PARKINSON'S DISEASE
MOVEMENT DISORDERS CENTER
PARKINSON'S DISEASE & MOVEMENT DISORDERS CENTER
PARMER
PARKINSON'S DISEASE
MOVEMENT DISORDERS CENTER
With this method called “neuromodulation,” it is possible to rewind the clock on diseases such as Parkinson's, Essential Tremor, and Dystonia and say hello to life again.
Experienced Hands in Turkey
All treatment and neurostimulator programming are performed by Assoc. Prof. Ali ZIRH, who has more than 30 years of surgical and clinical experience, and a neurology team specialized in movement disorders. Assoc. Prof. Ali ZIRH has successfully conducted over +2000 surgical interventions for movement disorders and more than +1450 Deep Brain Stimulation (DBS) surgeries.
Book Appointment
Fill out the form and we will call you
+1450
DBS Surgeries
+30
Years of
Experience
Movement Disorder
+2000
Continents Served
4
Surgeries
Available Languages
4
in Support Team
for Patients & Guests
Available Languages
With over 30 years of clinical and surgical experience in functional neurosurgery—including work at Johns Hopkins University—Assoc. Prof. Dr. Ali Zırh has performed 2000+ surgeries for movement disorders and over +1450 DBS procedures. These achievements made him the leading name in movement disorder surgery in Turkey and helped his center become an International Training and Reference Center. Born in Ankara in 1960, he graduated from Hacettepe University and became a neurosurgeon in 1994. Since returning from the U.S. in 1997, he has performed advanced DBS surgeries at VKV American Hospital and continues to contribute to the field through international scientific events.
Deep brain stimulation (DBS) surgery is a groundbreaking treatment for movement disorders such as Parkinson’s, dystonia, and tremor. In Turkey, Assoc. Prof. Dr. Ali Zırh stands as a pioneering figure, bringing hope to thousands of patients and raising the standards of DBS treatment to international levels. With advanced technology and vast experience, he successfully performs this life-enhancing neurosurgical procedure in Turkey, making the country a recognized center in the field.
and raising the standards of DBS treatment to international levels. With advanced technology and vast experience, he successfully performs this life-enhancing neurosurgical procedure in Turkey, making the country a recognized center in the field.
Deep brain stimulation (DBS) surgery is a groundbreaking treatment for movement disorders such as Parkinson’s, dystonia, and tremor. In Turkey, Assoc. Prof. Dr. Ali Zırh stands as a pioneering figure, bringing hope to thousands of patients
How DBS Changes Patients' Lives
Our patient with Parkinson's disease shares his experiences about Deep Brain Stimulation treatment, Assoc. Prof. Dr. Ali Zırh answers.
With over 30 years of clinical and surgical experience in functional neurosurgery—including work at Johns Hopkins University—Assoc. Prof. Dr. Ali Zırh has performed 2000+ surgeries for movement disorders and over +1450 DBS procedures.
These achievements made him the leading name in movement disorder surgery in Turkey and helped his center become an International Training and Reference Center. Born in Ankara in 1960, he graduated from Hacettepe University and became a neurosurgeon in 1994. Since returning from the U.S. in 1997, he has performed advanced DBS surgeries at VKV American Hospital and continues to contribute to the field through international scientific events.
Deep Brain Stimulation is a method that can deliver electrical currents to any point within the human brain. This method is called as ''Neuromodulation'', by providing electrical current to the targeted region, it can either stimulate or suppress the electrical activity of brain cells in that area. Deep Brain Stimulation is a system composed of three parts: two thin electrodes placed inside the brain, two extension cables connecting these electrodes to the main device, and the neurostimulator placed under the skin in the chest.
Deep Brain Stimulation (DBS) is a neuromodulation technique effectively used for conditions that do not respond to medical therapy. This treatment provides outstanding outcomes in Parkinson's disease, as well as essential tremors and severe muscle contractions known as dystonia.
Deep Brain Stimulation (DBS) surgery is performed under local anesthesia while the patient remains awake, utilizing a frame fixed to the patient's head by four screws in a process as known as "awake surgery." The brain surgery part typically lasts between 2 to 2.5 hours. During this period, patients do not experience any pain or discomfort, except for a few numbing injections. In the final stage of the procedure, general anesthesia is administered to insert the extension cables and the neurostimulator in the chest area under the skin, which takes approximately 45 minutes.
The success of Deep Brain Stimulation (DBS) surgeries relies crucially on accurately locating a targeted area in the brain that measures just 2-3 mm in diameter and precisely placing the electrodes within these points. In the hands of experienced professionals, "Microelectrode Recording and Stimulation Technique" provides outstanding results while minimizing risks. This technique is considered to be the safest option among surgical intervention methods, with a minimal margin for error.
