{"id":85,"date":"2019-07-24T09:25:55","date_gmt":"2019-07-24T09:25:55","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/neurocirugia\/ca\/?p=85"},"modified":"2025-04-15T14:56:47","modified_gmt":"2025-04-15T14:56:47","slug":"malaltia-de-parkinson","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/neurocirugia\/ca\/malaltia-de-parkinson\/","title":{"rendered":"Present i futur del diagn\u00f2stic i tractament de la Malaltia de Parkinson"},"content":{"rendered":"

Els doctors\u00a0Eduard Tolosa<\/strong><\/a>,\u00a0Francesc Valldeoriola<\/strong><\/a>\u00a0i\u00a0Jordi Rumi\u00e0<\/a><\/strong>\u00a0formen part de la\u00a0Unitat de Parkinson i Trastorns del Moviment<\/strong><\/a>\u00a0(UPTM) de l’Hospital Cl\u00ednic de Barcelona<\/a>\u00a0i barnacl\u00ednic+<\/a>\u00a0.<\/span>\u00a0Aquesta unitat, liderada per l’Institut Cl\u00ednic de Neuroci\u00e8ncies (ICN), \u00e9s pionera en l’aplicaci\u00f3 de ter\u00e0pies d’alta complexitat, com l’\u00a0estimulaci\u00f3 cerebral profunda<\/a>,<\/strong>\u00a0els ultrasons o altres opcions de\u00a0tractament del Parkinson<\/strong>\u00a0i els\u00a0Trastorns del Moviment<\/strong>.<\/span>\u00a0D’altra banda, la\u00a0recerca liderada des de la unitat s’ha centrat en investigar les\u00a0causes d’aquestes Malalties Degeneratives,<\/strong>\u00a0per desenvolupar mecanismes de diagn\u00f2stic preco\u00e7 i ter\u00e0pies m\u00e9s efectives.<\/span><\/p>\n

Aquests tres experts, referents internacionals en els seus camps, responen a preguntes sobre present i futur del\u00a0diagn\u00f2stic i tractament de la Malaltia de Parkinson<\/a>.<\/strong><\/span>\u00a0\u00a0<\/strong><\/p>\n

<\/p>\n

En qu\u00e8 consisteix el diagn\u00f2stic del Parkinson?<\/strong><\/span><\/h3>\n

Dr.\u00a0Eduard Tolosa<\/a>:<\/strong>\u00a0El\u00a0diagn\u00f2stic del Parkinson<\/a>,<\/strong>\u00a0avui dia, es fa quan apareixen uns s\u00edmptomes cl\u00e0ssics, com el tremolor o la lentitud.<\/span>\u00a0No obstant aix\u00f2, cada vegada hi ha m\u00e9s inter\u00e8s en diagnosticar-la en les anomenades fases precl\u00edniques o prodr\u00f2miques.<\/span>\u00a0En aquestes fases, els subjectes tenen: p\u00e8rdua d’olfacte, malsons molt intentes o poden tenir, fins i tot, algunes fallades de mem\u00f2ria o de pressi\u00f3 mental.<\/span>\u00a0Aquests s\u00edmptomes poden antecedir la tremolor o la lentitud motora en 15 o 20 anys.<\/span><\/p>\n

\n

\"\"<\/a><\/h4>\n

“Cada vegada hi ha m\u00e9s inter\u00e8s en el diagn\u00f2stic del Parkinson en fases precl\u00edniques, que poden antecedir els s\u00edmptomes cl\u00e0ssics com el tremolor o la lentitud motora en 15 o 20 anys”<\/span><\/h4>\n

Dr.\u00a0Eduard Tolosa<\/a><\/strong><\/p><\/blockquote>\n

Per qu\u00e8 \u00e9s important diagnosticar el Parkinson en fases inicials o precl\u00edniques?<\/strong><\/span><\/h3>\n

