1%. The higher the age, the higher the incidence. The age of onset is usually 60 years, and there are cases that start earlier. The cause of Parkinson’s disease is unknown. According to the results of many studies, genetic and environmental factors play a role. Individuals with Parkinson’s disease in their families have a higher risk of developing Parkinson’s disease than other individuals in the community.

How is Parkinson’s diagnosed?
The diagnosis of Parkinson’s disease is made clinically. Brain MRI and blood tests are done to exclude other causes of Parkinsonism and when necessary. The most important way to make a diagnosis is the detailed examination performed by an expert in this field.

How is Parkinson’s watching?
In the majority of patients with Parkinson’s, complaints of tremor may be the initial finding, as well as the initial finding. In some patients, slowness may be the predominant finding. Parkinson’s disease is a progressive disease. There are different types of Parkinson’s disease and each has a different course. In some patients, the course is rather slow.
What is the differential diagnosis of Parkinson’s disease?
The most important symptom of Parkinson’s symptoms, which is observed as slowness in patients, called zi bradykinesia zi in the neurology language, is the symptom that must be definitely for diagnosis. On the face, it is called azalma bradimimi yavaş, it is seen as a slowness in the movement of facial muscles, a dimness in the face and a decrease in blink. Slowness can also occur in the arms and legs. The symptoms seen in patients with Parkinson’s are more pronounced than the other side of the body. The symptom known as rigidity or muscle stiffness is determined during the examination.
Some drugs used in the treatment of psychiatric patients, in the treatment of heart disease and nausea-vomiting used in the treatment of some drugs can produce a similar picture of Parkinson’s disease. When these drugs are discontinued, the symptoms disappear. The symptoms may increase when Parkinson’s patients use these drugs.

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What is epilepsy? What you need to know about epilepsy

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What is epilepsy?
Everyone has an electrical activity in his brain. In the region that leads to epileptic seizures in the brain, this electrical activity increases abnormally, and this increase causes a seizure.
Our brain is composed of indentations. All these indentations have a function of overhangs. In the speech center, the patient cannot speak, and bright lights, shapes and objects can be seen in the visual field, and nothing is completely visible. It is called ”seizure bet and eli epilepsy bul if the seizures are recurring, which are sudden, temporary and short-term and often have the same clinical findings.

Is there any treatment for epilepsy?
Drug treatment is started before epilepsy. If the seizures do not stop as a result of testing of at least two drugs in the treatment of the drug, the patient will receive different treatment recommendations, especially surgical treatment. These may include a special diet (ketogenic diet), batteries attached to the neck and brain, and other alternatives.
What is the process of epilepsy treatment?
In the treatment of epilepsy for children 2-3 years and for adults 3-4 years if the drug is provided with inaction, very slowly start to stop drugs. It is not possible to understand that epilepsy is over without undermining or decreasing the medication. Electroencephalography (EEG) showing brain waves helps us in this time.

What are the symptoms of epilepsy?
What we do with all brain functions for symptoms of epilepsy, we look at the loss of that function, or sometimes we see that the function has increased. If there is a seizure caused by the region that manages the arm-leg area and allows us to make voluntary movements, rhythmic pulses and contractions begin on the fingers of the patient’s right or left arm / leg. Sometimes these contractions may spread to the leg or face on the same side. It can find hours, hours, hours.
Some seizures may start with a leading symptom. Most often, a feeling comes from the stomach, butterflies fly in the stomach, they say. The person who feels this leading symptom understands that the seizure will begin and sits in a safe place. It tries to avoid the dangers. In some seizures, there are no leading symptoms. In particular, a group of focal epilepsy and all generalized epilepsy without any indication may start the seizure. Generalized tonic-clonic seizures, seizures, convulsive seizures in the whole body, or seizures, can be a seizure of the seizures. Flashing lights, sudden unexpected touch and call, lead to seizure.

Are children’s epilepsy symptoms the same as adults?
Neonatal seizures may be difficult to recognize with low clinical findings. Some types of seizures are seen only in childhood; infantile spasm The majority of other seizures show similar clinical findings.
What are the types of epilepsy?
Epilepsy is roughly divided into two; generalized and focal.
Generalized epilepsies begin suddenly without leading symptoms. In the case of tonic seizures, the patient suddenly falls down like a tree falling to the ground. During the atonic seizure, the patient suddenly falls down like an empty sack. During the diving seizure, the patient cannot continue his / her speech, look empty, chewing and correcting his head in the arms. In the body, there is a sudden splash of the arm or both arms once. In the large generalized seizure, arms and legs are observed to be contractile and jump movements. In these seizures, the tongue becomes biting and / or urinary incontinence.

Some of the focal seizures are pioneering and some do not. In focal seizures, the patients may stop at the seizure of diving, stop the speech and chew as if there is something in their mouth. Sometimes there are motions like cycling or floating.
If you’re wondering what we should do when we see a person with epileptic seizures, check out our article.
This article Dr. Prepared by Candan Gürses.
You can contact our Neurology department for more information.

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How should we treat someone who has epileptic seizures?

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What should we do when we see a person with epileptic seizures?
Patients with precursor symptoms should remove themselves from dangers. (window edge, ladder head, piercing cutting tools, etc.). People who have a seizure without a forerunner sign should take away the person from these hazardous areas in case of any seizure.
Generalized contraction, called a large seizure, jumps on the watch, people who have a seizure while falling to the floor while pushing the head to the ground by pushing the head or by supporting the head to be able to fall to the ground softly. It is necessary to turn the patient’s head aside on the floor. Turning the head sideways prevents the vomiting of the lungs if the person vomits.
If the teeth are not yet closed, they are placed in the upper part of a soft body. This soft object should never be finger. The soft body is the edge of the blanket, the edge of your jacket and so on. can. The goal is to break the gap between the teeth and to prevent the bite of the tongue. Never attempt to open if the teeth are closed. Never try to stop the contractions in the arms and legs, or you may cause fractures and dislocations. The only thing to do is to determine the duration of contractions.

After the seizure, the person usually wakes up, is confused, does not understand what is said, but he tends to sleep around and sleep. If the seizure lasted for more than five minutes, if the person had no known epilepsy, was hit by a head while crashing, but could not be aroused despite a seizure, he should be taken to the hospital urgently.
What should we do when we see a person with epileptic seizures?

Onion smelly is the most performed and non-beneficial application.
Never put your finger between your teeth during seizure. He can bite your finger.
Never try to open if the mouth-teeth are closed during the seizure. Even if the tongue is bleeding, bleeding will stop within one minute. However, the broken teeth will not replace a new one.
Do not try to stop the contractions in your body. You can cause bone fractures and dislocations.
Never try to eat and drink water to the person who has seizures.

This article Dr. Prepared by Candan Gürses.
You can contact our Neurology department for more information.

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