Is everyone with Parkinson's disease suitable for DBS treatment?
Our specialist physician Assoc. Dr. Ali ZIRH answers.
PARMER
Turkey's Leading Center for Parkinson's Disease and Movement Disorders
With the trusted infrastructure of Medipol Healthcare Group and its internationally standardized service quality, PARMER makes a difference in the field of Parkinson’s disease and movement disorders. As one of the most modern healthcare centers in Turkey, PARMER combines knowledge, technology, and patient-focused care under one roof.
A Beacon of Hope for Patients
Parkinson’s disease and movement disorders can deeply affect both the patient’s and their loved ones’ quality of life. At this point, PARMER stands out as a beacon of hope. Integrating Medipol Healthcare Group’s internationally accredited healthcare services, the center approaches treatment with both scientific and human-centered care.
More Than Just a Healthcare Center
PARMER sees illness not only as a health issue but as an opportunity to improve patients' overall quality of life. Both during treatment and rehabilitation, patients' individual needs are considered at every step.
Leading Services with
Medipol Health Group Assurance
PARMER makes a difference in the field of Parkinson's disease and movement disorders with Medipol Health Group's reliable infrastructure and international standards of service quality. One of the most modern health centers in Turkey, PARMER brings together knowledge, technology and people-oriented health services under the same roof.
If you or your loved ones are struggling with Parkinson's disease or movement disorders, PARMER is here for you. The right address to live life more freely.
A Partner for Enhancing Life Quality
MRgFUS
(MR Guided Focused Ultrasound)
MRgFUS treatment is a non-invasive, non-surgical, safe, and advanced technology-based treatment method for Essential tremor and Parkinson's disease, in which tremors are dominant. With this technology, a combination of 1,024 separate high-intensity ultrasound waves and Magnetic Resonance Imaging (MRI) method is used to reach the target area through the scalp and disable the target region in the brain causing the tremors.
During the procedure, the patient needs to be awake in order to accurately target the right brain region, evaluate the healing condition, and minimize possible side effects.
Throughout the duration of the treatment, at certain intervals, the patient will be asked to perform certain actions such as opening and closing their hand, writing, without getting up from the MR table. Our experienced team will communicate with the patient throughout the procedure to ensure a comfortable and convenient process.
Advantages of MRgFUS Method
Non-invasive Intervention
Since the procedure is performed without surgical incisions, there is no risk of bleeding or infection.
A trustworthy method
Generally, it carries lower risks compared to open surgery. Since there is no intervention outside the targeted area, other regions of the brain are not affected. Patients recover quickly and return to social life safely.
Rapid and Lasting Recovery
Clinical improvement is observed during the procedure. It has been determined that even after the first application, a rapid improvement is seen in most patients' symptoms due to the gradual increase of energy waves. It is an outpatient treatment that does not require hospitalization, and most patients are discharged on the same day, returning to their daily lives.
An alternative method to surgery
With the MRgFUS method, satisfactory results are obtained in appropriately selected patients without the need for open surgical intervention.
Parkinson's disease is a progressive neurological disorder affecting the central nervous system. Due to the reduction of dopamine-producing cells in the brain, movement control deteriorates. The main symptoms are tremors, muscle rigidity, and slowed movements. It is commonly seen in individuals over the age of 60 but can also occur at a younger age.The treatment of Parkinson's disease involves medications, surgical methods, and physical therapy to alleviate symptoms. The most common medications are Levodopa, which increases dopamine levels, and dopamine agonists. Deep Brain Stimulation (DBS) is a surgical option used in advanced stages.
Movement disorders are neurological conditions characterized by involuntary movements or movement limitations. Parkinson's disease, dystonia, tremor, and Huntington's disease fall under this category. They usually occur due to the impairment of motor control centers in the brain.Treatment for movement disorders includes medication, physical therapy, surgical methods, and lifestyle changes. Effective treatment options include Levodopa for Parkinson's, botulinum toxin injections for dystonia, and DBS for tremor. For more information and support, consult a specialist.
Tremor refers to involuntary, rhythmic movements in parts of the body or limbs. Parkinson's disease, multiple sclerosis, or severe stress can cause tremors. Treatment depends on the underlying cause and may include medications, physical therapy, or surgical methods.
Essential tremor is one of the most common movement disorders, characterized by involuntary shaking of the hands, head, or voice. Tremors may worsen during stressful situations and can make daily activities difficult. Treatment includes medications, botulinum toxin injections, or surgical methods such as MRI-guided focused ultrasound (MRgFUS).
Dystonia is a movement disorder marked by involuntary muscle contractions in a specific body part or the entire body. These contractions can cause abnormal postures or movements. Treatment options include medications, botulinum toxin injections, and in severe cases, surgical methods such as Deep Brain Stimulation (DBS).
