Deep Brain Stimulation

Deep Brain Stimulation is a very effective treatment modality for the problems such as Tremors, Multiple Sclerosis, Parkinson’s disease and stiffness by using electric stimulation.

Know More About Surgery

The conditions is which Deep Brain Stimulation may be required are:

  • Parkinson's disease
  • Dystonia
  • Epilepsy
  • Tremors
  • Tourette syndrome
  • Obsessive compulsive disorder

The diagnostic methods that need to be carried out before performing a Deep Brain Stimulation are:

  • Physical examination
  • Medical history
  • CT Scan
  • MRI Scan

This procedure can be done either under General Anesthesia or Local Anesthesia.

  • Under Local Anesthesia: LA is administered to the patient. A special frame is secured with screws around the head to keep it still. Then a small opening is drilled into the specific area to place leads. When both the sides are being treated a hole is made on both the sides to place two leads. The lead sends electric impulses to the connected area of the brain causing symptoms.
  • Under General Anesthesia: GA is administered. Usually an incision is given just below the collar bone while sometimes it may be in the lower chest or belly area. Through this incision a neurotransmitter is placed which is then connected to extension wire that is tunneled under the skin of the head, neck & shoulder.

The risks involved in a Deep Brain Stimulation treatment are:

  • Paralysis
  • Dizziness
  • Loss of balance
  • Reduced co-ordination & concentration
  • Jolting sensation

During follow-ups, the amount of stimulation may be adjusted, it is known as programming.

Deep Brain Stimulation from best Hospitals and Doctors in Mumbai Region

{{x.clinic_name}}

  • {{x.specialisation}}
  • {{x.locality}}, {{x.city_name}}
  • {{x.capacity}} Beds
  • {{x.doctor_discount_consultation}}

Summary:

{{y.doctor_name}}

Consultant - {{y.specialisation}}

{{x.doctor_name}}

{{x.qualifications}}

{{x.experience}} years experience

  • {{x.specialisation | limitTo: 1}} {{x.specialisation }}
    {{x.clinic_name}}
  • {{x.locality}}, {{x.city_name}}
  • {{y.day}}: {{y.slot}}

  • Fee INR {{x.rate}}

No Results Found!

Deep Brain Stimulation

Deep Brain Stimulation is a very effective treatment modality for the problems such as Tremors, Multiple Sclerosis, Parkinson’s disease and stiffness by using electric stimulation.

Symptoms

The conditions is which Deep Brain Stimulation may be required are:

  • Parkinson's disease
  • Dystonia
  • Epilepsy
  • Tremors
  • Tourette syndrome
  • Obsessive compulsive disorder

Diagnosis

The diagnostic methods that need to be carried out before performing a Deep Brain Stimulation are:

  • Physical examination
  • Medical history
  • CT Scan
  • MRI Scan

Treatment

This procedure can be done either under General Anesthesia or Local Anesthesia.

  • Under Local Anesthesia: LA is administered to the patient. A special frame is secured with screws around the head to keep it still. Then a small opening is drilled into the specific area to place leads. When both the sides are being treated a hole is made on both the sides to place two leads. The lead sends electric impulses to the connected area of the brain causing symptoms.
  • Under General Anesthesia: GA is administered. Usually an incision is given just below the collar bone while sometimes it may be in the lower chest or belly area. Through this incision a neurotransmitter is placed which is then connected to extension wire that is tunneled under the skin of the head, neck & shoulder.

Risks

The risks involved in a Deep Brain Stimulation treatment are:

  • Paralysis
  • Dizziness
  • Loss of balance
  • Reduced co-ordination & concentration
  • Jolting sensation

After Procedure

During follow-ups, the amount of stimulation may be adjusted, it is known as programming.

FAQ Section

1) What is DBS Treatment?

The deep brain stimulation is a treatment technique in which electrodes are placed in a specific region of the brain. These regions are selected based on the symptoms being treated. The electric terminals are placed on both the left and right sides of the brain through small holes or incisions made at the top of the cranium or skull. The electrodes are connected by long cables that travel under the skin and down the neck to a battery-powered stimulator placed under the skin of the chest, which when turned on, sends electrical pulses to block the faulty nerve signals causing rigidity, tremors, and other symptoms.

2) Is DBS surgery dangerous?

In the correctly selected patients, DBS is quite safe and efficient but there are some risks. There is an estimated two to three percent risk of brain hemorrhage that may either be of no significance or may cause paralysis, speech impairment, stroke, or other major problems. There is also a small risk of leakage of cerebrospinal-fluid that can lead to headaches or meningitis. According to the research and surveys, there is approximately 15 percent risk of a minor or temporary problem with implantation which also includes infection.

3) How does Deep Brain Stimulation helps in Parkinson's Disease?

The circuit inside our brains responsible for controlling our movements is called the basal ganglia and is made up of several different groups of brain cells that connect and communicate to each other to fine- tune movement. In Parkinson’s, the key families of brain cells involved in the movement circuit stop working properly as the dopamine-producing cells in the substantia nigra slowly stop producing optimal level of dopamine. Without the injection of dopamine, it becomes harder to get moving and to maintain movements, and so, things like stride length can get shorter over time. This is where DBS comes into the picture. Although we still do not fully understand how this electrical stimulation works to improve movement, scientists and doctors now believe that the stimulation may disrupt abnormal electrical activity in the basal ganglia and may help to regain the movement control.

4) How effective is DBS?

If the patient is selected carefully, the DBS can be highly effective and reduce the symptoms by 70%.

5) Is DBS reversible?

Yes, DBS is completely reversible and can be turned off or can be removed if necessary.

6) What is deep brain stimulation Parkinson's success rate?

Studies have reported that DBS can reduce off Parkinson's related symptoms by 60-70%.

7) Can DBS treat dystonia?

Dystonia is a type of movement disorder where a person's muscles contract uncontrollably, which causes the affected body part to twist involuntarily, resulting in repetitive movements or abnormal postures. DBS surgery does not cure dystonia but when the simulator is turned on and is functioning well, it can eliminate the symptoms related to dystonia.

8) Can deep brain stimulation cause dementia?

The possible risk factors of dementia after DBS surgery is negligible.

9) How long does DBS surgery takes?

The duration of the operation depends on the technique used by the hospital, but surgery usually lasts between 3-6 hours from start to finish.

10) What are the side effects of DBS?

There are a few side effects of DBS, and they may include the following:

  • Temporary tingling in the face or limbs
  • Temporary pain/swelling at the implantation site
  • Allergic reaction to the implant
  • Slight paralysis
  • Jolting or shocking sensation
  • Speech or vision problems
  • Loss of balance
  • Reduced coordination
  • Concentration difficulties
  • Dizziness

11) Who performs the procedure in DBS surgery?

DBS or Deep Brain Simulation surgery is performed by a neurosurgeon specialized in functional neurosurgery.

12) What can DBS treat?

Deep brain stimulation is regarded as an established treatment for people with movement disorders, such as essential tremor, dystonia, Parkinson's disease, and psychiatric conditions, such as obsessive-compulsive disorder.

13) What is the cost of DBS surgery in India?

DBS surgery in India can cost 7.5 - 9 Lac Rupees.

14) Does DBS surgery help in OCD?

DBS surgery help in obsessive-compulsive disorder. Deep brain stimulation (DBS) has been approved for OCD treatment under a Humanitarian Device Exemption. But not everyone can avail to DBS to treat their OCD. Their OCD must be considered chronic, severe, and treatment-resistant for them to be eligible for DBS therapy.

15) How long does a DBS battery last?

Usually, the battery of the stimulator is needed to be replaced every 2 to 5 years. But some DBS systems have stimulators with rechargeable batteries that may last up to 9 years.