Services offered at our Network Hospitals for the treatment of various types of Brain and Neurological Disorders

The neurologists and the neurosurgeons at our network hospitals in India take a multidisciplinary approach to care, using the latest research and technology. The modern surgical facilities at these hospitals include state-of-the-art dedicated operating rooms equipped for most advanced and latest intraoperative computerized tomography (CT) and magnetic resonance imaging (MRI) machines. The operating rooms are designed for both open and endovascular neurosurgery.

A lot of focus is given on new innovations that extend and improve medical care and patients' quality of life.

The expert team of neurologist, neurosurgeons and paramedical offers compassionate, world-class diagnosis and treatment for patients with all types of neurological problems like brain tumours, vascular diseases, movement disorders, epilepsy, chronic pain and traumatic brain injuries.

Our Network Hospitals in India use the most innovative technologies and latest research to deliver the best outcomes for our patients.

Services offered at ourNetwork Hospitals for the treatment of various types of Brain and NeurologicalDisorders

·         Highly advanced surgeries for the patients with Vascular Malformations, Cerebral Aneurysms, Complex Craniofacial Malignancies andAcoustic Tumours

·         Diagnosis and Treatment of Cancerous Brain Tumours with complete range of treatment options that include surgery, radiosurgery , radiation therapy, chemotherapy and other cancer treatments

·         Deep Brain Stimulation ( DBS) for patients with Parkinson's Disease and tremors from other neurological conditions

·         Paediatric neurologists and neurosurgeons who specialize in the surgical management of a wide range of paediatric diseases including brain tumours, epilepsy, spinal bifida and hydrocephalus

·         Minimally Invasive Brian Surgeriesusing the most sophisticated 3-D image-guided technology

Why should you choose ourNetwork Hospitals in India for Brain Surgery?

There are many reasons why so many patients from all over the world come to our network hospitals in India for various types of treatments related to Brain and other Neurological disorders. Following are the most common reasons.

Highly Skilled andExperienced Neurosurgeons and Neurologists

Our Network Hospitals in India have dedicated Neurology and Neurosurgery Department. The neurosurgeons operate with the most advanced technology systems. They use an image-guided management system for an improved perspective on the progress of complex brain surgeries. It can also help reduce the need for patients to undergo additional surgeries. The neurosurgeons have the expertise in Computer-assisted brain surgery, stereotactic radiosurgery, Awake Brain Surgery, Deep Brain Stimulation (DBS) and other complex surgical procedures related to brain and nervous system. They have been trained and have worked in some of the leading Brain Surgery Centres across the world. They work with a multi-disciplinary team of doctors that consists of neurologists, neuro-oncologists), neuroradiologists, orthopaedicsurgeons, ENT specialists, endocrinologists, general medicine and rehabilitation, pain medicine, and other areas to provide the most appropriate treatment for your condition.

Intraoperative Magnetic Resonance Imaging (iMRI)

The neurosurgeons at our network hospitals in India use a high-resolution intraoperative magnetic resonance imaging (iMRI) while performing brain surgeries. This helps them to see the brain tumours while performing surgery thereby greatly reducing the risk of damaging other parts of the brain. Moreover this also helps to confirm the successful removal of the entire tumour. The Intraoperative magnetic resonance imaging (iMRI) is used during the surgery to remove brain tumors and pituitary tumors with greater accuracy and safety. It is also used to place deep brain stimulator systems .

Computer-assisted Brain Surgery

In Computer-assisted Brain Surgery, various imaging technologies, such as Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) and Positron Emission Tomography (PET) are used to create a 3-D model of the brain. The computer system precisely guides the neurosurgeon to the area/s of your brain requiring treatment. This helps the neurosurgeons to plan the safest way to treat your condition with greater degree of accuracy. The computer-assisted surgery helps a lot in performing Awake Brain Surgery. Computer-assisted techniques is also be usedin treating brain tumours and other lesions with precisely focused beams of radiation using stereotactic radiosurgery.

