Meet all our doctors at Cleveland Clinic Abu Dhabi.View Doctors
We offer a range of advanced, cutting-edge treatments for Parkinson’s disease and movement disorders. A clinical diagnosis is first made by reviewing a patient’s history and performing a neurological exam. The severity and stage of the condition are also assessed. Our team will then discuss your individual needs and the most appropriate treatment for you.
We are the only center in the UAE to offer all treatment modalities for patients with early or late stages of Parkinson’s disease. Treatment with medication for Parkinson’s disease is effective and can help improve movement symptoms. Alongside medical and surgical treatments, patients require an holistic approach to their care, and we are supported by our rehabilitation team which includes physical therapists, speech therapists and occupational therapists, who are specialized in Parkinson’s disease and other movement disorders.
Treatment options for Parkinson’s disease include :
Deep Brain Stimulation
Deep brain stimulation (DBS) is a surgical procedure that involves implanting electrodes in the brain, which deliver electrical impulses that block or change the abnormal activity that cause symptoms. Cleveland Clinic Abu Dhabi’s Parkinson’s Disease and Research Center performs the highest number of DBS surgeries in the UAE.
In DBS, electrodes are placed in the targeted areas of the brain which are connected by wires to a type of pacemaker device (called an implantable pulse generator) placed under the skin of the chest below the collarbone.
Once activated, the pulse generator sends continuous electrical pulses to the target areas in the brain, modifying the abnormal activity in the area of the brain that is causing symptoms. The DBS system operates much the same way as a pacemaker for the heart. In fact, DBS is referred to as “the pacemaker for the brain.”
Levodopa Carbidopa Intestinal Gel (DUOPA) Pump Therapy
Levodopa-Carbidopa is the most effective medication for Parkinson’s disease. Duopa infusion delivers Levodopa-carbidopa in gel form through a small hole (called a ‘stoma’) in the stomach wall to a tube in the intestine. A pump then delivers Duopa directly to the intestine through this tube, delivering medication in a continuous fashion throughout the day which helps to reduce fluctuations significantly, giving the patient control of their symptoms throughout the day.
Apomorphine Injections and Infusion Pump
Apomorphine is a dopamine agonist medication that helps to control symptoms of Parkinson’s disease. It is delivered via injection under the skin. The medication works very quickly, but the effect of the medication lasts only 60-90 minutes. Therefore, apomorphine injections can be used as emergency treatment to treat sudden ‘off’ states. Continuous delivery of the medication is possible using an apomorphine infusion pump which is delivered by a needle placed under the skin.
Botulinum toxin treatment/Chemodenervation clinic for dystonia and other movement disorders
Chemodenervation refers to the use of Botulinum Toxin (botox) in treating several neurological conditions. Botulinum Toxin is a product formed by bacteria Clostridium botulinum and in a purified form is used to treat many neurological conditions, such as dystonia, spasticity (stiffness in muscles), excessive drooling of saliva, excessive sweating, tremor (shaking) conditions such as Parkinson’s disease, essential tremor and dystonic tremor.
There are several types of dystonia, each with different symptoms:
There are many other conditions that can be effectively treated with careful botulinum toxin injections, with the effects lasting from 3 to 6 months.
We are the first center in the UAE to offer electromyogram (EMG) guided injections for complicated movement disorders, performed by our movement disorder neurologist. We also have a team of neurologists who perform botulinum toxin for spasticity and headache conditions.
Our multidisciplinary team of experienced caregivers work together to provide the best possible treatment outcomes for patients. Caregivers at the center include: