Welcome to our comprehensive guide to headaches. In this article, we will take a detailed look at this widespread complaint. The classic definition of headache refers to a painful sensation in the head or head region. This is a subjective experience that can vary in intensity and duration. Headaches can occur in different areas of the head, such as the forehead, temples, back of the head or in the entire head region. They can be short-lived or chronic and vary in severity. There are two main categories of headaches, primary and secondary headache syndromes. Primary headaches are disorders in their own right, such as migraines, while secondary headaches result from an underlying cause, such as an injury, infection, or other medical condition. The most common primary forms include: Tension headaches: This type of headache is often described as aching or aching. They can be episodic or chronic and are often associated with muscle tension in the neck and shoulder area. Migraine: A migraine is characterized by paroxysmal headaches, which are often localized on one side and can be accompanied by strong accompanying symptoms such as nausea, vomiting, and sensitivity to light and noise. Cluster headaches: Cluster headaches are extremely painful headache episodes that occur in what are called clusters. They are usually localized on one side and are accompanied by additional symptoms such as red eyes, tearing and nasal congestion. These attacks typically occur over weeks or months, followed by longer symptom-free periods. In addition to these common types of headache, there are also rare headache syndromes that require specific diagnosis and treatment. Some of these less common primary headache types are: Hemicrania continua: Hemicrania continua is a persistent, unilateral headache that is constant and may be accompanied by accompanying symptoms such as tearing, nasal congestion, and sweating. The pain is usually moderate to severe. Typically, the symptoms respond to a specific treatment with the drug indomethacin. Paroxysmal hemicrania: Paroxysmal hemicrania is a rare form of headache that occurs in brief but frequent attacks. The pain is unilateral and typically occurs in the eye and temple area. Accompanying autonomic symptoms such as lacrimation, redness of the eyes or blocked nose can occur. SUNCT syndrome: SUNCT syndrome (Short-lasting Unilateral Neuralgiform headache attacks with Conjunctival injection and Tearing) is characterized by extremely short but very painful attacks. These seizures usually last a few seconds to two minutes and often occur during the day. They are accompanied by reddening of the eyes, tears and a blocked nose. Here are some common causes of secondary headaches: Meningitis: Meningitis is inflammation of the lining of the brain and spinal cord caused by an infection. Headache is one of the main symptoms, accompanied by neck stiffness, fever, nausea and sensitivity to light. Meningitis is a medical emergency that requires immediate medical evaluation and treatment. Head trauma: Headaches can occur after a head trauma, such as a fall, an accident, or a sports accident. These can be a sign of a concussion, brain hemorrhage, or other injury. After a relevant head trauma, a medical examination should always be carried out to rule out serious injuries. High blood pressure: Uncontrolled high blood pressure (hypertension) can cause headaches. These headaches are often throbbing and usually occur in the morning. It is important to monitor blood pressure regularly and initiate treatment with medication if necessary to reduce the risk of complications. Sinusitis: Inflammation of the sinuses, known as sinusitis, can lead to facial pain and headaches. The pain is usually due to pressure and swelling in the sinuses. Treatment involves relieving the inflammation and underlying causes, such as a bacterial infection. Glaucoma: Glaucoma, also known as glaucoma, is an eye disease in which the pressure inside the eye is increased. Headaches can be one of the symptoms, especially when the increased intraocular pressure is acute and markedly high. Early diagnosis and treatment are important to prevent vision loss. Medication side effects: Some medications can cause headaches as a side effect. These include certain blood pressure medications, hormonal drugs, nitrates, antidepressants, and others. If headaches occur after starting a new medication, this should be discussed with the treating physician. In the case of secondary headaches, it is important to quickly identify the underlying cause and initiate specific treatment. When taking the anamnesis, certain red flags should be observed, which can indicate possible serious causes or diseases. These include sudden and extremely severe headaches, neurological deficits, changes in consciousness, fever, or headaches that occur after trauma. If secondary headaches occur, an early medical examination is advisable in order to rule out serious illnesses and to initiate