Stereotactic radiosurgery (SRS)

Stereotactic Radiosurgery (SRS) uses precisely focused radiation beams to treat brain tumours and other abnormal growths in the brain. The advantage of modern Stereotactic Radiosurgery is, it delivers high doses of radiation to the tumour with minimal exposure to surrounding healthy tissue. A multidisciplinary team of experts plan the treatment and carefully monitor doses to avoid the risk of radiation overexposure.Unlike traditional radiation therapy, in this treatment, no incision is made. This minimizes the chances of infection or excessive bleeding. A plan has to be developed before undergoing this surgery. A multi-disciplinary team of doctors plan an appropriate treatment for you depending on thetype of tumour, location and size.

Awake Brain Surgery

In an Awake Brain Surgery you're awake during the surgery. Awake Brain Surgery is done by expert brain surgeons to treat some brain conditions such asbrain tumors or epileptic seizures. Awake Brain Surgery allows yourbrain surgeon to work directly with you in order to locate critical functional tissue of the brain. This process is called mapping. Once the brain has been exposed, you will be awakened and the brain is stimulated to determine the function of each area of tissue. You may be awake during surgery to respond to your surgeon. Your responses will help the surgeon to ensure that he is treating the precise area of your brain that needs surgery. Awake Brain Surgery is mainly done if your tumor is near the parts of your brain that control movement or speech. Awake Brain Surgery helps in lowering the risk of damage to functional areas of your brain. In Awake brain surgery the important areas of the brain can be avoided and preserved during surgery.

Minimally Invasive Brain Surgery

Minimally invasive brain surgeries are commonly done at our network hospitals in India. The hospitals have expert surgeons who specialise in minimally invasive brain surgery techniques. In a minimally invasive brain surgery , the brain surgeons insert two small tubes and use what are called endoscopes. One tube carries a fibre optic camera and light source, the other carries miniaturized surgical instruments. The surgeons operate by watching a TV monitor.

In the traditional way of doing a brain tumour surgery, a more invasive approach was used to remove tumors close to the brainstem. The surgery took much longer time and was performed through an incision behind and below the ear. This took hours of bone drilling to reach the tumor. Since it was an open surgery, the risks were more. Nowadays, with the development of technology and expertise, some of the brain surgeries can be done through nose. The technique is called the endoscopic expanded endonasal brain tumour surgery. 

This technique allows neurosurgeons to pass a camera and specialized surgical instruments to the back of the nasal passage and directly to various regions of the skull base, without scarring and with a shorter recovery. Even though this technique was first described decades ago for pituitary tumor surgery, but recent advancements have helped to use the endonasal approach to safely remove tumors in a variety of other critical skull-base locations. There are very few surgeons in the world who have the expertise to use this technique in brain tumour surgery. At our network hospitals in India, you will find some expert neurosurgeons who have successfully performed many brain tumour surgeries using this technique. Some of the benefits of Endoscopic TransnasalBrain Tumour Surgery are No Brain Retraction, Faster Recovery Time, No Facial Scars, Fewer Complications and shorter Hospital Stays.

Advanced DiagnosticFacilities

Our network hospitals in India provide sophisticated diagnostic services for diagnosing or detecting a wide range of brain and other neurological disorders and conditions. Some of the advanced diagnostic facilities available at our network hospitals in India are as follows.

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  Electroencephalograms (EEG): Electroencephalograms or EEG is a non-invasive diagnostic procedure that is done to study the electrical activity of the brain. Electroencephalograms or EEG helps to diagnose seizure disorders, stroke, headaches, dizziness and fainting episodes.

·        

     Evoked Potentials: Evoked potentials studies help to measure the electrical signals along nerve pathways.Evoked potentials studies are used to diagnose visual losses, hearing losses, and nerve damage or degeneration within the spinal cord or nerve roots.

·         

    Nerve Conduction Studies: Nerve conduction velocity test measures how quickly electrical impulses move along a nerve and it is often done with electromyogram to exclude or detect muscle and nerve disorders.

·         

        Electromyography: Electromyography is used diagnose neuromuscular disorders such as Motor Neuron Disease, neuropathy, nerve damage and muscle damage.

