What is Deep Brain Stimulation for Parkinson's disease?
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. DBS 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. 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, which involves a small wire that monitors the activity of nerve cells in the target area to more specifically identify the precise brain target that will be stimulated.
Generally, these targets are the thalamus, subthalamic nucleus, and a portion of the globus pallidus.
Once the system is in place, electrical impulses are sent from the neurostimulator up along the extension wire and the lead and into the brain. These impulses interfere with and block the electrical signals that cause PD symptoms.
What is the treatment?
Unlike previous surgeries for PD, DBS involves minimal permanent surgical changes to the brain. Instead, the procedure uses electrical stimulation to regulate electrical signals in neural circuits to and from identified areas in the brain to improve PD symptoms. Thus, if DBS causes unwanted side effects or newer, more promising treatments develop in the future, the implantable pulse generator can be removed, and the DBS procedure can be halted. Also, stimulation from the IPG is easily adjustable—without further surgery—if the person’s condition changes. Some people describe the pulse generator adjustments as "programming."
What is the prognosis?
Although most individuals still need to take medication after undergoing DBS, many people with Parkinson’s disease experience considerable reduction of their motor symptoms and are able to reduce their medications.
The amount of reduction varies but can be considerably reduced in most individuals, and can lead to a significant improvement in side effects such as dyskinesias (involuntary movements caused by long-term use of levodopa). In some cases, the stimulation itself can suppress dyskinesia without a reduction in medication.
DBS does not improve cognitive symptoms in PD and indeed may worsen them, so it is not generally used if there are signs of dementia. DBS changes the brain firing pattern but does not slow the progression of the neuro-degeneration.
Why DBS in India?
India has achieved specialization in the field of Neuro Care with world-class institutions. Teamed up with leading neurologists and state-of-art technology, India has become of one of the favorite destination with medical tourists. Innovative techniques such as robotic surgery are used for neuro surgery or treatments in India.
India offers world class medical facilities, comparable with any of the western countries. The Neuro-surgery in India comes with a state of the art Hospitals and the best qualified doctors. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices. With the growing need for medical care many cardiac centers have mushroomed to provide Cardiac pacemakers in India.
India has equipped itself effectively to provide the best medical treatment and care in much cheaper price than the west. Many tourists all over the world avail the medical facilities of the country. Providing cost effective healthcare, the Indian Hospitals hold good rank in the largest healthcare group of the world that provides excellent medical diagnosis, treatment, surgery and post-surgical care.
Advantages of DBS Surgery through India MediTourism
Most affordable Cost of Surgery.
Providing a confident and expert health professional who can interact with providers on a collaborative and professional level avoiding of any sense of intimidation or confrontation.
Obtaining a second opinion if doubt or uncertainty exists.
Assisting in medical appointments, tests, understand your illness and treatment options.
Supporting and guiding you so that you could take informed decisions about your treatment.
Taking frequent update from your healthcare provider to review your health progress or recuperation and providing feedback if necessary.
Exploring the alternate and available treatment options to allow you to better informed and you choose what is in your best interest.
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Available 24/7 for you to achieve optimum outcomes
**Kindly do note that more accurate Treatment or Surgery Cost can only be given after we receive your complete medical records or a physical examination of patient done by the Surgeon. The treatment cost given above is just indicative and should not be taken as final.