adequate therapy. Self-medication should be avoided as it can mask the underlying cause and symptoms. But it is also important to take a good history (anamnesis) for all other headaches. Here are some important questions to consider: Type of headache: What is the type of headache? Is it a dull ache, a throbbing pain, or a stabbing pain. Are the symptoms acute or are they chronic headaches? Localization: Where is the exact localization of the headache? Is it unilateral or bilateral? Is it more noticeable in the forehead area, the temples, the back of the head or the entire head area? Intensity and Duration: How intense is the headache on a scale of 1 to 10 and how long does each episode typically last? Accompanying symptoms: Are there any accompanying symptoms such as nausea, vomiting, sensitivity to light (photophobia), sensitivity to noise (phonophobia) or visual disturbances? Neck stiffness, dizziness or neurological symptoms can also be important. Triggers: Have you noticed typical triggers such as stress, certain foods, hormonal changes or environmental factors that could be associated with the occurrence of the headache? Frequency: How often does the headache occur and how long does it usually last? Have the symptoms, frequency, or pattern of headaches changed over time? Pre-existing conditions and medication: Do you have any pre-existing conditions, medication or known allergies? This information can be important for diagnosis and selection of appropriate treatment options. In addition, keeping a headache diary or headache calendar can help to better understand the course of the headache and identify possible triggers. Here are some reasons why a headache diary can be helpful: Recognize patterns: By regularly recording headache episodes, possible patterns can be identified and connections are recognized. They can determine if certain activities, foods, hormonal fluctuations, or environmental factors are related to the occurrence of the headache. Identify triggers: A headache diary allows you to identify potential triggers identify. They can determine if certain foods, stressful situations, weather changes, or other factors are associated with the occurrence of the headache. Assess treatment effect: You can check the effect of certain treatments or medications by documenting the frequency and intensity of headaches before and after use. This can help assess the effectiveness of your treatment and make adjustments if necessary. Support doctor consultation: A headache diary can also be used when communicating with the be helpful to the doctor. By keeping a journal, you can provide accurate information about your headache and assist in the diagnosis and treatment processes. When keeping a headache diary, note the following: Date and time of headache episodes Type and intensity of headache Duration of headache Concomitant symptoms and their severity Possible triggers such as food, stress or weather changes Medications or treatments taken Actions that have contributed to the relief (e.g. rest, relaxation techniques) The physical examination takes various aspects into account in order to make an accurate diagnosis. This includes examining the head/scalp to rule out injury, inflammation or abnormalities, and examining the cervical spine for possible tension or postural changes. The diagnosis of headaches can involve different procedures, depending on the suspected cause. These include: Blood tests: Tests for inflammatory markers, hormone levels or hemoglobin levels, for example. Liquor puncture: This examination of the liquor (nerve or cerebrospinal fluid) can be carried out if inflammatory diseases of the central nervous system such as meningitis are suspected. Neurological examination: This can be used to assess the neurological condition and to identify or rule out neurological causes of headaches. Imaging tests: MRI or CT scans are used to detect structural changes in the brain, injuries, or other abnormalities. The therapy of the most common headache syndromes is based on an individual treatment strategy that is tailored to the needs of the patient. A holistic therapeutic approach to the treatment of headaches includes looking at the patient as a whole and taking physical, psychological and social aspects into account. Here are some key components that can be included in a holistic therapy approach: Medical Treatment: A neurologist can make an accurate diagnosis and prescribe medical treatment options tailored to the specific headache type and individual needs of the patient. This may include the use of acute pain relief medication and/or prophylactics to reduce the frequency and severity of headache attacks. Lifestyle changes: A healthy lifestyle can help reduce headaches. This includes adequate sleep, regular physical activity, a balanced diet and stress management techniques such as relaxation exercises or meditation. Trigger Management: Identifying and avoiding potential headache triggers. This