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DBS Surgery for Parkinson's Disease

Deep Brain Stimulation Surgery for Parkinson Disease|Medical Treatment in India

DBS Surgery for Parkinson's Disease

Package Cost : 15000 Onwards

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Deep Brain Stimulation is a neurosurgical procedure which involves an implantation of a pacemaker like programmable medical device, under the skin of your chest, which is connected through wires to the electrodes placed or implanted in certain regions of brain.

 

The function of this medical device, referred to as a neurostimulator is to produce electrical impulses which travel through the wires and eventually through electrodes, transmitted to the specific targeted areas of the brain to produce the desired results.

 

These electrical impulses rectify and regulate the aberrant activity in the brain, even if it is associated with chemical imbalances in the brain.

 

Deep Brain Stimulation is an approved treatment for patients with medical conditions such as movement disorders as in Parkinson's disease, Dystonia and Essential tremors. It has also been recommended in case of Obessive Compulsive Disorder and Epilepsy, though as a last resort, when no medication seem to prove beneficial in alleviating symptoms and maintaining a decent quality of life.

 

DBS Surgery does not offer cure for the disease, it helps you lead a better quality of life. It alleviates the symptoms associated with the disease, lesser need for the medicines and hence minimal or no side effects.

 

Deep Brain Stimulation is an elective procedure which means that it is a type of surgery which can be scheduled in advance rather than being an emergency medical procedure. You and your doctor get to choose the date or time when you wish it to happen.

 

 

Plan your Deep Brain Stimulation Treatment in India with HealthcaretripIndia

 

 

Get the most affordable high quality medical treatment from best hospitals of India

Scan and send your medical reports at contacthealthcaretripIndia@gmail.com or contact@healthcaretripIndia.com

 

Frequently asked questions about Parkinson's Disease| All you need to know

 

Q1 What is Parkinson's Disease?

 

A1 Parkinson's disease is primarily a movement related disorder of the nervous system, precisely the brain, which is characterized by degeneration or death of the nerve cells in specific regions of the brain that secrete a chemical called Dopamine. It is progressive in nature which means the medical condition worsens over time. Tremors, balance and posture issues, slowness of movement, muscular rigidity are some of its hallmark symptoms. Besides, movement related problems, patient may experience some non motor issues such as sleep disturbances, depression, anxiety amongst others.

 

Q2 What are the signs and symptoms of Parkinson's disease? 

 

A2 The signs and symptoms of the Parkinson's disease may be summed up as

 

  • Tremor, Pill rolling tremor, at rest.

  • Bradykinesia, or slow movement 

  • Orthostatic hypotension ( Sudden drop in your blood pressure when you stand up quickly. The patient may experience dizziness or light headedness.)

  • Rigid muscles

  • Impaired posture and balance

  • Dysarthria or Slurred speech

  • Loss of automatic movements

  • Dysphagia or Difficulty in swallowing

  • Writing changes

 

 

All you need to know about Deep Brain Stimulation Surgery

 

Q3 Which medical conditions can be treated with Deep Brain Stimulation procedure?

 

A3 Deep Brain Stimulation has proved to be an effective procedure for the following medical conditions:

 

  • Parkinson's Disease

  • Dystonia

  • Essential Tremor

  • Epilepsy

  • OCD (Obsessive Compulsive Disorder)

It is under speculation and considered that it may be a viable option for the treatment of the following medical conditions:

 

  • TBI (Traumatic Brain Injury)

  • Addiction

  • Chronic Pain

  • Cluster Headache

  • Facilitate recovery in stroke patients

  • Tourette's syndrome

  • Dementia

  • Depression

  • Multiple Sclerosis

  • Huntington's disease

Q4 When is DBS surgery recommended?

 

A4 Deep Brain Stimulation treatment is often considered as the last resort in the above mentioned medical conditions.

 

If the symptoms pertaining to the above medical conditions do not respond to the medicines, the symptoms are present for a very long period of time and compromises the quality of life, your doctor may suggest DBS for you as a viable treatment option.