Dr.\u00a0Eduard Tolosa<\/a>:<\/strong> Ens agradaria poder diagnosticar-<\/span>la\u00a0en fase prodr\u00f2mica per poder intervenir amb estrat\u00e8gies preventives, o que retardin l’aparici\u00f3 dels\u00a0s\u00edmptomes del Parkinson<\/a>.<\/strong><\/span><\/p>\n

Quines opcions de tractament del Parkinson ha actualment?<\/strong><\/span><\/h3>\n

Dr.\u00a0Francesc Valldeoriola<\/a>:<\/strong>\u00a0Disposem de nombrosos f\u00e0rmacs per al\u00a0tractament dels s\u00edmptomes del Parkinson<\/strong>.<\/span>\u00a0D’altra banda, el\u00a0tractament del Parkinson<\/a> amb ultrasons<\/strong>\u00a0permet millorar la tremolor sense necessitat de tractament quir\u00fargic.<\/span>\u00a0Voldria tamb\u00e9 destacar el\u00a0tractament amb\u00a0estimulaci\u00f3 cerebral profunda<\/a><\/strong>.<\/span><\/p>\n

\n

\"\"<\/a><\/h4>\n

“Disponem de nombrosos f\u00e0rmacs per tractar els s\u00edmptomes del Parkinson, a m\u00e9s del tractament amb ultrasons i l’estimulaci\u00f3 cerebral profunda”<\/span><\/h4>\n

Dr.\u00a0Francesc Valldeoriola<\/a><\/strong><\/p><\/blockquote>\n

Qu\u00e8 \u00e9s l’estimulaci\u00f3 cerebral profunda?<\/strong><\/span><\/h3>\n

Dr.\u00a0Francesc Valldeoriola<\/a>:<\/strong> L’estimulaci\u00f3 cerebral profunda<\/a><\/strong>\u00a0\u00e9s un tractament quir\u00fargic amb el que tenim \u00e0mplia experi\u00e8ncia, per\u00f2 que, en els \u00faltims anys, ha experimentat un notable avan\u00e7 tecnol\u00f2gic.<\/span>\u00a0Gr\u00e0cies a aquest avan\u00e7, podem oferir m\u00e9s seguretat i efic\u00e0cia per al pacient.<\/span><\/p>\n

Dr.\u00a0Jordi Rumi\u00e0<\/a>:\u00a0<\/strong>El\u00a0tractament neuroquir\u00fargic dels trastorns del moviment<\/strong>\u00a0\u00e9s una opci\u00f3 molt efica\u00e7 i molt segura per millorar la qualitat de vida d’aquells pacients que tenen\u00a0malaltia de Parkinson<\/strong> o altres trastorns del moviment<\/strong>\u00a0i no responen b\u00e9 a f\u00e0rmacs.<\/span>\u00a0Des de 1995, en equip de l’Hospital Cl\u00ednic ha tractat pacients mitjan\u00e7ant t\u00e8cniques\u00a0d’estimulaci\u00f3 cerebral profunda<\/strong><\/a>, amb un grau de seguretat molt elevat i una efic\u00e0cia superior al 80%.<\/span><\/p>\n

\n

\"Jordi<\/a><\/h4>\n

“L’estimulaci\u00f3 cerebral profunda<\/a> \u00e9s una opci\u00f3 molt efica\u00e7 i segura per millorar la qualitat de vida d’aquells pacients amb Parkinson que no responen b\u00e9 a f\u00e0rmacs”<\/span><\/h4>\n

Dr.\u00a0Jordi Rumi\u00e0<\/a><\/strong><\/p><\/blockquote>\n

Quin \u00e9s el futur del tractament de la Malaltia de Parkinson?<\/strong><\/span><\/h4>\n