can include certain foods, environmental factors (e.g. noise, bright lights), hormonal changes, certain smells or emotional stressors. Avoiding or managing these triggers can reduce the frequency and severity of headaches. Psychotherapy and behavioral therapy: In the case of chronic headaches, the support of a psychologist can be helpful. Improvement can be achieved by addressing stressors, learning stress management strategies, and identifying emotional or psychological factors that can trigger or worsen headaches. Complementary therapies: A holistic approach can also include the use of complementary therapies such as acupuncture, massage, physical therapy exercises, or relaxation techniques such as yoga or tai chi. These techniques can help reduce pain and improve overall well-being. Patient Education and Self-Management: Educating the patient about the underlying headache disorder, trigger factors, coping strategies, and the importance of medication, rest, and self-care is critical. The patient is encouraged to monitor their headaches, keep symptom diaries and learn to listen to their body to help manage their headaches independently Digital health applications (DiGA) are medical apps that can be used to prevent, diagnose, monitor or treat diseases. They can also play a supporting role in the treatment of headaches. There have recently been various DiGAs specifically designed for the treatment and management of headaches. In Germany, the DiGA must be approved by the Federal Institute for Drugs and Medical Devices (BfArM). The BfArM checks the quality, safety and effectiveness of the applications before they are approved on the German market. It is important to ensure that the DiGA you are using has a valid approval to ensure adequate quality and safety. When using DiGA to help with headaches, it is advisable to follow the recommendations of your doctor. They can help you identify suitable DiGAs tailored to your specific needs. A combination of conventional treatment methods and digital health applications can enable a holistic and individual approach to headache management. It is important to note that while DiGA can be helpful, it should not be used as a substitute for medical advice or treatment. If the headache is persistent or severe, it is important to see a specialist for an accurate diagnosis and appropriate treatment. A healthy diet can also have a positive effect on headaches. However, there is no universal dietary recommendation that applies equally to all headache syndromes. Still, certain nutritional principles can help reduce headaches. Here are some recommendations: Regular Meals: Skipping meals can trigger headaches. It is important to eat regularly and avoid blood sugar fluctuations. Eat balanced meals rich in nutrients. Hydration: Staying hydrated is important to avoid dehydration, which can trigger headaches. Drink enough water throughout the day. Identify trigger foods: Some people have specific foods that can trigger headaches. Common trigger foods include alcohol, caffeinated beverages, chocolate, cheese, nuts, citrus fruits, and artificial sweeteners. If you find that certain foods give you headaches, try to avoid them. Balanced diet: Eating a diet rich in fruits, vegetables, whole grains, lean protein, and healthy fats can help reduce inflammation in the body and promote overall health. This can also help reduce headaches. Trigger avoidance: In addition to certain foods, other triggers such as artificial additives, monosodium glutamate (MSG) or certain preservatives can also cause headaches. It can be helpful to check the ingredients list of processed foods and avoid such triggers. Special case of headaches during pregnancy: Headaches are not uncommon during pregnancy and the peripartum period, i.e. around the time of birth. However, there are certain aspects to consider as treating headaches in pregnant women requires special care. During pregnancy, hormonal changes, increases in blood volume, and other physiological factors can affect the onset of headaches. Many women report tension headaches caused by muscle tension in the neck and shoulders. Migraine attacks may decrease during pregnancy, but there are also cases where migraine symptoms worsen or new migraine attacks appear. During pregnancy, certain medications are avoided, especially in the first trimester, to minimize the risk to the unborn child. In such cases, alternative measures such as rest, relaxation techniques, massage, or physical therapy may be considered. Medications are also avoided at the end of pregnancy as they can negatively affect labor activity. Headaches can also occur in the peripartum period, which can be due to hormonal changes, fluid shifts and lack of sleep. Especially after giving birth, women can suffer from headaches due to the abrupt drop in hormones and exhaustion. In these cases, adequate pain relief is important to support the mother and enable positive bonding with the newborn. During pregnancy