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Parkinson's and Movement Disorders

Movement disorders are a group of diseases affecting the ability to produce and control body movement. Lakhs of people in India lives with movement disorders, including Parkinson's disease. It is the second commonest neurological degenerative disease of the brain after Alzheimer’s disease. Estimates show that 1-2% of people over the age of 60 years develop this condition.

At the Aster Centre for Parkinson's and Movement Disorders in Aster, our mission is to offer holistic approach for Parkinson's disease and different types of movement disorders. We take pride in our empathetic, compassionate, timely, and inclusive approach to care for patients with ataxia, dystonia, essential tremor, Lewy body dementia, Parkinson's disease, Parkinsonian syndromes, restless leg syndrome, tic and Tourette syndrome, chorea, spasticity and tardive dyskinesia, and other movement disorders.

Touted to be comprehensive centre, we provide the most advanced forms of medical and surgical care and support services to patients afflicted with various movement disorders and their caregivers. Our team comprises of Movement Disorder specialist, neurologist (adult and paediatric), cognitive neurologist, functional neurosurgeons, physiatrist, psychologist, psychiatrist, neuro-radiologist, and pain & palliative care doctors. The team is not only specially trained in the diagnosis and treatment of movement disorders, but also actively involves in clinical research to further strengthen our understanding of these complex neurological degenerative diseases.

Together with you and your family, our nationally and internationally recognized experts in the field of movement disorders will work to build a complete picture of your disorder, help you to understand, and customize the treatment plan that works best for you.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals.

Our Doctors

We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.

Treatments & Procedures

We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.

Advanced Technology & Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

Specialty Clinics

We trained in nervous system conditions , brain and nervous system surgery, and other areas work together to determine the most appropriate treatment for your condition.

We run a number of Specialty Clinics at Aster Medcity. Each clinic runs on a particular day of the week and offers a gamut of services to the needy patients. Our services include, but not limited to:

  • Clinical evaluation ,diagnosis and medical treatment of Adult and pediatric Movement Disorders
  • Selection of cases of Movement Disorders for DBS treatment
  • Selection for Apomorphine pump treatment for advanced Parkinson’s disease (OP assessement of eligibility and IP for initial titration). Indicated for those who opt for non surgical treatment or in whom surgery is contraindicated
  • Cognitive and Neuropsychological evaluation
  • Neuropsychiatric assessment
  • Physiatry assessment and physiotherapy
  • Autonomic function tests
  • Sleep studies
  • TRODAC studies, MRI through Radiology and nuclear medicine dept
  • Speech, swallowing and gait rehabilitation
  • Pain and palliation in advanced movement disorders
  • Selection of patients for clinical trial and research
  • Movement Disorder Clinic
  • Deep Brain Stimulation (DBS) Programming Clinic
  • Botulinum Toxin Clinic
  • Pediatric Movement Disorder Clinic
  • Memory Clinic
IP Services

Evaluation and treatment of acute and chronic movement disorders

Functional Neurosurgery for Movement Disorders
  • Deep Brain Stimulation (DBS) surgery: For Parkinson’s Disease, Essential Tremor, Dystonia ( primary and selected secondary dystonias), intractable Tourettes Syndrome)
  • Focused ultrasound therapy: for Essential Tremor (if FUS is set up in COE Neurosciences under brain tumour centre)

FAQs

Want to find out more about the treatment? The answer to your questions can be found below.

Is vascular parkinsonism hereditary?

Hereditary transmission of vascular Parkinsonism is rare but can happen with cases involving inherited CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts) & leukoencephalopathy.

What are the causes of Parkinsonism?

  •  Vascular Parkinsonism: reduced blood supply to some parts of the brain. The brain in that part does not function efficiently and causes Parkinson's symptoms.
  • Post-traumatic Parkinsonism: Brian tissue damage due to chronic or repetitive brain injury, which results in reduced blood supply to parts of the brain. E.g., boxing.
  • Toxin causing Parkinsonism: toxic chemicals which can cause changes to dopamine-releasing parts of the brain. 
  • Normal pressure hydrocephalus: this happens when excess CSF causes pressure in parts of the brain 
  • Postencephalitic: after encephalitis infection, Brain cells are damaged 
  • Atypical Parkinsonism
  • Supra nuclear palsy
  • Multiple system atrophy
  • Alzheimer's.
  • Wilson's disease.
  • Huntington's disease.

