In the episode of Grey’s Anatomy a 63 year old Parkinson patient came to complaining about dyskinesia of the spine, which Dyskinesia is a movement disorder which consists of adverse effects including diminished voluntary movements and the presence of involuntary movements, similar to tics or chorea. Dyskinesia can be anything from a slight tremor of the hands to uncontrollable movement of, most commonly, the upper body but can also be seen in the lower extremities. Discoordination can also occur internally especially with the respiratory muscles and it often goes unrecognised. Dyskinesia is a symptom of several medical disorders and is distinguished by the underlying cause. The patient also had vigorous shaking throughout his body which made him incapable of walking. The patient was given bolus injections the night he came in and has been stable currently stable.
Dr. Shephard dignoses was to give the patient a intra-spinal catherter so he can have consistant pain management or Deep Brain Stimulation (DBS) which is a surgery that allows the patient to be awake and it would help the patient live a normal life and be more independent. According to WebMD, Deep Brain Stimulation (or DBS) is a way to inactivate parts of the brain that cause Parkinson's disease and its associated symptoms without purposefully destroying the brain. In deep brain stimulation, electrodes are placed in the thalamus (to treat essential tremor and multiple sclerosis) or in the globus pallidus (for Parkinson's disease).
In the beginning the patient declined getting DBS but was talking into by Dr. Meredith Grey. During the surgery the nurse worked with the patient and tried to get him to mimic his hand motion as Dr. Shepard tried to find the motor strip of the brain.
In deep brain