and the peripartum period, however, rare but potentially serious causes of headache such as sinus and cerebral vein thrombosis (SVT) also need to be considered. These conditions can be associated with a headache, but are rare and require immediate medical attention. Sinus or cerebral vein thrombosis occurs when blood clots form in the venous sinus canals in the brain. This obstructs the flow of blood from the brain. This can lead to increased pressure in the brain and cause headaches. Pregnant women have a slightly increased risk of sinus or cerebral vein thrombosis due to changes in the blood clotting system during pregnancy. Typical symptoms are severe and persistent headaches, which are accompanied by neurological symptoms such as visual disturbances, epileptic seizures, changes in consciousness and neurological deficits. If sinus or cerebral vein thrombosis is suspected, medical attention should be sought immediately. A precise diagnosis usually requires imaging methods such as magnetic resonance imaging (MRI) or computed tomography (CT) in combination with a vascular display, a so-called venous angiography, as well as specific blood tests. Treatment usually involves blood-thinning therapy with drugs to break up the clots and prevent further complications. Special case of lack of liquid: Headaches can be a common symptom of dehydration. Insufficient fluid intake can lead to thickening of the blood, which in turn can impair blood flow to the brain and cause headaches. It is important to drink enough fluids to keep the body hydrated and avoid possible dehydration headaches. Recommended daily fluid intake may vary based on individual needs, but in general an intake of around 2 liters of fluid per day is recommended. This can include water, unsweetened beverages, herbal teas, or fresh fruit juice. In hot temperatures, physical activity or certain illnesses, the need for fluids can be increased. Pay attention to body signals and drink fluids in good time before you feel thirsty or have a headache. Drink regularly throughout the day and make sure you stay hydrated. Adequate hydration can not only help prevent dehydration headaches, but also promote overall health and well-being. Special case of hot temperatures and prolonged exposure to the sun: Sufficient fluid intake is extremely important, especially in hot temperatures in Germany, to protect the body from dehydration and prevent heat problems. Sweating causes the body to lose more fluid, and dehydration can lead to dehydration, which can cause serious health problems. Insolation, also known as heat stroke, occurs when the body overheats and fails to regulate itself normally. This can lead to serious health complications and requires immediate medical intervention. Symptoms of insolation can include headaches, dizziness, nausea, confusion, increased heart rate and changes in consciousness. To prevent heat problems, people should take the following measures in hot temperatures: Drink enough fluids: Drink water regularly to ensure proper hydration. Avoid alcoholic beverages and caffeinated beverages as they can be dehydrating. Keep cool: Go to cool places like air-conditioned rooms or shaded areas. Avoid direct sunlight and wear light, airy clothing to protect the body from overheating. Heat protection in the house: Ensure good ventilation in your premises, use fans or air conditioning to keep the room temperature comfortable. Light Meals: Eat light, easily digestible meals to reduce the burden on the body of digestion. Sun protection: Wear a hat, sunglasses and use sunscreen to protect your skin from harmful UV rays. Adapt activities: Avoid intense physical activity during the hottest hours of the day. Plan outdoor activities in the cooler mornings or evenings. It is important to heed your own body signals and to seek rest and cool down in good time if you notice signs of heat problems such as headaches, dizziness or nausea. If symptoms persist or are severe, medical attention should be sought immediately. The current recommendations and warnings from national health authorities and weather services should be followed for the latest on heat stress and precautionary measures. Conclusion: Headaches are a complex problem that requires a thorough diagnosis and individually tailored therapy. Our neurology specialist practice is on hand to help you diagnose, treat and relieve your headaches. Please note that this post contains general information and does not replace personal medical advice. Always consult a health care professional to discuss your specific symptoms and needs and receive appropriate treatment. Your neurology practice, NEUROLOGY GALLUSWARTE

