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Deep Brain Stimulation Surgery in India

Deep Brain Stimulation Surgery in India

Deep brain stimulation or DBS is a surgical method of treating certain type of parkinson's disease. If a patient is having parkinson's disease he migh have aggrevated symptoms like shaking, tremors, r... ... Read More
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Medanta - The Medicity, Gurgaon
1

Medanta - The Medicity, Gurgaon

Super Specialty
  • 1250 Number of beds
  • Gurgaon
ABOUT HOSPITAL

Doctors for Deep Brain Stimulation Surgery in Medanta - The Medicity, Gurgaon

Dr. V. P. Singh

Chairman
Neurosurgeon
  • 30 years of experience

Dr. A.K. Banerji

Director
Neurosurgeon
  • 50 years of experience

Dr. Sudhir Dubey

Associate Director
Neurosurgeon
  • 16 years of experience

Dr. Varindera Singh

Chairman
Neurosurgeon
  • 30 years of experience

Dr Karanjit Singh Narang

Associate Director
Neurosurgeon
, Spine Surgeon
  • 16 years of experience

Dr. Ravi Shankar

Associate Director
Neurosurgeon
  • 19 years of experience
Indraprastha Apollo Hospital, New Delhi
2

Indraprastha Apollo Hospital, New Delhi

Multi Specialty
  • 1000 Number of beds
  • New Delhi
ABOUT HOSPITAL

Doctors for Deep Brain Stimulation Surgery in Indraprastha Apollo Hospital, New Delhi

Dr. Ravi Bhatia

Senior Consultant
Neurosurgeon
, Spine Surgeon
  • 49 years of experience

Dr. Sudhir Tyagi

Consultant
Neurosurgeon
  • 25 years of experience

Dr. Sogani Shani Kumar

Senior Consultant
Neurosurgeon
, Spine Surgeon
  • 35 years of experience

Dr. Rajendra Prasad

Senior Consultant
Neurosurgeon
, Spine Surgeon
  • 36 years of experience

Dr. Pranav Kumar

Senior Consultant
Neurosurgeon
  • 25 years of experience
Fortis Memorial Research Institute, Gurgaon
3

Fortis Memorial Research Institute, Gurgaon

Super Specialty
  • 300 Number of beds
  • Gurgaon
ABOUT HOSPITAL

Doctors for Deep Brain Stimulation Surgery in Fortis Memorial Research Institute, Gurgaon

Dr. Sandeep Vaishya

Director
Neurosurgeon
, Spine Surgeon
  • 20 years of experience

Dr. Vijay Kant Dixit

Director
Neurosurgeon
  • 17 years of experience

Dr. Rana Patir

Director
Neurosurgeon
  • 24 years of experience

Dr. Utkarsh Bhagat

Consultant
Neurosurgeon
  • 7 years of experience

Cost for Deep Brain Stimulation Surgery in India

Deep Brain Stimulation

Range

USD 8500 -32000

Frequently Asked Questions related to Deep Brain Stimulation Surgery

Deep Brain Stimulation

Question: Will I need some medications post DBS? What about the existing ones which I am taking for my symptoms?

Yes, your doctor will advise you on the tapering down of the medicines. It can be 1/10 of the original dose or even be dose free depending upon the results post-surgery.

Question: Can you fly after DBS surgery?

The sutures are removed one week after surgery and DBS programming can be done at this visit. We recommend avoiding strenuous activity for the first month postoperatively.

When flying, patients should take their patient controller device with them to be able to verify whether the DBS is on or off.

Question: After surgery what would be the precautionary measures?

You have an especially high risk of falling in the weeks after DBS. Patients often become overconfident just after surgery. If you used a walker or cane before surgery, keep using it for a while until you are stronger and steadier. Keep your incisions clean and dry for the first two weeks after surgery.

Question: Do I need a followup visit to my Surgeon?

The patient is usually called after 5 years to change the battery if patient opted for nonrechargeable batteries.

Question: After surgery what would be the precautionary measures?

You have an especially high risk of falling in the weeks after DBS. Patients often become overconfident just after surgery.

If you used a walker or cane before surgery, keep using it for a while until you are stronger and steadier. Keep your incisions clean and dry for the first two weeks after surgery.

Question: If I go for non rechargeable device, how soon will the battery be replaced?