·         

      Brain Suite System: To treat complex neurosurgical casesefficiently and safely, our network hospitals in India are equipped with an advanced Brain Suite System. The Brain Suite System allows high-resolution MRI images to be taken while performing the surgery. This helps the brain or neurosurgeons to remove complex tumours without harming the critical brain tissues.

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    Flat Panel DSA with 3D technology: This diagnostic technology provides high-resolution 3D images. You will have a much decreasedexposure toradiation.

·         

     Other Diagnostic Facilities: Isocentric C Arm,Neurophysiology Laboratory, Cerebral Angiography, Computed Tomography Scan (CT Scan), Intracranial pressure monitoring, Lumbar puncture, Magnetic Resonance Imaging (MRI), Myleogram, NeuroHisto Pathology, Pathology, Transcranial Doppler, Support Services, 1.5 T MRI ,64-slice CT facilities, functional MRI, MRI spectroscopy, diffusion/perfusion MRI etc.

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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.

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The brain tumors found most often in children - Childhood Brain Tumor Facts

Childhood Brain Tumor Facts

Brain and spine tumors are the second most common cancers in children after leukemia. 

Brain Has Crucial Roles

The brain controls many important facets of everyday life, including emotions, thought, speech, vision, hearing and movement. The brain sends messages throughout the body via the spinal cord and cranial nerves in the head. The network of the brain and spinal cord is called the central nervous system (CNS). Tumors can develop in the spinal cord and cranial nerves.

The hard, bony skull protects the brain, and the bones (vertebrae) of the spine protect the spinal cord. A liquid called cerebrospinal fluid (CSF) surrounds both the brain and the spinal cord.

The brain has four main parts:

Cerebrum: The outer and largest part of the brain. It has two halves called hemispheres and is responsible for:

• Emotions
• Reasoning
• Language
• Movement of muscles
• Senses of seeing, hearing, smelling, touch
• Perception of pain

Basal ganglia: Found deeper inside the brain, these play a part in muscle movement.

Cerebellum: At the back of the brain, this section helps control and coordinate movement, such as walking and swallowing.

Brain stem: Located at the base of the brain, the brain stem has nerve fibers that carry messages between the cerebrum and the rest of the body. A small but important area, the brain stem plays a part in breathing and heartbeat.

Childhood Brain Tumor Types

Because the brain and spinal cord are made up of many kinds of tissues and cells, many types of tumors – both benign and malignant– can develop in these areas. These tumors may require different treatment and have different outlooks.

Even when brain tumors are benign, they can cause serious problems. Although non-cancerous brain tumors usually grow slower than cancerous brain tumors, they may damage and press against normal brain tissue or the spine as they grow.

Childhood brain and spinal cord tumors differ from adult tumors. The location where they develop, the type of cell in which they develop, and their treatment and outlook often are different.

Brain tumors are classified by the types of cells they contain. This determines how they grow and what kind of treatment they require.

The brain tumors found most often in children are the following.

Medulloblastoma

Astrocytoma: These form in the cerebrum in cells called astrocytes. They usually grow slowly, but higher-grade tumors spread more quickly. Since they mix with normal brain tissue, they can be difficult to remove surgically. They may spread along pathways of CSF but seldom spread outside the brain or spinal cord. Glioblastoma is the highest grade astrocytoma and the fastest growing.

Diffuse intrinsic pontine glioma: This dangerous tumor often has a poor prognosis. It grows in a vital area of the brain called the pons, which is in the brain stem.

Ependymomas develop in the brain lining, usually in the posterior fossa or along the spinal cord in glial cells. About five percent of childhood brain tumors are ependymomas. They begin in cells that line the ventricles or central canal of the spine. Ependymomas do not usually spread outside the brain or spinal cord, but they may block CSF, causing hydrocephalus.

Primitive neuroectodermal tumors (PNET): These aggressive tumors can develop anywhere in the brain, but they are usually in the frontal, temporal or parietal lobes.

Pineoblastomas: A type of PNET that develops in pineal gland and can be difficult to treat.

Craniopharyngiomas: These slow-growing tumors start above the pituitary gland but below the brain. They may press on the pituitary gland and hypothalamus, causing hormone problems. Since they start near the optic nerves, they can cause vision problems and be difficult to remove without damaging vision.  