Parkinson's disease is a neurological disorder caused by the progressive loss of nerve cells in the brain. The disease is characterized by characteristic symptoms, including: Tremor: A tremor in a hand, arm, or leg is one of the most well-known symptoms of Parkinson's. The tremor often starts on one side, later in the course of the disease both sides of the body are usually affected. This tremor often occurs at rest and may disappear with movement. Stiffness: Parkinson's patients often suffer from muscle stiffness (rigor), which can make it difficult to perform simple movements. Slowness of movement: Parkinson's disease can affect the ability to perform movements quickly and fluidly (akinesia or hypokinesia). This can make simple tasks like putting on clothes or walking more difficult. The gait is described as small steps. Postural instability: Parkinson's disease can cause patients to have difficulty maintaining their balance and may fall (postural instability). Loss of smell: Many people with Parkinson's find that they experience a loss of their sense of smell. There are also signs and early symptoms that may indicate impending Parkinson's disease, such as increasingly slow mobility, changes in the sense of smell or sleep disorders in combination with nocturnal hypermobility. The cause of Parkinson's involves the loss of nerve cells in the brain - in the so-called substantia nigra - that produce dopamine, leading to a disruption in signal transmission in the brain. Both genetic and environmental factors are believed to play a role in the development of Parkinson's. The diagnosis of Parkinson's is primarily based on a physical examination and an assessment of symptoms. In addition, radiological imaging is carried out using MRI of the brain, but above all to rule out other causes. PET and SPECT examinations are also an important part of the diagnosis of Parkinson's disease. These procedures can detect changes in the brain at an early stage, which can contribute to a more accurate diagnosis and a more effective treatment plan. A weakly radioactive substance is injected into the bloodstream, which accumulates in the brain and is then made visible using special cameras. For example, the distribution and activity of neurotransmitters such as dopamine and serotonin in the brain can be examined. PET and SPECT examinations are therefore valuable tools in the diagnosis and therapy of Parkinson's disease. However, there are also new developments in the diagnosis of Parkinson's disease, such as CSF diagnostics with biomarkers, which could enable earlier diagnosis. This research option is currently being researched and is not yet available. Treatment of Parkinson's disease aims to alleviate the symptoms and slow down the progression of the disease. These include drugs that increase the supply of dopamine in the brain and physical therapy. In more severe cases, surgery to implant a brain pacemaker can also be considered. General measures that can help people with Parkinson's disease include exercise, especially tai chi and yoga, a healthy diet, and getting enough sleep. It's also important to maintain a positive attitude and seek support from family and friends. Overall, Parkinson's disease is a complex disease that requires a lot of understanding and support. An early diagnosis and one tailored to the individual case Coordinated therapy can help those affected to continue to lead a fulfilling life. We hope this article has given you a better understanding of the disease and treatment options. Ultimately, however, it remains important that those affected and their families turn to experienced specialists in order to receive the best possible care. Your neurology practice, NEUROLOGY GALLUSWARTE

With the arrival of spring, the days start getting longer and the sun finally reappears more frequently. For many people, this brings about an improvement in their mood and an increased sense of well-being. However, in addition to its pleasant effects on our psyche, the sun also plays a crucial role in the production of vitamin D in our bodies. Vitamin D is a vital nutrient for optimal health and is involved in many important bodily functions. A deficiency of this vitamin can lead to a range of health problems. Vitamin D is a fat-soluble vitamin that is primarily synthesized in the skin through exposure to sunlight. It is an essential nutrient that fulfills many important functions in the body. Specifically, it is also significant in neurology as it may play a role in the onset and progression of neurological disorders such as Multiple Sclerosis (MS). Vitamins in General Vitamins are vital nutrients that the body requires to fulfill many important functions, such as growth, tissue repair, and immune system support. They also play a crucial role in maintaining the health of bones, teeth, skin, and hair. There are 13 different vitamins that are divided into two categories: water-soluble vitamins (such as Vitamin C and the B-vitamins) and fat-soluble vitamins (such as Vitamin A, D, E, and K). While water-soluble vitamins are typically needed daily and any excess is easily excreted, fat-soluble vitamins can be stored in the body when consumed excessively, potentially leading to negative effects with overdosing. A balanced diet consisting