 

Symptoms associated with each of the following medical condition may be:

 

Dystonia: Involuntary muscle contractions occurring during specific activity such as writing. It aggravates at the time of stress, fatigue and anxiety.

Essential Tremors: Tremors associated with daily activities such as writing or drinking.

Epilepsy: Loss of consciousness, uncontrollable jerky movements of the limbs, staring spell, confusion and emotional responses of fear and anxiety

Parkinson's Disease: Tremors at rest (as if rolling a pill between thumb and index finger), slowness of movement, stiffness of muscles, instability in maintaining posture. Besides these motor symptoms, one can see plethora of other symptoms that are not movement related. They may be depression, sleep disturbances, anxiety, unexplained extreme tiredness and sexual dysfunction.

 

Your specialist will determine based on your medical condition if you are an eligible candidate for the Deep Brain Stimulation Surgery. In case of Parkinson's disease, Deep brain stimulation surgery may prove effective in alleviating symptoms that interfere with your daily activities and are not responding to the medicines. You cannot even be given higher dose of medicines because of the side effects you are experiencing.

 

Other than the fact that your medical condition is not adequately being managed by the medicines, the decision for actually going for the DBS surgery is also determined by factors such as full support from the family and friends, your general health which will allow you do tolerate the surgery, your age and any presence of psychiatric illness that may affect the success of the surgery. Furthermore, it is also ensured ahead of the surgery that you are holding realistic expectations regarding surgical outcome.

 

 

Q5 How Deep Brain Stimulation surgery is performed?

 

A5  Deep Brain Stimulation Surgery consists of 3 major integral components, namely:

  • The electrode or lead

  • Extension wire

  • Internal Pulse Generator or Neurostimulator or Implantable Pulse Generator

The electrode is implanted in the target area of brain, put inside through a small opening made in the skull. It is a thin insulated wire.

 

Extension wire is also an insulated wire that connects the electrode or the lead to the Internal Pulse Generator placed under the skin of the chest. It passes through under the skin of the head, neck and shoulder till it reaches the Internal Pulse Generator. 

 

Internal or Implantable Pulse Generator is the third and last component of the whole system, which generates the electrical impulses. It is placed under the skin of the upper chest, just below the collar bone.

 

Deep Brain Stimulation Surgery

 

Brain Surgery:

 

Head frame is affixed to keep the head of the patient still, while the procedure is being performed. It is referred to as Stereotactic Head Frame.

 

MRI (Magnetic Resource Imaging) is done to map and find the areas of brain where the electrodes will be placed.

 

The surgery can be performed under General Anesthesia where the patient is put to sleep during the procedure or under the local anesthesia where the patient is awake and alert during the procedure. Anesthesia is given locally to the scalp to numb the area that needs to be worked upon. However, since brain has no pain receptors, no anesthesia is required for the brain.

 

A thin wire lead with electrodes at its end is implanted in the targeted area of brain. This wire is then guided through under the skin to the neurostimulator which is placed under the skin, near the collar bone. 

 

Q6 How long do I need to stay in India for Deep Brain Stimulation Surgery?

 

A6 Usually, around 2 weeks time is enough for you to stay in India.

 

1 to 2 days for comprehensive evaluation before the surgery.

 

3 to 7 days of hospital stay is required for Deep Brain Stimulation Surgery, in most of the patients.

 

Finally, 7 to 10 days of stay is required in an accommodation, near the hospital, for recovery and follow up after discharge from the hospital. 

 

Q7 What can I expect after DBS surgery?

 

A7 Your doctor will make some adjustments in your programmable implanted device to suit your medical needs so that it gives you the maximum benefits. This adjustment may take sometime which may range from few weeks to months and it is unique for every patient. In some patients it may take even a year to reach the optimum settings.

 

During the recovery process you may experience certain side effects and challenges which your doctor will discuss with you and guide you through to deal with them.

 

Only after discussing the pros and cons of the surgery and weighing your options, with your consent, your specialist will go ahead with your surgery. 