Mixed glial and neuronal tumors: Certain tumors that develop in children and young adults (and rarely in older adults) have both glial and neuronal cell components. They tend to have a fairly good prognosis.

• Pleomorphic xanthoastrocytoma (PXA) and dysembryoplastic neuroepithelial tumors (DNETs) look as if they could grow quickly when viewed under the microscope, but these tumors tend to be fairly benign, and most are cured by surgery alone.
• Ganglioglioma is a type of tumor that has both mature neurons and glial cells. Most can be cured by surgery alone or surgery combined with radiation therapy.

Choroid plexus tumors: These rare tumors start in the choroid plexus within the ventricles of the brain. Most are benign and can be removed by surgery.

Other tumors that start in or near the brain

Meningiomas: These tumors begin in the meninges, the tissue around the outer part of the brain and spine. They may press on the brain or spinal cord. Meningiomas are almost always benign and are usually cured by surgery. If they are near vital structures in the brain, they may need additional treatment.

Chordomas start in the bone at the base of the skull or at the lower end of the spine. They can injure the nervous system by pressing on it. They usually do not spread to other areas.

Germ cell tumors: Developing from germ cells, which normally form eggs in women and sperm in men, these are rare tumors. They form in the fetus when germ cells move to abnormal locations, including the brain. Germ cell tumors of the nervous system are usually found in children, most commonly in the pineal gland or above the pituitary gland.

Brain metastases: Cancers that metastasize (spread) to the brain from other areas of the body are called metastases. These are treated differently than primary brain cancers.

Most Advanced Treatment of various types of Brain and Neurological Disorders

The main line of treatment is with antiepileptic drugs, which are effective in controlling seizures in 70%-80% of patients with epilepsy. There are several antiepileptic medications. Since certain medications are much better for some seizures, the choice of the medication should be made by a physician who is familiar with these medications. If possible, the child should be evaluated in a center specializing in epilepsy. If this is not feasible, usually pediatric neurologists have training in epileptic disorders and are a good source for a referral.

When antiepileptic drugs fail to control the seizures, the patients may improve with surgical procedures.

Who is a candidate for epilepsy surgery?

Surgery is indicated in a small group of children.

It usually takes the failure of two or three antiepileptic medications before a child would be considered as a potential candidate for surgery. In general, this happens at least after two or three years of continuous treatment with medications. The failure might be due:

1.   to a resistance to the antiepileptic medications that are available,

2.   to the presence of intolerable side effects to the antiepileptic medication,

3.   or to a combination of both.

Since surgical procedures might be very effective in some children, once it is clear that the child's epileptic disorder is not responding to treatment with antiepileptic medications, surgery should be considered. Young age is not a contraindication for surgery, and there is no benefit in waiting for the child to be older. In fact, there is considerable evidence that the younger a child is at the time of surgery, the better his/her potential will be for good function after the surgery. There is a certain degree of plasticity in the brain that helps with the recovery of functions that can be damaged at the time of surgery. This plasticity is higher in younger than in older children.

Advanced Epilepsy Treatment Options Available at World Best Hospital in India

Best Neurosurgery Hospital in India | Neurosurgeon India : Stroke Patient from Nigeria

Till the time a person develops a second seizure, treatment for epilepsy will not begin. This is due to the reason that a person may have one seizure and never develops a second seizure. Medicines are successful in treating epilepsy. These medicines do not cure epilepsy, they prevent recurring of the seizures. These medicines changes the chemical or electrical transmissions in the brain in a particle way that decreases the chance of a seizure.

Vagus Nerve Stimulation (VNS) :

VNS therapy is recommended when medicines are unable to control epilepsy. During the surgical procedure, an electrical device is implanted underneath the skin. The lead of this device is wrapped around one of the nerves on the neck’s left side. This nerve is called as vagus nerve. This device continuously passes an electric dose to the nerve in order to stimulate it. This process reduces the severity and frequency of the seizures. If a person is feeling a warning seizure symptom then extra stimulation is given for preventing recurrence of the seizure.

