Parkinson disease
Treatment options in Shanghai

A supervised assessment of movement before and after levodopa helps the team estimate which motor symptoms may respond to DBS. For stiffness and slowness, the improvement during a good medication period is an important reference point; surgery should not be presented as a promise to exceed that best state. Tremor can require a different interpretation because some medication-resistant tremor may respond to stimulation. Do not stop medication yourself to prepare for testing. The assessing service must provide individualized instructions and explain how it interprets the result.

Shanghai offers more than a discussion of the DBS operation: preoperative selection, medication review and later programming can be considered as one care pathway. Huashan Hospital, Fudan University describes Parkinson’s DBS, preoperative assessment and optimisation of stimulation after surgery in its hospital specialty overview. A joint movement-disorder and neurosurgical review can identify which off-period symptoms, tremor or dyskinesia may improve, what needs a different approach and how programming will continue at home. Read the Parkinson disease overview and bring a symptom diary and medication timeline.

DBS care does not end when the device is implanted. Later programming and medication adjustment often determine whether day-to-day improvements can be sustained. Before discharge, obtain the device card, model and settings, schedule the next programming visit and identify compatible support at home; tell clinicians about the implant before MRI or other procedures. For wound redness, discharge, fever or exposed hardware, seek prompt local care and contact the DBS team. Put these steps in the discharge plan so Shanghai treatment connects with life after returning home.