What are the symptoms of Parkinsonism?

Physical symptoms of Parkinsonism are:

  • Muscle stiffness
  • Rigid joints
  • Tremors
  • Imbalance 
  • Hunching or stooping
  • Inability to walk.

What is Parkinson's Disease?

Parkinson's Disease is a progressive neurological disease caused by degeneration of nerve cells in an area in the brain called the substantia nigra. It is a part of the basal ganglia circuit that controls movements. The cells in substantia nigra produces an important chemical called dopamine required for the normal functions of the basal ganglia
circuits which allows us to make the desired type of movements and prevent unwanted movements. 

It is estimated that about 7-10 million people have the disease world - wide and about 60,000 new cases are diagnosed each year. While the risk of a PD increases with age (average age of onset in the early 60s), around 5-10 percent develop the symptoms before the age of 50 and about 1-2 % have other family members affected by the same condition.

What is a treatment for Parkinson's disease?

Parkinson's disease is not curable. Parkinson's disease is initially treated with medicines that relieve the symptoms and enable them to function well. Levodopa is the mainstay of treatment of PD and has been used since the 1960s and gives excellent relief in the first 3-5 years of treatment. With the progression of the disease, the beneficial effects of levodopa reduce and the symptoms of patients fluctuate through the day. These motor fluctuations can be a predictable early wearing off, of the benefits of a dose of levodopa which makes it necessary to take more frequent doses. There can be delayed onset of effect of levodopa or a sudden unpredictable loss of effect of levodopa. Levodopa can also induce dyskinesias which appear as involuntary dance - like flowing movements in the neck, trunk, or limbs. These phenomena occur in about 805 of patients during the course of the disease, within 5-10 years of onset of disease. 

What are the symptoms of Moment Disorder?

The different abnormal movements are shaking (tremor), stiffness of muscles, slowness and loss of balance (together called parkinsonism), twisted postures (dystonia) abrupt jerks (myoclonus), dance-like flowing movements (chorea) and stereotyped rapid jerks and involuntary sounds (tics). Many diseases that produce movement disorders result from degeneration of brain cells in areas controlling movement and do not have an obvious cause or may be due to a genetic change.

These movements can develop as a consequence of injury, infections, inflammation, metabolic disturbances and tumours of the brain or as side effects of certain drugs. Neurologists who are specialists in movement disorders offer diagnosis and treatment for such conditions through dedicated movement disorder clinics.

Is Parkinsonism a progressive disease?

Parkinsonism can worsen only if treatment is not received at the right time. It is a reversible disorder if the reason causing Parkinsonism is removed. For, e.g., an obstructing artery, nerve pressure, or discontinuation of the medication causing it(drug-induced Parkinsonism)

What's the difference between Parkinson's disease and Parkinsonism?

Parkinson's disease is caused by brain degenerative nerve cells, causing a dopamine drop. In contrast, Parkinsonism can be caused due to several reasons:

  • Side effects of medications 
  • Chronic head injury or trauma
  • Metabolic diseases 
  • After effects of toxins
  • Neurological diseases 

Parkinsonism is a group of disorders that mimic symptoms of Parkinson's disease.

What is the cause of Parkinson's disease?

Degeneration or date of basal cell ganglia and a part of the brain which releases dopamine can cause Parkinson's disease at a later age. A steep drop in dopamine is responsible for many symptoms of Parkinson's disease.

Loss of nerve endings that release norepinephrine, the chemical responsible for many motor actions. The exact cause of Parkinson's disease is not yet known, but scientists believe it to be a combination of hereditary and environmental factors(toxin exposure).

 

What are the early signs of Parkinson's disease?

Parkinson's disease usually starts with physical symptoms like: 

  • Tremor, on the one hand
  • Tremors in both hands or limbs
  • Reduces movement 
  • Stiffness to walk
  • Uncoordinated limb movements.

Cognitive symptoms

  • Cognitive issues
  • Forgetfulness 
  • Concentration issues.

What is Moment Disorder?

Movement disorders are a group of diseases affecting the ability to produce and control body movement. Lakhs of people in India lives with movement disorders, including Parkinson's disease. It is the second commonest neurological degenerative disease of the brain after Alzheimer’s disease. Estimates show that 1-2% of people over the age of 60 years develop this condition. 

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