Dr.\u00a0Francesc Valldeoriola<\/a>:\u00a0<\/strong>El\u00a0futur del tractament del Parkinson<\/strong>\u00a0passa per ter\u00e0pies per aturar el dip\u00f2sit de prote\u00efnes an\u00f2males en el cervell.<\/span>\u00a0Aix\u00f2 \u00e9s el que succeeix en la\u00a0Malaltia de Parkinson<\/strong><\/a>,\u00a0espec\u00edficament la\u00a0alfa-sinucle\u00efna<\/em>.<\/span><\/p>\n

Dr.\u00a0Eduard Tolosa<\/a>:\u00a0<\/em><\/strong>L’alfa-sinucle\u00efna<\/em>\u00a0\u00e9s una prote\u00efna que creiem que \u00e9s la responsable i\u00a0causa del Parkinson<\/strong>.\u00a0<\/span>Els estudis per aprofitar-la en el\u00a0tractament del Parkinson<\/strong>\u00a0estan ja en marxa, es toleren b\u00e9 i tindrem els resultats dins d’un o dos anys.<\/span>\u00a0Si s\u00f3n efica\u00e7os, els aplicar\u00edem en la fase prodr\u00f2mica de la malaltia per evitar que es desenvolupi m\u00e9s tard.<\/span><\/p>\n

Dr.\u00a0Francesc Valldeoriola<\/a>:<\/strong> Aquestes “vacunes” o tractaments que tenen com a objectiu aturar l’evoluci\u00f3 de la malaltia poden ser absolutament prometedors per al futur.<\/p>\n

Dr.\u00a0Eduard Tolosa<\/a>:<\/strong> Crec que el\u00a0futur del Parkinson<\/strong>\u00a0est\u00e0 canviant i, en els propers anys podrem, si no prevenir-la completament, retardar la progressi\u00f3 de la incapacitat.<\/p>\n

\n

\"\"<\/a><\/h4>\n

“El futur del tractament del Parkinson<\/a> passa per ter\u00e0pies per aturar el dip\u00f2sit d’alfa-sinucle\u00efna en el cervell.\u00a0<\/span>Aquests tractaments poden ser absolutament prometedors per al futur”<\/span><\/h4>\n

Dr.\u00a0Francesc Valldeoriola<\/a><\/strong><\/p>\n

\"\"<\/a><\/h4>\n

“El futur del Parkinson est\u00e0 canviant i, en els propers anys, podrem, si no prevenir-la completament, retardar la progressi\u00f3 de la incapacitat”<\/span><\/h4>\n

Dr.\u00a0Eduard Tolosa<\/a><\/strong><\/p><\/blockquote>\n

\n
\n

VOL CONTACTAR AMB LA UNITAT DE PARKINSON I TRASTORNS DEL MOVIMENT?<\/span><\/h1>\n

DEMANAR CITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Els doctors\u00a0Eduard Tolosa,\u00a0Francesc Valldeoriola\u00a0i\u00a0Jordi Rumi\u00e0\u00a0formen part de la\u00a0Unitat de Parkinson i Trastorns del Moviment\u00a0(UPTM) de l’Hospital Cl\u00ednic de Barcelona\u00a0i barnacl\u00ednic+\u00a0.\u00a0Aquesta unitat, liderada per l’Institut Cl\u00ednic de Neuroci\u00e8ncies (ICN), \u00e9s pionera en l’aplicaci\u00f3 de ter\u00e0pies d’alta complexitat, com l’\u00a0estimulaci\u00f3 cerebral profunda,\u00a0els ultrasons o altres opcions de\u00a0tractament del Parkinson\u00a0i els\u00a0Trastorns del Moviment.\u00a0D’altra banda, la\u00a0recerca liderada des de […]<\/p>\n","protected":false},"author":2,"featured_media":82,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28,29],"tags":[54,15,27,79,55],"yoast_head":"\nPresent i futur del diagn\u00f2stic i tractament de la Malaltia de Parkinson<\/title>\n<meta name=\"description\" content=\"Drs. 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