Deep Brain stimulation may be used in addition to therapy with levodopa or other drugs when drugs alone do not control symptoms adequately. This technique of Deep Brain Stimulation Surgery is the preferred surgical method of treating most cases of advanced Parkinson's disease. It does not destroy brain tissue and has fewer risks than older, more destructive surgical methods, such as pallidotomy and thalamotom
Deep brain stimulation (DBS) is a treatment where a part of your brain is stimulated, to stop you having symptoms of a particular medical condition. It’s called an interventional procedure. An ‘interventional procedure’ includes tests, treatments or surgery which involve making a cut to the skin. Surgery is needed to fit the DBS system.
There have been several studies where people with difficult-to-control epilepsy have had fewer seizures after having DBS surgery.
- DBS will only be considered for people who can’t have their seizures controlled by epilepsy medicines or other types of surgery
- There’s not much good evidence about how well DBS works
- After two years, more than half the people who had DBS had fewer seizures than before the surgery
- If you are being considered for DBS, a team of specialist doctors will work together, to make sure you and your epilepsy are suitable for the surgery
- If you are offered DBS, you should be told that the benefits are uncertain, and the surgery has risks
- Your doctor should discuss the risks with you, and give you written information before you decide whether to go ahead with DBS surgery
- Risks include bleeding in the brain, infection, depression and memory problems
What surgery for DBS involves
The surgery involves having a DBS system fitted. The DBS system has three parts.
• A lead – this is a thin, insulated wire. It is put through a small opening in your skull, to reach the part of your brain where the epileptic activity happens. Electrical activity is happening in our brain all the time. A seizure happens when there is a sudden burst of intense electrical activity. This is often referred to as epileptic activity.
• An extension – this is an insulated wire that is passed under the skin of your head, neck, and shoulder. It connects the lead to the neurostimulator.
• A neurostimulator – this is a small device, similar to a heart pacemaker. It is usually placed under the skin near your collarbone, lower in your chest, or under the skin of your stomach.
Before the surgery, a brain surgeon will give you a magnetic resonance imaging (MRI) or computed tomography (CT) scan. This is to see the exact part of your brain where the epileptic activity happens.
At the start of the surgery, you will take some drugs to make you relaxed and sleepy, but you might stay awake. You might have a frame attached to your face. The frame will be taken away when the surgery is finished.
After the surgery, the surgeon may give you another CT or MRI scan, to make sure the DBS is in the right place.
What DBS does
Once the DBS is in place, electrical impulses go from the neurostimulator, along the extension wire and lead, and into your brain. These stimulate the part of your brain where there is epileptic activity, to stop your seizures happening. The surgeon will use a programming unit to turn the neurostimulator on, adjust the stimulation, and monitor activity. You will be given a hand held programmer or a magnet, so that you can switch the stimulator on and off.
Deep Brain Stimulation Surgery in India is being dealt by expert Neurosurgeons who have the expertise and many years of experience in performing complex Neuro surgical procedures and have hands on experience with the latest technological devices used to perform the most sophisticated surgeries. The hospitals catering Deep Brain Stimulation Surgery in India have network of hospitals which have dedicated state-of-the-
Why should you choose to get Neurology & Endovascular Neurosurgery in India?
- Indian doctors are known all over the world for their skill and knowledge and have the experience of studying and working at the best neuron surgery hospitals in the world.
- Most advanced Technology Infrastructure - Blood Bank with 24 hour apharesis facility, advanced laboratory and microbiology (infection control) support, advanced cardiology, DSA and interventional radiology, portable and colour ultra-sonology, Liver Fibro-scan, 64 slice CT scanner, 3 T MRI, PET-CT and nephrology (including 24 hour dialysis and CVVHD).
- Neurosurgery Hospitals in India are equipped with the latest and high end technology.
- Cost of epilepsy surgery in India at best brain surgery hospitals in India is very low as compared to the cost at best hospitals in America or UK with the same level of care and services.
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