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Epilepsy surgery could be good option for older adults, study by Detroit, Grand Rapids doctors suggests

Posted: Published on October 3rd, 2013

Older adults who have epilepsy may fare better than expected in undergoing surgery to relieve seizures, according to a study by doctors in Grand Rapids and Detroit. The findings could have a significant impact on older adults, who are at risk of developing seizures through head trauma, strokes, tumors and Alzheimers, the doctors say. Traditionally, there has been a tendency to exclude older patients from surgery for fear of increased risk of medical or surgical complications, said Dr. Sanjay Patra, a Spectrum Health Medical Group neurosurgeon and lead author of the study. This study provides evidence that surgery may instead be a viable and effective treatment option. The study compares results and complications of 122 surgical patients of Dr. Kost Elisevich, a neurosurgeon, and Dr. Brien Smith, a neurologist, from 1993 to 2008. They led the epilepsy center at Henry Ford Hospital in Detroit for 20 years before moving to Spectrum Health in Grand Rapids in 2011. After surgery, those who became free of disabling seizures were: 58 percent of the under-50 group, 74 percent of those older than 50, and 91 percent of those 60 and older. The older adults might have a high success rate because long-term experience … Continue reading

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Research and Markets: Epilepsy – Disease and Therapy Review – 2013

Posted: Published on October 3rd, 2013

DUBLIN--(BUSINESS WIRE)-- Research and Markets (http://www.researchandmarkets.com/research/939jxn/disease_and) has announced the addition of the "Disease and Therapy Review: Epilepsy" report to their offering. The Epilepsy Disease and Therapy Review provides an overview of the disease and related conditions, with incidence and prevalence numbers and percentages for major countries worldwide, information on diagnosis, and an overview of treatment. Dosing and treatment cost information is provided for various treatment types. General information on the epilepsy market, as well as sales of leading drugs and therapies are provided. Disease and Therapy Reviews were developed to provide a basic understanding of the key facts about a disease and market in a quick, easy-to-read format. These reports are prepared by the author's senior market research team. Each Disease and Therapy Review provides a concise analysis of the most important information about a particular disease, its treatment, and the market opportunities. The reports begin with an overview of the condition, and also contain tables that summarize the available worldwide incidence and prevalence data for the condition, a review of current diagnosis strategies and treatment options, general information about the market size, and information about important market trends. Key Topics Covered: I. Overview Ii. Incidence And Prevalence Iii. Diagnosis … Continue reading

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Surgery may be effective treatment option for older epilepsy patients

Posted: Published on October 3rd, 2013

Oct. 2, 2013 A recently published study by researchers from Spectrum Health and Henry Ford Hospital suggests that surgery may be an effective treatment for epilepsy in older patients, a finding that runs counter to conventional treatment methods. "Traditionally, there has been a tendency to exclude older patients from surgery for fear of increased risk of medical or surgical complications," said Spectrum Health Medical Group neurosurgeon Sanjay Patra, MD, lead author of the study. "This study provides evidence that surgery may instead be a viable and effective treatment option." The study, recently published online in the British Journal of Neurosurgery, uses a retrospective institutional archival review of 122 Henry Ford Hospital patients with medically refractory partial epilepsy. Medically refractory seizures are those that do not respond successfully to drug treatment. Partial epilepsy refers to a type of seizure that originates and remains in a limited area of the brain, such as the temporal lobe. Researchers compared surgical outcomes of a group of patients aged 50 years and older with those of a younger group of patients. The median follow-up time for both the younger and older groups was 24 months. Results showed that 74 percent of patients in the older … Continue reading

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Caregivers of persons with autism have it tough

