Everything You Need To Know About Deep Brain Stimulation Treatment

Deep brain stimulation or DBS is a neurosurgical procedure, which uses electrical stimulation and implanted electrodes to treat movement disorders related to with Parkinson’s disease, dystonia, essential tremor and other neurological conditions. Doctors can use this therapy for neuropsychiatric conditions and movement disorders when medications become less effective or when their side effects interfere with an individual’s daily activities. Here, we will explore everything about deep brain stimulation such as what is DBS, what is the cost of deep brain stimulation in India, which are the best hospitals for deep brain stimulation in India and who are the top DBS doctors in India.

Dr. Mohammad Afzal Siddiqui

Review By Dr. Mohammad Afzal Siddiqui
Award-winning CEO of Marlin Medical Assistance Pvt. Ltd

Mar 4, 2024

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Table Of Index

What is deep brain stimulation?

What is deep brain stimulation?

Deep brain stimulation is an elective surgical procedure where electrodes are implanted into some brain areas. These electrodes produce electrical impulses that control abnormal brain activities. The electrical impulses can be adjusted for chemical imbalances in the brain that cause different conditions. Stimulation of brain regions is controlled by a programmable generator, which is positioned under the skin in the upper chest.

Causes and Symptoms

Causes

  • Parkinson’s Disease
  • Essential Tremor
  • Dystonia
  • Psychiatric Conditions
  • Meige syndrome
  • Obsessive-compulsive disorder
  • Epilepsy

Symptoms

  • Tremor in legs, jaw, hands, arms, or head
  • Muscle stiffness
  • Impaired balance and coordination
  • Slowness of movement
  • Tingling in the arms and legs
  • A staring spell
  • Temporary confusion
  • Stiff muscles

Diagnosis

DaTscan: This test uses an injection of a small amount of a radioactive drug and a machine known as a single-photon emission computed tomography scanner, which is similar to an MRI. The test shows a person has Parkinson’s.

Physical examination: The diagnosis will involve a doctor speaking to the patient regarding their symptoms and carrying out a physical examination. The doctor may also check if the patient responds to medicine that raised dopamine levels in the brain.

Risk & Complications

 

Deep brain stimulation can have different complications and side effects. Some of them, including migration of an electrode or an infection near an implant, are linked to the hardware itself. More common side effects occur temporarily and include slight paralysis, tingling in the face and limbs, vision or speech problems, confusion, difficulty in concentrating, balance problems, sensation of dizziness or seizures, and slight paralysis. Deep brain stimulation surgery comes with a slightly increased risk of bleeding in the brain, which might lead to a stroke or other neurological conditions. Some other complications of DBS include headache, temporary pain as well as swelling at the implantation site, device malfunction and brain hemorrhage.

Preparation of Treatment

There are a few things to keep in mind while preparing for deep brain stimulation. If yo u have diabetes, you need to keep your blood glucose under control ahead of the surgery. Similarly, in case of high blood pressure, take your medications and monitor your blood pressure regularly. These actions will help lower the risk of complications during surgery. If you have any specific medical problem, you must get clearance from your physician before the procedure. Use of a blood thinner should be stopped before the surgery. Stop consuming alcohol a few weeks prior the surgery to cut the risk of bleeding and promote the post-operative recovery.

 

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Recovery

Recovery after deep brain stimulation

The hospitalization after deep brain stimulation placement is generally brief and patients may retu home the day after the surgery. After reaching home, it is crucial to continue taking medications for tremor and Parkinson’s disease. You should follow a healthy diet and mild exercise, especially a frequent walk. More strenuous activities, such as lifting more than ten lbs, is not suggested during the first month after the surgery as the fresh incisions are still healing and your energy levels are not likely back to its baseline. After the 1st month, most of the activities can be resumed slowly. You should keep your wounds always clean and dry. Your head, your neck, behind your ear, and in the chest would be sore and painful for a few days or weeks. Post-surgical pain might be treated using a mild analgesic.

Recovery
Dr. Mohammad Afzal Siddiqui

Written by

Dr. Mohammad Afzal Siddiqui

Award-winning CEO of Marlin Medical Assistance Pvt. Ltd

Dr. Mohammad Afzal Siddiqui is an award-winning CEO of Marlin Medical Assistance Pvt. Ltd., a professionally managed medical tourism holding company and the active Director of Alshifa Healthcare Services Pvt. Ltd., a full-service medical tourism aggregation agency servicing JCI and NABH/ NABL accredited Hospitals across the country’s 5 locations.

In addition to Marlin, Alshifa also includes Media Group, which houses Arabic Medical Tourism e-Magazine healthandtour.com. The E-magazine “مجلة الصحة والسياحة” provides a wide scope of medical tourism information to healthcare travellers to find a safe, effective and cost-saving solution for their medical and healthcare needs. In addition to running E-Magazine, Dr. Mohammad Afzal also serves as Delhi-state coordinator in Foundation of Healthcare and Wellness Promotion focused on bringing India’s Healthcare closer to the world and smoothen world’s access to Indian Healthcare.

Frequently Asked Questions About Deep Brain Stimulation

Every individual is different. However, DBS significantly improves symptoms as well as quality of life for many people. Symptoms that might improve include involuntary movements, tremor, and stiffness/slowness due to Parkinson’s disease.

Parkinson's patients won’t stop taking medications. However, they can reduce the number of medications after their neurologist’s advice. Essential tremor patients may reduce or stop some tremor medications.

You need to talk with a neurologist about specific activities. However, when you recover from surgery, you must be able to take part in some regular activities like swimming, sexual activity, bathing, or sports.

For most people, benefits several years. A study revealed that Parkinson's patients had significant improvement ten years after the surgery.

Medicare covers DBS for some patients. You should consult a Medicare representative for correct information.

The Vercise Genus DBS System provides full-body MRI access under some conditions. If your system doesn’t fulfill those conditions, other imaging options, such as X-rays, PET scans, CT scans and ultrasounds, may be available.
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