Deep Brain Stimulation Surgery (DBS)
Deep Brain Stimulation (DBS) is a surgical procedure used to treat a variety of disabling neurological symptoms—most commonly the debilitating symptoms of Parkinson’s disease (PD), such as tremor, rigidity, stiffness, slowed movement, and walking problems. The procedure is also used to treat essential tremor, a common neurological movement disorder. DBS does not damage healthy brain tissue by destroying nerve cells. Instead the procedure blocks electrical signals from targeted areas in the brain.
At present, the procedure is used only for patients whose symptoms cannot be adequately controlled with medications. Deep Brain Stimulation (DBS) which is considered as the best treatment for Parkinson's patients uses a surgically implanted, battery-operated medical device called a neurostimulator similar to a heart pacemaker and approximately the size of a stopwatch—to deliver electrical stimulation to targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and PD symptoms. DBS is often described as a brain “pacemaker” because constant pulses of electrical charge are delivered at settings that are thought to restore normal brain rhythms, allowing the restoration of more normal movements.
Before the procedure, a neurosurgeon uses magnetic resonance imaging (MRI) or computed tomography (CT) scanning to identify and locate the exact target within the brain where electrical nerve signals generate the PD symptoms.Some surgeons may use microelectrode recording also to identify the precise brain target that will be stimulated.
Although most patients still need to take medication after undergoing DBS, many patients experience considerable reduction of their PD symptoms and are able to greatly reduce their medications. The amount of reduction varies from patient to patient but can be considerably reduced in most patients.
Candidates for DBS
DBS is a surgical option that is known to improve quality of life for movement disorder patients, so when one’s quality of life is dramatically affected by the disease or by medication side effects, it’s time to consider DBS. Following are the conditons where Deep Brain Stimulation Surgery can be performed:
Parkinson Disease: DBS surgery offers important symptomatic relief in patients with moderate disability from Parkinson's disease who still retain some benefit from antiparkinsonian medications and who are cognitively intact. Patients who fluctuate between "ON” and “OFF” medication states are usually good surgical candidates, as are those who have troublesome dyskinesias.
Dystonia: DBS surgery does not cure dystonia but can decrease the abnormal movements and postures of dystonia. The degree of benefit appears to vary with both the type of dystonia and the duration of the symptoms. Adolescents and young adults with inherited forms of primary dystonia appear to get very significant benefit. For patients with secondary dystonia due to stroke or head trauma, the benefit may be mild. Adults who have had dystonia for many years probably have less improvement than those with more recent onset of symptoms.
Essential Tremor: DBS is a highly effective therapy for patients with essential tremor, often resulting in an 80% decrease in tremor that lasts for several years. Patients with a tremor secondary to stroke, traumatic brain injury or multiple sclerosis are less likely to benefit from DBS.
Is Age a Factor in Deep Brain Stimulation?
Deep brain stimulation has been successful in treating people of different ages. However, each person should be assessed individually as to their stamina and overall health before considering surgery.
What Should I Expect After Deep Brain Stimulation?
You may feel tired and sore but will be given medication and kept comfortable after your deep brain stimulation procedure. The average hospital stay for deep brain stimulation surgery is 24 to 48 hours. The cost of the Deep Brain Stimulation Surgery depends upon the condition for which it is being done and the type of implant that is being used. There are various types of implants that are available and the cost differs accordingly. There is an implant in which the battery needs to be changed every 5 years where as there another implant that has arechargeable battery and replacement is needed only after 10 years. For best cost of the deep brain stimulations urgery in India please send an email to firstname.lastname@example.org
Dr Rana Patir
Dr. Rana Patir is one the best and most experienced neurosurgeons in India. Dr. Rana Patir is also one of the best surgeon for brain tumour surgery in Gurgaon, India. Dr Rana Patir has an experience of more than 30 years as a neurosurgeon working at varioous hospitals in Delhi, Gurgaon, India.
Dr Patir in his career has done some of the most challenging and complex brain tumour surgeries in India. Dr. Rana Patir is one of the very few neurosurgeons in India to have experience in successfully operating upon Brain Stem Tumours in India which are on of the most complex brain tumors to operate. He has also expertise in operating upon patients with parkinson's using deep brain stimulation surgery.
Dr. Sandeep Vaishya is renowned Neurosurgeon in India with more than 17 years of experience in the field having worked with some of the top institution and hospitals of India. He is an awardee of the Herbert Krause Medal and the Sundt Fellowship at Mayo Clinic, USA. He has worked as a faculty in the neurosurgery Department at AIIMS. He is one of the foremost surgeons in the world for brachial plexus Injuries and in South Asia for Gamma Knife Surgery. He also specialises in Minimal Invasive and Image Guided Neurosurgery, Deep Brain Stimulation Surgery for Parkinson's, Intracranial Tumour Surgery including skull base tumours, Functional Neurosurgery , Spinal Surgery, and Peripheral Nerve Surgery.