Posted: Published on October 3rd, 2013

At 53 and nearing retirement, Sundar Rajan spends sleepless nights worrying about his sons future. His 23-year-old was diagnosed with autism and needs constant care. Even as hes fasting at Freedom Park he is among a group of parents and caregivers of people living with autism who began a 48-hour satyagraha on Gandhi Jayanti to create awareness about the disorder and demand State support his wife is at home to take care of their son. Mr. Rajan explains that parents like him often have nowhere to turn for help. Day care and support centres are expensive. He pays Rs. 15,000 for day care, an amount most parents cannot afford, he points out. While there are many centres and NGOs focussing on disabilities, some funded by the government, few focus on autism. This can only happen with the government recognising the gravity of the issue. To start with, we have no idea about the magnitude of the problem, no statistics to understand its prevalence. The government must set up a national centre for autism to study the disorder, and form guidelines on treatment and therapy, he says. Antara Roy, another parent whose five-year-old son is autistic, says that the problem starts … Continue reading

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Early success in new treatment for stroke recovery

Posted: Published on October 3rd, 2013

Oct. 1, 2013 Researchers at The University of Texas at Dallas have taken a step toward developing a new treatment to aid the recovery of limb function after strokes. In a study published online in the journal Neurobiology of Disease, researchers report the full recovery of forelimb strength in animals receiving vagus nerve stimulation. "Stroke is a leading cause of disability worldwide," said Dr. Navid Khodaparast, a postdoctoral researcher in the School of Behavioral and Brain Sciences and lead author of the study. "Every 40 seconds, someone in the U.S. has a stroke. Our results mark a major step in the development of a possible treatment." Vagus nerve stimulation (VNS) is an FDA-approved method for treating various illnesses, such as depression and epilepsy. It involves sending a mild electric pulse through the vagus nerve, which relays information about the state of the body to the brain. Khodaparast and his colleagues used vagus nerve stimulation precisely timed to coincide with rehabilitative movements in rats. Each of the animals had previously experienced a stroke that impaired their ability to pull a handle. Stimulation of the vagus nerve causes the release of chemicals in the brain known to enhance learning and memory called … Continue reading

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Brain tissue source for Parkinson's therapy?

Posted: Published on October 3rd, 2013

CottageCountryNow.ca TORONTO - Canadian researchers are taking a novel approach in trying to find an effective treatment for Parkinson's disease and it involves taking advantage of small holes drilled in the skull for another therapeutic procedure. During surgery to implant electrodes into the brains of Parkinson's patients an increasingly common procedure known as deep brain stimulation, or DBS doctors at Western University have been removing a tiny scoop of brain cells from selected patients, then growing them in the lab. The hope is that regenerative cells contained in the biopsied tissue could one day be reprogrammed as therapeutic agents and reimplanted into a patient's own brain to treat Parkinson's or other neurodegenerative diseases like Alzheimer's and multiple sclerosis. "With further advances, it's possible that these cells could be transformed in the laboratory to yield specific cell types needed for a particular disease, for example, dopamine neurons in Parkinson's disease," said neurosurgeon Dr. Matthew Hebb. In Parkinson's disease, brain cells that secrete the chemical dopamine are progressively destroyed, leading to tremors and other movement-related symptoms. In a recently published study of 19 Parkinson's patients who had brain biopsies during DBS surgery, the researchers say they were able to grow millions of … Continue reading

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Suffering from depression may raise Parkinson's risk

Posted: Published on October 3rd, 2013

Depression is known to raise the risk of a host of diseases including cancer and stroke, but although it is known to be more common among Parkinson's patients than the general population, it remains unclear whether it is a cause or a symptom. Researchers from Taipei Veterans General Hospital in Taiwan examined the medical records of 4,634 people who suffered from clinically diagnosed depression, and 18,544 who did not, over a ten-year period. They found that 66 people with depression, or 1.42 per cent, went on to be diagnosed with Parkinson's during the next decade compared with 97 of those without depression, or 0.52 per cent. After other factors such as age were taken into account, patients with depression were found to be 3.24 times more likely to be diagnosed with Parkinson's than those without. Even when researchers excluded the records of patients who were diagnosed with Parkinson's shortly after their depression diagnosis, the link was still apparent suggesting that depression raises the risk of Parkinson's over the long term. Greater age and having a form of depression which does not respond well to treatment both independently raised the risk of a Parkinson's diagnosis, the scientists added. Dr Albert Yang, … Continue reading

