Home | About Us | Corporate Services | International NGO

Deep Brain Stimulation for Parkinsons

A variety of disabling neurological symptoms are treated with Deep brain stimulation (DBS) surgery. Most commonly this surgery is used to treat the Parkinson’s Disease (PD) with its debilitating symptoms:
  • Tremor
  • Rigidity
  • Stiffness
  • Slowed movement and
  • Walking problems

For patients whose symptoms cannot be adequately controlled with medications Deep Brain Stimulation is used. Symptoms of health conditions such as Parkinson’s disease, Tremor and Dystonia have been made manageable with Deep brain but it's not a cure. Several benefits of deep brain stimulation for a patient are:
  • Symptom relief,
  • The need for less medication
  • Fewer side effects.
  • The patient may be able to resume normal activities.

In a Deep brain stimulation (DBS) procedure, the brain is stimulate with the implantation of a brain pacemaker, known as a neurostimulator, which sends mild electrical signals. The signals improve symptoms in many conditions affecting the brain as they reorganize the brain's electrical impulses. Depending on his/her condition a patient may have deep brain stimulation on one or both sides of the brain.

Pre-surgery evaluation

A physical examination of the patient is done in the pre-surgery evaluation for Deep Brain Stimulation by the treating doctor. In order to locate the specific region of the brain that causes tremors and symptoms of movement disorder the doctor may prescribe imaging tests like the CT scan and MRI scan after the physical examination. During medical history taking the patient needs to disclose health conditions, medication that he/she is taking, alcohol consumption (if any) etc., to the doctor. For certain a number of days before the surgery, the doctor may ask the patient to stop taking some medications. Before the surgery the patient should avoid smoking atleast for a few weeks.

Deep Brain Stimulation-Procedure

A Deep Brain Stimulation system consists of three components:
  • the Lead (also called an electrode),
  • the Extension, and
  • the Neurostimulator.

Deep brain stimulation surgery is usually done in two stages.

Stage 1

A local anaesthesia is given to the patient, in the first stage of a Deep Brain Stimulation procedure. In a rigid frame the patient’s head is placed and to fix the head to the frame screws are used. In order to drill a small hole in the skull this is done. Through this hole electrode is placed in the particular part of the brain. Two holes are made on both sides of the skull if the surgery needs to be performed on both parts of the brain, and two electrodes are inserted. To ensure that it is properly connected to the specific area of the brain that is causing the patient’s symptoms small amounts of electrical impulses are sent over the electrode. A series of neurological tests may be performed to check the functioning and placement of the electrodes after the first stage is carried out.

Stage 2

General anesthesia is administered on the patient, in the second stage of Deep Brain Stimulation procedure. A small incision is made below the collarbone once the patient is fully unconscious. A neurostimulator is implanted under the skin through this incision. In some of the cases the neurostimulator may also be placed in the lower chest area. Another incision is made behind the patient’s ear. From under the skin ofthe head, neck and shoulder an extension wire is passed. This extension wire connects the electrode to the neurostimulator. The wires and the device are concealed inside the body and the incision is closed.

After the Deep Brain Stimulation procedure

To prevent infection the doctor may advise few antibiotics. To adjust the stimulation with the help of programming the patient may need to visit the doctor several times after the surgery. To the patient the doctor may prescribe a detailed medication plan. The patient should follow the instructions given by the doctors and take some precautions after the surgery. He/she should take care of the incisions by keeping it dry and covered and also the surgical region on the head. For few weeks after the surgery heavy physical activities and lifting heavy weights should be avoided. Regular follow-up with the treating doctor should be done.

Risks

There are some risks associated with a deep brain stimulation procedure, like any other major surgery, even though generally it is a safe and effective procedure. Some of the risks associated with a Deep Brain Stimulation procedure are, infection, swelling, stroke, seizures, disability in movement, coma etc.


Deep Brain Stimulation for Parkinsons Package

Inclusions

  • Airport Pick-up and Drop
  • Hospital Stay in a Private Room as indicated above. One attendant can stay with the patient.
  • Nursing & Diet charges.
  • Routine lab tests
  • Admitting Consultant's visit charges
  • Surgeon’s Fees and OT Charges

Exclusions

  • Hospital stay after the said period.
  • Visit charges after the said period.
  • Cross consultations, if any.
Value Added Services

Get answers to your queries round the clock

Call us or write to us anytime

Video Call or Telephonic Call facility with doctors

Get answers to all your medical queries

Free Airport Services - Pick up and Drop

Roundtrip Airport Transfers

Move in the city

Hire our network Taxi Service at special rates

Choose hotels and guest houses that suites your budget

Special rates for our patients

Mobile Phone Rental

Get Pre-paid cards of different values

Personal Assistant

A representative to go with patients for treatments, appointments and for personal assistance

Ground Assistance Services

FRRO Registration, Flight Ticket Booking, Internal Transfers etc.

Write to us: info@saigehealthcare.com

Get More Information

Fields marked (*) are mandatory


Technology

  • Nicolet Viasys Electroencephalography (EEG) and Video EEG Facility
  • Nicolet Viking Quest electroneuromyography (ENMG) systems.
  • Alice ‘5’ PSG Sleep Lab
  • Siemens 1.5 Tesla MRI Scanner
  • Toshiba 64 Slice CT Scanner capable of quick CT perfusion and CT angiography images.
  • Philips Ultrasound and Doppler Scanner with Transesophageal echo/transcranial probe
  • Philips FD10, high definition Cath Lab with DSA Facility
  • Tilt Table
  • Leksell Stereotactic system for Functional Neurosurgery like Deep Brain Stimulation

Specialty Clinics

  • Movement Disorder Clinic
  • Epilepsy Clinic
  • Headache Clinic
  • Neuromuscular Clinic
  • Dementia Clinic
  • Stroke Clinic