Ketogenic Diet :  This is also considered as one of the treatment for epilepsy. Ketogenic diet is recommended for children as it involves eating a diet which is low in proteins and carbohydrates and high in fats. The chemical balance of the brain can be altered that also reduces the chance of having seizures. Ketogenic diet is not meant for adults as the diet can result in any other serious medical condition like heart disease, high blood pressure or strokes.

Advanced Surgical Procedures for Management of Epilepsy

Depending on the particular clinical situation, one of the following surgical procedures is chosen by the Medical team at our affiliate hospital. These operations either aim to resect the disease area of the brain, to disconnect it from other areas so as to relieve the seizures, or to lessen their impact.

• Anteromedial Temporal Lobectomy
• Selective Amygdalohippocampectomy
• Electrocorticography guided Resections
• Multiple Subpial transections
• Quadrantic Resections
• Multilobar Resections
• Functional Hemispherotomy
• Vagal Nerve stimulation
• Radiosurgery (selected cases)
  

  Services offered at our Network Hospitals for the treatment of various types of Brain and Neurological Disorders

  • Highly advanced surgeries for the patients with Vascular Malformations, Cerebral Aneurysms, Complex Craniofacial Malignancies andAcoustic Tumours
  • Diagnosis and Treatment of Cancerous Brain Tumours with complete range of treatment options that include surgery, radiosurgery , radiation therapy, chemotherapy and other cancer treatments
  • Deep Brain Stimulation ( DBS) for patients with Parkinson's Disease and tremors from other neurological conditions
  • Paediatric neurologists and neurosurgeons who specialize in the surgical management of a wide range of paediatric diseases including brain tumours, epilepsy, spinal bifida and hydrocephalus
  • Minimally Invasive Brian Surgeriesusing the most sophisticated 3-D image-guided technology
  
  For more information visit:          http://www.medworldindia.com      
                      https://www.facebook.com/medworld.india
  
  
  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

Parkinson's Disease - Symptoms, Diagnosis, Treatment of Parkinson Disease in India

Parkinson's disease is a chronic, degenerative neurological disorder that affects one in 100 people over age 60. While the average age at onset is 60, some people are diagnosed at 40 or younger. There is no objective test, or biomarker, for Parkinson's disease, so the rate of misdiagnosis can be relatively high, especially when the diagnosis is made by a non-specialist. Estimates of the number of people living with the disease therefore vary, but recent research indicates that at least one million people in the United States, and more than five million worldwide, have Parkinson's disease.

Parkinson's disease was first characterized extensively by an English doctor, James Parkinson, in 1817. Today, we understand Parkinson's disease to be a disorder of the central nervous system that results from the loss of cells in various parts of the brain, including a region called the substantia nigra. The substantia nigra cells produce dopamine, a chemical messenger responsible for transmitting signals within the brain that allow for coordination of movement. Loss of dopamine causes neurons to fire without normal control, leaving patients less able to direct or control their movement. Parkinson's disease is one of several diseases categorized by clinicians as movement disorders.

The exact cause of Parkinson's disease is unknown, although research points to a combination of genetic and environmental factors. If a continuum existed, with exclusively genetic causes at one end and exclusively environmental causes at the other, different Parkinson’s patients would likely fall at many different places along that continuum.

In the past 10 years, researchers have identified a number of rare instances where Parkinson's disease appears to be caused by a single genetic mutation. In these cases, the mutated gene is passed from generation to generation, resulting in a great number of Parkinson's disease cases within an extended family. On the opposite end of the continuum, in the early 1980s, a group of heroin users in California took drugs from a batch contaminated with a substance called MPTP. After ingesting this chemical, the drug users were stricken with a form of Parkinson's disease that was primarily, if not exclusively, "environmental" in origin.

For most Parkinson's patients, the cause lies somewhere in the middle. While many Parkinson’s patients report one or more family members with the disease, it is not always clear that one or several genes are the cause. Similarly, while some patients suspect that exposure to one or another chemical or environmental toxin caused their Parkinson’s disease, this also cannot be conclusively proved. Scientists currently believe that in the majority of cases, genetic and environmental factors interact to cause Parkinson's disease. Research into this subject continues aggressively every day. Unfortunately, however, it is generally impossible to determine what specifically caused an individual's Parkinson’s disease.

