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Duration of Treatment: About 2-5 hrs
Stay Duration: 2-4 day (in hospital), 20-30 days (outside hospital)
Cost: 21000-28000USD (depending upon the choice of hospital, surgeon)
*The cost of surgery depends on various factors, it is only a rough estimate. Final treatment plan and costs are shared, after consultation with the hospitals and their judgement.
What is Deep Brain Stimulation?
Deep Brain Stimulation (DBS) is a medical procedure used to treat certain neurological conditions, particularly movement disorders like Parkinson's disease, essential tremor, and dystonia. It involves the surgical placement of a small, battery-operated device called a neurostimulator or "brain pacemaker" into the brain.
Pre-Procedure
Patient Evaluation: A comprehensive assessment is conducted to determine if the patient is a suitable candidate for DBS. This includes a review of medical history, neurological exams, and imaging studies (such as MRI or CT scans).
Disease Diagnosis: Patients with movement disorders, such as Parkinson's disease, essential tremor, or dystonia, who have not adequately responded to medication or other treatments, may be considered for DBS.
Treatment Planning: A multidisciplinary team, including neurosurgeons, neurologists, and psychiatrists, collaborates to develop a personalized treatment plan based on the patient's specific condition and needs.
Procedure
Anesthesia: DBS surgery is typically performed with the patient under general anesthesia to ensure comfort and minimize movement during the procedure.
Implantation of Electrodes: Thin, insulated wires with electrodes at their tips are precisely implanted into targeted areas of the brain responsible for the patient's symptoms. Real-time imaging, such as MRI or CT scans, is used to guide the electrode placement.
Neurostimulator Placement: A small device, similar to a pacemaker, is implanted under the skin near the collarbone or in the abdominal region. The neurostimulator generates electrical impulses that are delivered through the electrodes to modulate brain activity.
Programming and Testing: After the surgery, the neurostimulator is programmed to deliver specific electrical impulses to the brain. The patient works closely with the medical team to adjust and fine-tune the settings to achieve optimal symptom control.
Post-Procedure
Recovery and Observation: Patients are closely monitored during the initial recovery period. Some patients experience immediate improvement in symptoms, while others may take time to see the full benefits.
Follow-Up Appointments: Regular follow-up appointments are scheduled to assess the effectiveness of DBS, make any necessary programming adjustments, and monitor the patient's overall health.
Medication Management: In some cases, medication dosages may be adjusted as symptoms improve with DBS. The goal is to optimize symptom control while minimizing medication side effects.