 

You may experience little pain after the surgery, but that is taken care of well with mild pain killers. You will recover from the surgery soon and resume your normal daily activities, apart from little adjustments made by your specialist to your implanted medical device.

 

Q8 How is Deep Brain Stimulation Surgery different from other surgeries done for Parkinson's disease?

 

A8 Deep Brain Stimulation Surgery has an edge over other surgeries carried out for the same purpose, such as Pallidotomy, Thalamotomy and Sub Thalamotomy. Unlike other surgeries, it does not permanently destroy brain tissue.

 

DBS is a reversible procedure and can be done without any substantial damage to the brain tissue. It is potentially safe procedure.

 

Q9 Where would you put the DBS stimulator, if I already have a cardiac pacemaker?

 

A9 Typically both are placed in the same pocket in the chest.

 

If pacemaker is on the left side of the chest, DBS neurostimulator is placed on the right side of the chest or under the skin of the abdomen.

When placed under the skin of the abdomen, the extension wires form the leads to the neurostimulator would be long and risk of breakage of the lead increases but there is generally more padding in the abdomen, so the stimulator would remain protected and will not stick out.

 

Q10 I already have an implanted pacemaker. Can DBS surgery be done without an MRI?

 

A10 MRI is a preferred choice for carrying out DBS surgery because it gives a detailed view of the brain which makes it easy for the surgeon to carry out the surgery. However, when MRI is not recommended as in the case of presence of pacemaker, CT scan will be an option. Your team of specialists will discuss various possible options to give you the best outcome.

 

 

Q11 What if the neurostimulator battery is over?

 

A11 You need to have a regular follow up with your specialist, as instructed by him. It will minimize any chances of unexpected battery shutdown. If it happens at all, contact your specialist immediately.

 

Your specialist will guide you through and may even advise replacement of the neurostimulator or the battery.

 

You may experience the return of symptoms, the reason for which you got the surgery done.

 

 

 

Top Hospitals in India for Deep Brain Stimulation Surgery

 

Q12 Which are the Best hospitals for Deep Brain Stimulation Surgery in India?

 

A12 India has plenty to offer in terms of JCI or its national equivalent NABH accredited hospitals and one of the finest doctors in the world, in its kitty. 

 

The top hospitals for the Deep Brain Stimulation Treatment are:

 

  • Fortis Memorial Research Institute, Gurugram, Delhi-NCR

  • Indraprastha Apollo Hospital, Delhi

  • Max Super Speciality Hospital, Delhi

  • Medanta Medicity, Gurugram, Delhi-NCR

  • Artemis Health Institute, Gurugram, Delhi-NCR

  • Jaypee Hospital, Noida, Delhi-NCR

  • Venkateshwara Hospital, Delhi

  • BLK Super Speciality Hospital, Delhi

  • Manipal Hospitals, Delhi

  • ColumbiaAsia Hospital, Bangalore

 

Q13 How can you help me during Covid 19 situation, when travelling is restricted?

 

A13 We understand your concern that during Covid 19 when the whole world is going through a tough time and travelling is largely restricted, the help pertaining to medical treatment in India will also get affected remarkably.

 

Keeping it in mind, we shall arrange free video consultation to all our international patients, who are in dire need of medical treatment and wish to avail good quality treatment in India at an incredibly low cost.

 

Our doctors are globally trained, highly experienced with expertise in their respective field of work and we are associated with the best hospitals of India which are JCI accredited or NABH accredited with the most advanced technology, state of the art infrastructure and highly competent staff.

 

We assure to arrange a call with the concerned specialist, within 24 to 48 hours of your contact with us, provided you send us the medical reports and all the pertinent information at the time of your first contact with us. 

 

Deep Brain Stimulation Surgery in India|HealthcaretripIndia

 

 

  • Most affordable cost

  • Most advanced surgery techniques are carried out to give maximum benefit to the patient such as quick recovery, short or no hospital stay, minimal scar formation which is aesthetically good and early resumption of activities.