of a variety of fresh foods can help ensure adequate vitamin intake. Functions of Vitamin D One of the most important functions of Vitamin D is regulating calcium and phosphorus balance in the body. It promotes the absorption of calcium from food in the intestines and ensures its incorporation into bones. As a result, Vitamin D can protect against conditions like osteoporosis and osteomalacia, which involve bone weakening and softening, respectively. Vitamin D also influences the body's immune system and can contribute to its functionality when adequately supplied. It acts as an immune modulator and can inhibit the activation of immune cells that promote inflammation. A deficiency in Vitamin D can impair the immune system and increase the risk of autoimmune diseases such as Multiple Sclerosis. Furthermore, sufficient Vitamin D levels have been found to reduce the risk of upper respiratory tract infections, such as colds and the flu. One possible explanation is that Vitamin D increases the production of antimicrobial peptides in the respiratory mucosa, which can kill bacteria and viruses. Vitamin D also plays a crucial role in regulating mood, pain perception, and the sleep-wake cycle. Studies indicate that individuals with low Vitamin D levels have a higher risk of depression, anxiety, and sleep disorders. Vitamin D influences the production of serotonin and dopamine, which are important neurotransmitters that regulate mood. It is also involved in the production of endorphins, which alleviate pain and promote a sense of relaxation and well-being. A low Vitamin D level can also lead to disrupted sleep-wake cycles as Vitamin D plays a role in the production of melatonin, a hormone that regulates the sleep-wake cycle. Individuals with low Vitamin D levels may experience difficulties falling asleep or staying asleep. It's important to note that Vitamin D supplementation alone is not sufficient to treat mood disorders, pain, or sleep disorders. It should always be used in combination with other therapies such as psychotherapy, medication, or behavioral changes. In addition to neurological conditions, an adequate Vitamin D level also plays an important role in other diseases. Insufficient Vitamin D has been associated with an increased risk of conditions such as diabetes mellitus, cardiovascular diseases, and various types of cancer. Studies suggest that adequate Vitamin D supply may have preventive effects for these conditions, but further research is necessary to confirm this. Importance of Vitamin D in Neurology There is evidence that a deficiency in vitamin D may be associated with a higher likelihood of developing neurological disorders. The relationship between vitamin D deficiency and Multiple Sclerosis (MS) is particularly well-studied. MS is an autoimmune disease of the nervous system where the body's defense system attacks the protective covering (myelin sheaths) of nerve fibers. Studies have shown that a low vitamin D level in MS patients may be associated with a worse disease course. One possible explanation for this could be that vitamin D has anti-inflammatory effects and influences the immune system. It can also contribute to the improved functioning of the nervous system. Therefore, maintaining adequate vitamin D levels can help reduce the risk of neurological disorders and improve their progression. Increasing Vitamin D Levels There are various ways to increase vitamin D levels. The primary source is the body's own synthesis through exposure of the skin to sunlight. It is recommended to expose uncovered skin (such as arms and face) to the sun for about 10-15 minutes daily. However, this can vary depending on skin type and season. Another way is to obtain vitamin D through food. Good sources include fatty fish (such as salmon, herring, mackerel), liver, egg yolks, and mushrooms. Here's a tasty recipe example for a delicious meal with high vitamin D content: Grilled Salmon with Roasted Vegetables Ingredients: 4 salmon fillets 2 zucchinis 1 eggplant 1 red bell pepper 1 yellow bell pepper 1 red onion 2 garlic cloves Olive oil Salt and pepper Instructions: Preheat the oven to 200 degrees Celsius (400 degrees Fahrenheit). Wash the vegetables and cut them into bite-sized pieces. Slice the onion and finely chop the garlic. Place the vegetables in a bowl, add the garlic and some olive oil, and mix well. Season with salt and pepper. Spread the vegetables on a baking sheet lined with parchment paper and bake for 20-25 minutes in the oven. Wash the salmon fillets and drizzle them with olive oil. Season with salt and pepper. Place the salmon on the grill and grill for 6-8 minutes. Serve the grilled salmon with the roasted vegetables. This dish is not only delicious but also an excellent source of vitamin D. Salmon is rich in this important vitamin, and the vegetables contain a variety of nutrients, including vitamins and minerals essential for optimal health. However, the amount of vitamin D in food is