Best Hospital for DBS Surgery (Deep Brain Stimulation)
At Yashoda Hospitals, we take pride in being the leading center for Parkinson’s disease and movement disorder management, offering advanced and patient-centric care. Our team of highly skilled neurosurgeons specializes in Deep Brain Stimulation (DBS) surgery, a proven technique for improving long-term motor functions in Parkinson’s patients. As the only center in the region with a dedicated team of Parkinson’s disease and movement disorder specialists, our team has successfully treated over 12,000 patients, delivering exceptional outcomes.
Our expertise extends beyond surgical excellence, providing minimally invasive treatment options and potential disease-modifying therapies to address the complex challenges of Parkinson’s management. Complementing our medical interventions, we offer a comprehensive multidisciplinary approach, integrating physical therapy, occupational therapy, speech and swallowing therapy, and psychological and cognitive therapy to ensure holistic healing.
What is DBS?
DBS is a surgical procedure that involves implanting electrodes into specific areas of the brain, such as the subthalamic nucleus or globus pallidus internus, and connecting them to a neurostimulator device.
Who Should Consider DBS?
Deep Brain Stimulation treatment is an option for advanced Parkinson’s Disease patients who fulfil any of the criteria:
- Good response to medicines but requiring medicines more than 5 times a day
- With five doses of medicines, if a patient has 2 hours of ‘off’ period or 1 hour of dyskinesias
- Tremor not responding to medicines
- Not tolerating medications or developing significant side effects
How are Patients Chosen for DBS?
Patients are typically referred to specialized centers for DBS evaluation. Evaluation for DBS surgery for Parkinson includes assessments by movement disorder specialists, brain imaging to ensure suitability for surgery, consultations with neurosurgeons, and comprehensive evaluations, including memory and cognition.
Why Choose Yashoda for DBS:
- Specially Trained Neurosurgeons
- Minimally Invasive Treatment Options
- Expertise in DBS Surgery for Parkinson’s Disease
- Improved Long-term Motor Functions
- Supportive Therapies for Holistic Healing
- Only centre in its region with dedicated team of Parkinson’s disease and Movement Disorder Specialists
How is DBS Surgery Performed?
- Prior to the surgery, a detailed evaluation is conducted by the multidisciplinary team of neurologists, neurosurgeons, and movement disorder specialists, and relevant brain imaging is obtained to ensure the suitability for the surgery.
- The patient is typically awake (under local anesthesia) to monitor brain responses. A frame is then attached which guides and helps the neurosurgeons to precisely place electrodes in targeted brain regions.
- A small implantable pulse generator (IPG) (similar to a pacemaker) is placed under the skin near the collarbone or abdomen under general anesthesia.
- The electrodes in the brain are connected to the IPG via thin wires.
- After DBS, doctors adjust stimulation settings of the deep brain stimulation device over a few months to optimize benefits. Regular evaluation and follow-up is mandatory to monitor the patient’s condition and response to the therapy.
Benefits of DBS
- DBS treatment can reduce “OFF” periods and dyskinesias
- Lower the doses of medication
- Can achieve better posture control
- Reduced involuntary movements
- Improved long-term motor functions
- Improves quality of life & overall well-being
In short, life after DBS can improve posture and dyskinesias, although it doesn’t cure PD or halt its progression.
FAQ’s
Is Deep Brain Stimulation a major surgery?
Yes, DBS is a major neurosurgical procedure that involves placing the neurostimulators in specific regions of the brain and connecting them to a pulse generator which is placed under the skin. A thorough pre-surgical planning, advanced imaging infrastructure and experienced surgical expertise is very crucial
How effective is DBS?
DBS is highly effective in managing movement disorders like Parkinson’s disease, dystonia, and essential tremors.It can significantly reduce symptoms such as tremors, stiffness, and involuntary movements.Many patients experience a 50-70% improvement in motor function, leading to a better quality of life and reduced medication dependency.
Does DBS surgery worsen the existing condition?
DBS does not worsen the condition, but it may not be suitable for all patients.A thorough pre-surgical evaluation by the neurosurgeons and DBS specialists is essential
Is DBS safe for patients with cardiac pacemaker?
Patients with a pacemaker can undergo DBS, but with proper precautions and thorough cardiac evaluation prior to surgery to ensure safety.