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Biopsied brain tissue yields regenerative cells

Posted: Published on October 3rd, 2013

TORONTO - Canadian researchers are taking a novel approach in trying to find an effective treatment for Parkinson's disease and it involves taking advantage of small holes drilled in the skull for another therapeutic procedure. During surgery to implant electrodes into the brains of Parkinson's patients an increasingly common procedure known as deep brain stimulation, or DBS doctors at Western University have been removing a tiny scoop of brain cells from selected patients, then growing them in the lab. The hope is that regenerative cells contained in the biopsied tissue could one day be reprogrammed as therapeutic agents and reimplanted into a patient's own brain to treat Parkinson's or other neurodegenerative diseases like Alzheimer's and multiple sclerosis. "With further advances, it's possible that these cells could be transformed in the laboratory to yield specific cell types needed for a particular disease, for example, dopamine neurons in Parkinson's disease," said neurosurgeon Dr. Matthew Hebb. In Parkinson's disease, brain cells that secrete the chemical dopamine are progressively destroyed, leading to tremors and other movement-related symptoms. In a recently published study of 19 Parkinson's patients who had brain biopsies during DBS surgery, the researchers say they were able to grow millions of patient-specific … Continue reading

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Depression may triple Parkinson's disease risk, especially in elderly

Posted: Published on October 3rd, 2013

The debilitating disorder Parkinson's disease may be more likely to occur in depressed individuals. Researchers in Taiwan tracked more than 22,000 adults for 10 years, and found those who had depression were more than three times more likely to develop Parkinson's than those who were not depressed. "Depression is linked in other studies to illnesses such as cancer and stroke," Dr. Albert C. Yang, a psychiatrist with the Taipei Veterans General Hospital in Taipei, Taiwan, said in a statement. "Our study suggests that depression may also be an independent risk factor for Parkinson's disease." Parkinson's disease is caused by the loss of a brain chemical called dopamine, which is responsible for muscle and motor control and other essential functions. Symptoms of the disease include tremors, stiffness, slowness of movement, posture problems and troubles with balance and coordination. The disease is degenerative, meaning it gets worse over time. Tremors may eventually interfere with daily activities like walking, talking or eating, leading to permanent disability. Risk factors for Parkinson's include older age, heredity, and being exposed to toxins like pesticides, according to the Mayo Clinic. It is more common in men than in women. Depression and Parkinson's disease have well-established links. Up … Continue reading

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Research and Markets: Parkinson's Disease – Disease and Therapy Review – 2013 Provides Sales of Leading Drugs and …

Posted: Published on October 3rd, 2013

DUBLIN--(BUSINESS WIRE)-- Research and Markets (http://www.researchandmarkets.com/research/zw3772/disease_and) has announced the addition of the "Disease and Therapy Review: Parkinson's Disease" report to their offering. The Parkinson's Disease and Therapy Review provides an overview of the disease and related conditions, with incidence and prevalence numbers and percentages for major countries worldwide, information on diagnosis, and an overview of treatment. Dosing and treatment cost information is provided for various treatment types. General information on the Parkinson's Disease market, as well as sales of leading drugs and therapies are provided. Disease and Therapy Reviews were developed to provide a basic understanding of the key facts about a disease and market in a quick, easy-to-read format. These reports are prepared by the author's senior market research team. Each Disease and Therapy Review provides a concise analysis of the most important information about a particular disease, its treatment, and the market opportunities. Reports begin with an overview of the condition, and also contain tables that summarize the available worldwide incidence and prevalence data for the condition, a review of current diagnosis strategies and treatment options, general information about the market size, and information about important market trends. Key Topics Covered: I. Overview Ii. Incidence And Prevalence Iii. … Continue reading

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