  • Best hospitals in India for Deep Brain Stimulation surgery with dedicated Centre of excellence in neurosciences with state of the art infrastructure and most advanced technology in place such as Brain Suite, 3 Tesla MRI, 256 Slice CT scan, PET scan to name a few.

  • Comprehensive care provided by the team of dedicated, globally trained and highly experienced Neurosurgeons.

  • Collaborative efforts are put in by multidisciplinary teams, if the medical condition of the patient calls for the same.

  • Implement internationally accepted most innovative treatment protocol methods.

  • High success rate

  • Great ambience

  • Compassionate staff to look after

  • Hospitals accredited with international organizations such as JCI (Joint commission International) for quality standards.

  • Language no barrier. English speaking people and if required, translators are available for your convenience.

  • Most economical accommodation available at a walking distance from the hospital. Wide range of options starting from guest house, service apartments to five star hotels, best suited to your budget and choice.

  • Good flight connectivity

  • India has a diverse and rich cultural heritage. You can witness its beauty and uniqueness. It offers most conducive environment for recuperation.

 

 

 

 

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Top 10 Deep Brain Stimulation Neurosurgeons in India|HealthcaretripIndia

Dr Paresh Doshi

MBBS, MS (General Surgery), MCh (Neurosurgery)

Consultant Neurosurgeon

Jaslok Hospital, Mumbai

Best Deep Brain Stimulation Neurosurgeon|Mumbai

Dr Arun Saroha

MBBS, MS (General Surgery) , MCh (Neurosurgery)

Director-Neurosurgery

Max Hospital, Saket and Gurugram

Best Deep Brain Stimulation Neurosurgeon|Delhi-NCR, Gurugram

 

Dr Rana Patir

MBBS, MS (General Surgery), MCh (Neurosurgery), Fellowship in Neurosurgery (UK)

Chairman, Department of Neurosurgery,

Fortis Memorial Research Institute (FMRI), Gurugram

Best Deep Brain Stimulation Neurosurgeon|Delhi-NCR, Gurugram

 

Dr V.S Mehta

MBBS, MS (General Surgery), MCh (Neurosurgery)

Chairman and Head of Dept. of Neurosciences

Paras Hospital, Delhi-NCR, Gurugram

Best Deep Brain Stimulation Neurosurgeon|Delhi-NCR, Gurugram

 

Dr Rajan Shah

MBBS, MS (General Surgery), MCh (Neurosurgery)

Director, Head of Neurosurgery

Nanavati Super Speciality Hospital, Mumbai

Best Deep Brain Stimulation Neurosurgeon|Mumbai

Dr Ghulam Muktada Khan

MBBS, MS (General Surgery), MCh (Neurosurgery), D.Ortho

Consultant Neurosurgery

Gleneagles Global Hospitals, Mumbai

Best Deep Brain Stimulation Neurosurgeon|Mumbai

 

Dr Manish Vaish

MBBS, DNB (Neurosurgery)

Director- Neurosurgery

Max Superspeciality Hospital, Delhi

Best Deep Brain Stimulation Neurosurgeon|Delhi

 

Prof. (Col.) Dr Bipin S Walia

MBBS, MS (General Surgery), MCh (Neurosurgery)

Principal Director and Head, Neurosurgery

Max Super Speciality Hospital, Saket, Delhi

Best Deep Brain Stimulation Neurosurgeon|Delhi

 

Dr (Prof) Deepu Banerjee

MBBS, MS (General Surgery), MCh (Neurosurgery)

Consultant Neurosurgeon, Jaslok Hospital and Reasearch Centre, Mumbai

Best Deep Brain Stimulation Neurosurgeon|Mumbai

 

Dr Sandeep Vaishya

MBBS, MS (General Surgery), MCh (Neurosurgery)

Executive Director, Department of Neurosurgery,

Fortis Memorial Research Institute (FMRI), Gurugram

Best Deep Brain Stimulation Neurosurgeon|Delhi-NCR, Gurugram

 

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