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The gold-standard treatment for Parkinson’s is administration of Levodopa (L-Dopa). The delivery of this medication has recent innovations including a procedure has been developed delivering it directly to the source by stimulating the brain-lymphatic vasculature, increasing function of dopaminergic neurons. 

Other therapy methods include transcranial alternating current stimulation (tACS), transcranial electrical stimulation (tES), neuromodulation, noninvasive brain stimulation (NIBS), neuroplasticity, neural entrainment, non-invasive transcranial brain stimulation (NTBS). Each method mentioned has proven to be effective in increasing neuronal excitability, however, has not proven to provide any significant long-term change in treatment of the disorder. Per results, long-term administration would theoretically gradually increase efficacy in treatment, however, exposure to these devices long-term is unadvised due to safety concerns.

  • Sohini Ghosh

Summary:

  1. Neuron excitability, through non-invasive intervention is presided by supplemental administration of dopamine as L-DOPA and their derivatives. 
  2. Brain-lymphatic vasculature stimulation as a procedure increased functional dopaminergic neurons within preclinical animal models.
  3. Long-term therapies of transcranial electrical stimulation and neural sensescape therapies increase plasticity towards baseline neuronal excitability.

Conclusion:

There is viable application of co-treatment with gold standard L-DOPA before and during additional non-invasive treatments for increasing dopaminergic neurons.

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