often limited, so it is advisable to take vitamin D as a supplement if the level is low or if sufficient vitamin D intake through food is not possible. The recommended daily dose for adults is approximately 800-1000 IU (International Units) per day, although the exact dosage should be individually adjusted. It is important to note that an overdose of vitamin D can have negative health effects, particularly on the kidneys and calcium balance in the body. While adequate vitamin D intake is essential for optimal health, overdosing on the vitamin can, in rare cases, lead to undesired side effects. Vitamin D toxicity can cause a variety of symptoms, including nausea, vomiting, constipation, weight loss, dehydration, and kidney stones. In severe cases, it can also lead to kidney or liver damage. However, overdosing is typically only possible with long-term intake of high doses of vitamin D supplements. If Vitamin D Levels Are Low When a deficiency in vitamin D is detected, supplementation therapy may be necessary. This can be in the form of tablets, capsules, or drops. The duration and dosage of the therapy depend on the severity of the deficiency and individual needs. It is also important to regularly monitor the vitamin D levels to ensure they are within the normal range. Conclusion Vitamin D is an essential nutrient that fulfills many important functions in the body and plays a significant role in neurology. Maintaining adequate vitamin D levels can help reduce the risk of neurological disorders and improve the course of existing conditions. Therefore, it is important to ensure sufficient vitamin D intake and, if needed, have the levels checked. Generally, it is best to meet the requirement through a balanced diet and regular sun exposure. However, in cases of confirmed deficiency, supplementation may be necessary, which should be individually dosed and monitored. We can assist you in this regard and provide further examinations and consultations if needed. Your neurological practice, NEUROLOGIE GALLUSWARTE

April 11 is World Parkinson's Day worldwide. The aim of this day of remembrance is to raise awareness of Parkinson's disease and draw attention to the situation of those affected. But what exactly is Parkinson's and why is it important to deal with it? Parkinson's disease is a progressive neurological disease characterized by movement disorders such as tremors, stiffness and slow movements. Non-motor symptoms such as sleep disorders, depression or memory problems can also occur. The exact causes of Parkinson's are not fully understood, but both genetic and environmental factors are thought to play a role. The disease is ultimately triggered by a lack of the messenger substance dopamine. Parkinson's disease is still often misunderstood and often confused with the normal aging process or other diseases. This can lead to incorrect diagnosis or delayed treatment. It is important to make a correct diagnosis at an early stage and to initiate appropriate therapies in order to slow down the progression of the disease and improve the quality of life of those affected. Treatment for Parkinson's primarily involves drugs that increase the supply of dopamine in the brain or slow down the breakdown of dopamine. Physiotherapeutic measures and occupational therapy can also help to alleviate the symptoms and improve the mobility of those affected. In advanced stages, deep brain stimulation may also be considered. Despite all the advances in Parkinson's therapy, there is still a lot to do. Many sufferers also suffer from non-motor symptoms for which there are not yet any effective medications. The causes and course of the disease have not yet been fully researched. Further research efforts are needed here to find new therapies and healing options. On World Parkinson's Day, we want to raise awareness of this often misunderstood disease and show solidarity with all those affected and their families. Because Parkinson's affects not only the sufferers themselves, but also those around them and their families. Let us fight together to ensure that Parkinson's no longer plays a role in the future and that everyone affected receives the best possible support and therapy. If you have Parkinson's disease or know someone with Parkinson's disease, do not hesitate to seek professional help and support. In many cities there are self-help groups and advice centers that can help you. We hope this day will help raise awareness for Parkinson's and get more people talking and paying attention to this disease. It is only by raising awareness that we can break down the stigma and prejudice surrounding Parkinson's and help those affected get the support they need. This year, World Parkinson's Day is themed "The Spark" - inspired by the neurotransmitter dopamine. Overall, World Parkinson's Day is an opportunity to address Parkinson's disease and show solidarity with those affected and their families. Your neurology practice, NEUROLOGY GALLUSWARTE