Psikojenik distoni, istemsiz kas kasılmaları ve anormal duruşlarla karakterize bir hareket bozukluğudur. Tedavi botulinum toksin (Botoks) enjeksiyonlarını ve derin beyin stimülasyonu gibi cerrahi yöntemleri içerir.
Cervical dystonia (torticollis) is a type of dystonia where involuntary contractions of the neck muscles cause the head to turn or tilt into abnormal positions. Treatment may include botulinum toxin injections and deep brain stimulation.
We offer multilingual support, VIP services, and a comprehensive treatment experience for patients from all around the world. We are here to make your transfer, accommodation, and treatment process as easy as possible.
We stand by your side with internationally experienced specialist doctors and healthcare professionals. We offer reliable, effective, and patient-centered healthcare services.
Health Tourism and VIP Service
Expert Team
With modern treatment facilities equipped with advanced technology, we are pioneers in delivering innovative healthcare services. We integrate technology with human health to provide faster and more effective solutions.
We understand that every patient is unique. Therefore, we design individualized treatment plans tailored to your needs and expectations to ensure maximum recovery.
State-of-the-Art Medical Equipment
Personalized Treatment
Choose Medipol Healthcare Group to secure your health and improve your quality of life.
Contact us now and make a fresh start!
Medipol Acıbadem District Hospital
Personalized Treatment Approaches: We provide individual solutions with a detailed health plan tailored to your needs.
Comfortable Accommodation: We offer luxurious & comfortable accommodation options during your treatment process.
Multilingual Support: We facilitate communication in several languages, including English, Russian, and Arabic.
Quick Appointments & Specialized Services: Start your treatment process easily and without delay.
JCI
Joint Commission International
JCI is the world’s leading healthcare accreditation organization.
Our hospital is among the distinguished healthcare institutions worldwide,
holding JCI accreditation for providing high-quality healthcare services at international standards.
Frequently Asked Questions
DBS for
What is next right After Deep Brain Stimulation Surgery?
Neurostimulators are typically activated a few days following the surgery, and through outpatient visits, patients undergo approximately 2-3 weeks of neurostimulator programming to achieve optimal settings that enable them to lead near-normal lives. For patients with dystonia, this programming period may extend to 4-6 weeks.
During the neurostimulator programming, medication modifications are also necessary since the neurostimulator begins to take over the effects of the medication. Patients are recommended to come for a follow-up examination within 3 to 4 months after the initial programming. Following this, routine check-ups are recommended approximately every 5-6 months throughout the year.
What Is the Lifespan of Neurostimulators?
Recent advancements in technology have led to the development of rechargeable neurostimulators, which can last between 20 to 25 years. These innovations have not only improved and increased the treatment success rates but also significantly reduced the need for frequent neurostimulator replacements for a long time.
In contrast, non-rechargeable neurostimulators have a shorter lifespan. For Parkinson's patients, these devices typically last between 4 to 6 years, while for patients with dystonia, the lifespan ranges from 2 to 4 years.
What Do Technological Advancements Provide?
Recent advancements in electrode technology offer the ability to adjust the direction and intensity of the electrical current delivered to the brain as desired. Advancing technology, particularly through the use of artificial intelligence applications, is increasingly assisting with calculations during surgery as well as optimizing the electrical settings provided to patients.
What Is the Difference Between Deep Brain Stimulation and Other Treatment Methods for Movement Disorders?
Deep Brain Stimulation (DBS) is a treatment option that is fully controllable, programmable, adjustable, and reversible. If necessary, electrical settings can be modified, the system can be turned off, or even removed entirely. This flexibility alleviates concerns about performing new treatments for patients, especially in cases where more effective treatment methods may emerge in the future.
Can Deep Brain Stimulation Be Applied to Elderly Patients?
Age is not the only factor considered when determining eligibility for Deep Brain Stimulation (DBS) surgeries. The decision to proceed with surgery is based on several criteria, including the patient's potential for recovery with alternative treatments, their response to medications, mental state, and the anatomical structure of the brain. In some instances, surgery may not be advised for younger patients, while older patients may be deemed suitable candidates. Therefore, a comprehensive evaluation is essential to determine whether a patient qualifies for the procedure.
In Turkey Deep Brain Stimulation (DBS) surgery is performed safely with advanced technology and experienced specialists. It offers effective results especially in movement disorders such as Parkinson's disease, essential tremor and dystonia.
DBS aims to control symptoms by electrically stimulating certain areas of the brain. Appropriate patient selection, multidisciplinary approach and the right center preference increase the success of the treatment.
Acıbadem, Şht. Emin Çölen St.
No:4, 34718 Istanbul/TURKEY
Acıbadem, Şht. Emin Çölen Sokağı
No:4, 34718
Kadıköy/İstanbul
