How long will I stay in the
hospital after the first surgery?
Patients need to stay in
the hospital until their incision-related pain can be well controlled with oral
pain medications, they are able to eat and drink and can walk. On average, most
patients stay only one night after surgery and occasionally a second night.
Patients will also receive a CT scan or MRI after the surgery to confirm the
location of the electrode(s) and to check for any post-operative bleeding. This
CT scan or MRI is done without the head frame.
How long is recovery? What special instructions will I
receive after the surgery?
Recovery is fairly
uncomplicated for most patients, but in 10% of patients they will feel sleepier
and slower and possibly mildly disoriented for several days after surgery. It
is essential for all patients that a plan is in place before surgery for
additional help in the home during at least the first week after surgery.
In addition, you will
receive instructions not to touch the surgical wounds with your hands. These
instructions apply to both your 1 st stage and
2 nd stage surgeries. You will not be able to
shower or get the area around the incision wet until the wound has completely
healed. You will be scheduled to return to the neurosurgery clinic for a wound
check and if applicable, removal of the stitches. If you see any redness,
swelling, or leaking fluid, please call the neurosurgeon's office immediately
as these can be early signs of infection.
When does the DBS actually get turned on?
DBS programming takes place
about 3-4 weeks after your surgery. You will receive a phone call with an
appointment and special instructions regarding medication.
The appointment can last
anywhere from 1-3 hours, depending on if you have one or two electrodes and
whether you have Parkinson's disease, dystonia or tremor. Please be prepared to
bring your medications with you and someone to drive you to the appointment and
back.
What follow up care is
required if I have this treatment?
It is important to understand
that patients who have DBS must make frequent visits to the outpatient
clinic during the first three months after surgery. These
visits are needed so that doctors can "program" your stimulation so
that it is just right for you. The doctor can change the strength and frequency
of the electrical stimulation that your brain is receiving. These changes are
then matched with adjustments in your medications until the right balance is
achieved.
At first, you may be coming in as often as every two weeks for adjustments. Once stable settings are found and a new medication schedule has been established, you will not need to come in as frequently.
The initial "breaking in" period, when you require frequent adjustments, may last as long as three months. Over time, you may need additional changes as your Parkinson's disease progresses. If you live far from the hospital or have difficulty arranging transportation, this is something to carefully consider before deciding to have the surgery.
At first, you may be coming in as often as every two weeks for adjustments. Once stable settings are found and a new medication schedule has been established, you will not need to come in as frequently.
The initial "breaking in" period, when you require frequent adjustments, may last as long as three months. Over time, you may need additional changes as your Parkinson's disease progresses. If you live far from the hospital or have difficulty arranging transportation, this is something to carefully consider before deciding to have the surgery.
Six months after stimulation
is started, we recommend you return for another follow-up visit and
neuropsychological testing (if you have Parkinson's disease).
Deep
Brain Stimulation, Parkinson Surgery, Tremor, Dystonia, OCD Treatment at World
Best Hospital in India
Indian
doctors with training in brain conditions (neurologists), brain surgeons
(neurosurgeons), doctors with training in mental conditions (psychiatrists),
pain specialists, specialized programming nurses and other specialists use an
integrated team approach to treating people who have deep brain stimulation.
Indian specialists have successfully used deep brain stimulation to treat
hundreds of people who have essential tremor, Parkinson's disease and dystonia.
Recently, doctors have used DBS to treat people who have cluster headaches,
Tourette syndrome, epilepsy and chronic pain that hasn't responded to other
treatment.
Neuro
specialists in India use computer-assisted brain surgery, intraoperative MRI
and awake brain surgery during deep brain stimulation.
Indian
Neurologists are ranked among the Best surgeons for neurology and neurosurgery
worldwide. Because the brain can shift slightly during surgery, there is the
possibility that the electrodes can become displaced or dislodged. This may
cause more profound
complications such as personality changes, but electrode
misplacement is relatively easy to identify using CT.
Please
scan and email your medical reports to us at care@medworldindia.com and we
shall get you a Free Medical Opinion from India’s Best Doctors.
Call Us : +91-9811058159
Mail Us : care@medworldindia.com
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