With a non-rechargeable battery, you live free from tremor until your battery runs out. You'll have surgery to replace the battery approximately every 3-5 years, but some people need to replace it in much less time.

Question: What are possible complications from DBS?

Includes Seizures, Infection, Headache, Confusion, Difficulty concentrating, Stroke, Hardware complications such as an eroded lead wire and Temporary pain and swelling at the implantation site.

Question: Do I need a followup visit to my Surgeon?

Patient is usually called after 5 years to change the battery, if patient opted for non rechargeable batteries.

Question: Что делать, если батарея стимулятора разрядится? А что будет дальше?

Это зависит от того, какие у вас симптомы. Если у вас есть существенный Тремор, ваш Тремор не будет контролироваться. Хотя это раздражает, обычно это не считается чрезвычайной ситуацией, но вы должны связаться со своим нейрохирургом или командой стим, чтобы как можно скорее заменить стимулятор. Если у вас болезнь Паркинсона, симптомы тремора, медлительности и скованности могут вернуться в полную силу в течение нескольких дней. В некоторых случаях это может быть чрезвычайной ситуацией, потому что вы можете быть не в состоянии двигаться. Большинство пациентов принимают меньше лекарств от болезни Паркинсона после ДБС, поэтому количество, которое вы принимаете, вряд ли поможет так же сильно, как до операции. Если батарея стимулятора разрядилась, если у вас болезнь Паркинсона, вам следует как можно скорее связаться со своим нейрохирургом или командой стим. Они могут сказать вам, чтобы вы отправились в отделение неотложной помощи, и будет назначена срочная замена батареи. Если у вас есть дистония, симптомы вашей дистонии могут вернуться через несколько дней или недель. Опять же, это будет более срочный вопрос, и вам следует как можно скорее связаться с нейрохирургом DBS или командой STIM. Последующая работа с вашей командой DBS для регулярного мониторинга вашей батареи значительно уменьшит вероятность того, что ваша батарея неожиданно разрядится.

Question: For how many days do i need to stay in the hospital?

3 days in hospital.

Question: What is the duration of surgery?

The length of the operation also depends on the technique used by each centre, but it often lasts between 3-6 hours from start to finish. As long as the electrodes are accurately placed, without complications, the recovery period usually lasts from between 3 to 5 days.

Question: For how many days do i need to stay in the hospital?

Hospital stay is for three days.

Question: What is the duration of surgery?

The length of the operation also depends on the technique used by each center, but it often lasts between 3-6 hours from start to finish.

As long as the electrodes are accurately placed, without complications, the recovery period usually lasts from between 3 to 5 days.

Question: Will I need some medications post DBS? What about the existing ones which I am taking for my symptoms?

Yes, your doctor will advice you on the tapering down of the medicines.It can be 1/10 of the original dose or even be dose free depending upon the results post surgery.

Question: Can you fly after DBS surgery?

The sutures are removed one week after surgery and DBS programming can be done at this visit. We recommend avoiding strenuous activity for the first month post-operatively.When flying, patients should take their patient controller device with them to be able to verify whether the DBS is on or off.

Question: I have essential tremor that affect my voice. Will DBS help the tremor in my voice?

Although DBS is excellent for helping the tremor that is experienced in the hands and arms due to essential tremor, it is unlikely that DBS will help your voice with just a unilateral lead. Although there may be patients who notice a slight improvement in voice with unilateral stimulation, most notice no improvement. With bilateral stimulation, the voice tremor may improve, but bilateral stimulation will often cause slurred speech as well. Botulinum toxin injections are generally more effective for voice tremor than DBS.

Question: How successful is DBS surgery?

If trial surgery is successful there are 98% chances of an successful surgery.

Question: What if the stimulator battery runs out? What will happen?

It depends on what your symptoms are. If you have essential tremor, your tremor will not be controlled. While this is an annoyance, it is generally not considered an emergency, but you should contact your neurosurgeon or the STIM team to have the stimulator replaced as soon as possible.

If you have Parkinson’s disease, the symptoms of tremor, slowness, and stiffness may come back in full force over a couple of days. In some cases, this can be an emergency because you may be unable to move. Most patients are on less Parkinson’s medications after DBS, so the amount you are taking is unlikely to help as much as prior to surgery.

