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Diagnostic and treatment of Parkinsons disease

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Parkinson Disease Diagnostics
1293.4
Diagnosis and conservative treatment of parkinsons disease
4740.05
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
3018.9

Bundeswehr Hospital Berlin

10/10
location_onGermany, Berlin

Department of Neurology and Epileptology

The Bundeswehr Hospital Berlin enjoys a reputation as one of the leading medical facilities in Germany, where patients receive top-class medical care corresponding to the high standards of European university medicine. The medical center is an academic hospital of the Charite University Hospital Berlin – the largest and th
Parkinson Disease Diagnostics
3911.2 help3511.2
Diagnosis and conservative treatment of parkinsons disease
10215.6 help9015.6
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
11485.05 help10985.05

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurology and Epileptology

Beta Klinik is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians of the ho
Parkinson Disease Diagnostics
4108.6
Diagnosis and conservative treatment of parkinsons disease
13214.8
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
9619.15

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Parkinson Disease Diagnostics
4185.45
Diagnosis and conservative treatment of parkinsons disease
14112.35
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
9901.9

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Neurology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Parkinson Disease Diagnostics
5845.7
Diagnosis and conservative treatment of parkinsons disease
19380.2
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
13600.85

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Neurology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Parkinson Disease Diagnostics
4598.7
Diagnosis and conservative treatment of parkinsons disease
14740.2
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
10244.1

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Neurology and Epileptology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Parkinson Disease Diagnostics
5100.4
Diagnosis and conservative treatment of parkinsons disease
17113.85
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
12045

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Neurology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Parkinson Disease Diagnostics
4108.6
Diagnosis and conservative treatment of parkinsons disease
13116.2
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
9514.75

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Neurology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Parkinson Disease Diagnostics
0
Diagnosis and conservative treatment of parkinsons disease
0
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
0

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Neurology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Parkinson Disease Diagnostics
4011.45
Diagnosis and conservative treatment of parkinsons disease
13377.2
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
9449.5

University Hospital RWTH Aachen

9.1/10
location_onGermany, Aachen

Department of Neurology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Parkinson Disease Diagnostics
4398.6
Diagnosis and conservative treatment of parkinsons disease
14631.45
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
10441.3

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Parkinson Disease Diagnostics
4423.25
Diagnosis and conservative treatment of parkinsons disease
14764.85
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
10432.6

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Neurology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Parkinson Disease Diagnostics
4266.65
Diagnosis and conservative treatment of parkinsons disease
14168.9
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
10123.75

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Neurology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Parkinson Disease Diagnostics
4166.6
Diagnosis and conservative treatment of parkinsons disease
13219.15
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
9491.55

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Neurology and Epileptology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Parkinson Disease Diagnostics
4333.35
Diagnosis and conservative treatment of parkinsons disease
14009.4
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
9920.75

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Neurology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Parkinson Disease Diagnostics
5078.65
Diagnosis and conservative treatment of parkinsons disease
17151.55
Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator
11934.8

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Neurology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Parkinson Disease Diagnostics
3918.65
Diagnosis and conservative treatment of parkinsons disease
12238.95
| from Booking Health GmbH

About the disease

Parkinson’s disease is a chronic, progressive brain disease, first described in the beginning of nineteenth century by the English doctor-physician John Parkinson. It is also known as a tremor disease. Patients with Parkinson’s disease often suffer from uncontrolled limb tremor, muscles stiffness, impaired joint coordination and problem with speech. These signs usually develop after age of 55, although there are cases of Parkinson’s disease under the age of 55 years.

Tremor develops as a result of damage or destruction of neurons located in the black substance of a brain and accumulation of alpha-synuclein inside them. In healthy brain these nerve cells produce neurotransmitter dopamine. The function of dopamine is to ensure the normal work of mesocortical (responsible for motivation and emotional reactions), mesolimbic (responsible for feelings of pleasure, reward and desire) and nigrostriatal pathway (responsible for motor activity). In Parkinson’s disease the reduced production of dopamine interferes with the normal transmission of nerve impulses.

Several medications taken for a long time at high doses can cause Parkinson’s disease. These includes drugs for treatment of certain mental disorders, as well as anti-nausea medications, such as metoclopramide. The antiepileptic valproic acid may also cause some of the most well-known symptoms of Parkinson's disease. Parkinson’s disease may also be caused by an infectious or traumatic brain injury.

Symptoms

  • Tremor of hands
  • Light finger shaking
  • Minor speech disorders
  • Devastating mood
  • Loss of vital strength
  • Insomnia

Parkinson’s disease is progressive, its symptoms aggravate and worsen over time. It eventually leads to disability and total loss of motion capacity.

Tremor often starts with a slight trembling of the fingers or of even individual fingertips. In some cases tremor is accompanied by uneven movement of middle finger and thumb which looks like a person is rolling invisible pills. These symptoms may appear with other disorders of nervous system, such as discoordination. Shaking is particularly evident during the "pill rolling syndrome" which occurs mostly when the patient is stressed and devastated about something. Although tremor of limbs and joints causes considerable further inconvenience, it does not end in a total loss of vital capacity. Many patients with tremor disease suffer only from a little shaking.

Diagnosis

  • There are no specific diagnostic tests for Parkinson’s disease. That is why doctor starts examination from medical history checking and excluding concomitant pathology of the brain. Then doctor proceeds to neurological examination, including cognitive tests.
  • Transcranial sonography is the ultrasound technique that allows to assess the state of dopamine-producing cells.
  • MRI allows to exclude not connected with Parkinson’s disease brain injuries that can also cause tremor.
  • PET-scan is the most informative examination, as it reflects the functional activity of the brain cells. PET-scan can reveal the earliest stages of the disease.

Treatment

The treatment program should be individualized for each patient. The rationally selected regimen will allow to achieve good results for a long time. 

  • Lifestyle modification. Aerobic exercises and balance training will improve ability to walk and somewhat reduce tremor.
  • Drugs intake. The most effective in patients with Parkinson’s disease medication is carbidopa-levodopa. It replaces deficiency of dopamine and restores normal work of nervous pathways. Dopamine agonists are also used. This type of drugs has different from the dopamine structure, but similar effects. Anticholinergics will help to cope with tremor, this is a symptomatic treatment.
  • Deep brain stimulation (DBS) with implanted neurostimulator is the modern treatment technique, which uses neurostimulator to send electrical impulses to specific areas in the brain responsible for movement. This procedure can improve tremor and other manifestations of dyskinesia.
  • Pallidotomy is a surgery during which a surgeon removes the overactive part of the brain, which lessens the tremor and eliminates rigidity.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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