The causes of Parkinson’s disease are unknown, there is no scientifically validated preventive course to reduce the risk of its onset. The single biggest risk factor for Parkinson’s disease is advancing age. Men have a somewhat higher risk than women.

That being said, a number of studies have highlighted factors that are associated with either greater or lesser risk of Parkinson's disease. For example, smoking and caffeine consumption have been associated with lower rates of Parkinson's disease, while head injury and pesticide exposure have been associated with higher risk. While such studies do not definitively link these factors with Parkinson's disease one way or another, they highlight areas where further research may guide us to risk-prevention or treatment strategies.

The cardinal symptoms of Parkinson's disease are resting tremor, slowness of movement (bradykinesia) and rigidity. Many people also experience balance problems (postural instability). These symptoms, which often appear gradually and with increasing severity over time, are usually what first bring patients to a neurologist for help. Typically, symptoms begin on one side of the body and migrate over time to the other side.

There is no objective test (such as a blood test, brain scan or EEG) to make a definitive diagnosis of Parkinson’s disease. Instead, a doctor takes a careful medical history and performs a thorough neurological examination, looking in particular for two or more of the cardinal signs to be present. Frequently, the doctor will also look for responsiveness to Parkinson's disease medications as further evidence that Parkinson's is the correct diagnosis. (However, starting on medication right away can limit your ability to participate in clinical trials that urgently need newly-diagnosed Parkinson’s patients.)

Deep Brain Stimulation, Parkinson Surgery, Tremor, Dystonia, OCD Treatment at World's 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.

After 2–4 weeks, there is a follow-up to remove sutures, turn on the neurostimulator and program it.

What is Deep Brain Stimulation ?

Deep brain stimulation surgery technique involves implanting electrodes inside the deep nuclei of brain called as subthalamus under local anesthesia. These electrodes are then connected to IPG (Pacemaker) implanted underneath the skin below the clavicle through the connecting leads under general anesthesia. To perform any kind of activity, the patient has to switch on the device with the help of a patient programmer. This stimulates the deep brain nuclei, which results in improvement of all the symptoms of Parkinson disease.

With the progress of disease the parameters of stimulation are changed over a period of time so that patients can remain symptom free for long period. The patient himself can change the stimulation parameters with the help of patient programmer. Normally the life of the pacemaker is five years and after that a new pacemaker replaces it. The electrodes remain in position for life long.Rechargeble Pace makers are now available that can be recharged at home.The life of these pace makers are 15-20 years.The stimulation of subthalamic nucleus through this device leads to improvement in all the symptoms of advanced Parkinson disease.

DBS uses a surgically implanted medical device, similar to a cardiac pacemaker, to deliver electrical stimulation to precisely targeted areas within the brain. Stimulation of these areas blocks the signals that cause the disabling motor symptoms of Parkinson's disease. The electrical stimulation can be noninvasively adjusted to maximize treatment benefits. As a result, many individuals may achieve greater control over their body movements.

DBS System consists of three implanted components :

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• Lead – A lead consists of four thin coiled insulated wires with four electrodes at the lead tip. The lead is implanted in the brain.
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• Extension – An extension connects to the lead and is threaded under the skin from the head, down the neck and into the upper chest.
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• Neurostimulator – The neurostimulator connects to the extension. This small, sealed device, similar to a cardiac pacemaker, contains a battery and electronics. The neurostimulator is usually implanted beneath the skin in the chest below the collarbone (depending on the patient, a surgeon may implant the neurostimulator in the abdomen). Sometimes called a "brain pacemaker," it produces the electrical pulses needed for stimulation. These electrical pulses are delivered through the extension and lead to the targeted areas in the brain. The pulses can be adjusted wirelessly to check or change the neurostimulator settings.

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

Deep Brain Stimulation Surgery Advantage:

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• In this surgery we do not injure the brain so it is relatively risk free.
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• Completely reversible and programmable
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• Parkinson medications are reduced which results in improvement of drug related side effects.
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• There is improvement of quality of life in both off and on stage of the disease.