If the stimulator battery runs out if you have Parkinson’s you should contact your neurosurgeon or the STIM team as soon as possible. They may tell you to go into the emergency room, and an urgent battery replacement will be scheduled.

If you have dystonia, the symptoms of your dystonia may come back over days to weeks. Again, this will be more of an urgent issue, and you should contact the DBS neurosurgeon or STIM team as soon as possible.

Following up with your DBS team for regular monitoring of your battery will greatly reduce the chances of your battery running out unexpectedly.

Question: What are possible complications from DBS?

Includes Seizures, Infection, Headache, Confusion, Difficulty concentrating, Stroke, Hardware complications such as an eroded lead wire and Temporary pain and swelling at the implantation site.

Question: Is there any specific age in which DBS is performed?

A new minimum age (16) at which someone can apply for a DBS check. However, for some close indications such dystonia in young children, this age criterion can be waived.

Question: Where would you put the DBS stimulator if I already have a pacemaker?

Pacemakers are typically placed in the same pocket in the chest where DBS stimulators are placed. Because pacemakers are placed on the left side of the chest, the DBS stimulator could be placed on the right side of the chest.

Another alternative would be to place the DBS stimulator just under the skin of the abdomen.

The extension wires from the leads to the stimulator would be longer, which would put it at higher risk for lead fracture, but there is generally more “padding” in the abdomen, so the stimulator does not stick out as much.

Question: Is DBS therapy permanent?

Deep brain stimulation won't cure your disease, but it may help lessen your symptoms. If deep brain stimulation works, your symptoms will improve significantly, but they usually don't go away completely.

Question: I have heard that two surgeries are performed in DBS, is that true?

The first surgery is the trial one in which electrodes are placed and patients movements are checked and then on the next day the surgery is completed.

Question: If I go for non rechargeable device, how soon will the battery be replaced?

With a non-rechargeable battery, you live free from tremors until your battery runs out. You'll have surgery to replace the battery approximately every 3-5 years, but some people need to replace it in much less time.

Question: I have essential tremor that affect my voice. Will DBS help the tremor in my voice?

Although DBS is excellent for helping the tremor that is experienced in the hands and arms due to essential tremor, it is unlikely that DBS will help your voice with just a unilateral lead.

Although there may be patients who notice a slight improvement in voice with unilateral stimulation, most notice no improvement.

With bilateral stimulation, the voice tremor may improve, but bilateral stimulation will often cause slurred speech as well. Botulinum toxin injections are generally more effective for voice tremor than DBS.

Question: Where would you put the DBS stimulator if I already have a pacemaker?

Pacemakers are typically placed in the same pocket in the chest where DBS stimulators are placed. Because pacemakers are placed on the left side of the chest, the DBS stimulator could be placed on the right side of the chest. Another alternative would be to place the DBS stimulator just under the skin of the abdomen. The extension wires from the leads to the stimulator would be longer, which would put it at higher risk for lead fracture, but there is generally more “padding” in the abdomen, so the stimulator does not stick out as much.

Question: Is there any specific age in which DBS is performed?

A new minimum age (16) at which someone can apply for a DBS check. However, for some close indications such dystonia in young children, this age criterion can be waived.

Question: I have heard that two surgeries are performed in DBS, is that true?

The first surgery is the trial one in which electrodes are placed and patients movements are checked and then on the next day the surgery is completed.

Question: Is DBS therapy permanent?

Deep brain stimulation won't cure your disease, but it may help lessen your symptoms. If deep brain stimulation works, your symptoms will improve significantly, but they usually don't go away completely.

Question: How successful is DBS surgery?

If trial surgery is successful there are 98% chances of a successful surgery.

Question: Will DBS work for me?

There are somewhat different criteria for determining if DBS will work for you based on your diagnosis and condition. For Parkinson’s disease, DBS is typically helpful if you experience motor fluctuations or tremors that interfere with activities that are not already adequately managed by medication, are not improved by changes in medication, or you experience side effects that prevent you from taking higher doses.

Question: Will DBS work for me?

There are somewhat different criteria for determining if DBS will work for you based on your diagnosis and condition. For Parkinson’s disease, DBS is typically helpful if you experience motor fluctuations or tremors that interfere with activities that are not already adequately managed by medication, are not improved by changes in medication, or you experience side effects that prevent you from taking higher doses.

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