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About CARE Hospitals

With 14 hospitals spread across 6 cities, CARE Hospitals is a regional leader in tertiary care. It is ranked among the top 5 pan-Indian hospital chains and is driven by the core principle ‘to provide care that people trust’ through cost-effective medical care in more than 30 specialities.

What is Deep BrainStimulation (DBS) Surgery?

A surgical procedure in which a medical device which is responsible for sending the electrical signals to the brain and regulating bodily movements is implanted in the body of the patient in-focus is called Deep Brain Stimulation Surgery. It is basically performed to aid patients who are suffering from any sort of movement disorders with aggravating symptoms such as tremors, stiffness etc.

DBS Surgery For Parkinson’s

Who is the best candidate?

If someone has been suffering from Parkinson’s disease for over 5 years and have worsening symptoms including tremors, stiffness and troublewalking, he or she may opt for DBS surgery. For most of the Parkinson’s disease patients, the surgery works pretty well.

How does the implantation work?

During DBS surgery for Parkinson’s, your surgeon will insert a device near your chest area which can send electrical signals to your brain. These signals are basically used to impede the nerve signals that are responsible for Parkinson’s.

Integral parts of a DBS device (for Parkinson’s)

  • Lead: It’s a thin wire that is positioned in the brain area.
  • Pulse generator: It is responsible for sending electrical signals through the lead.
  • Connecting wire: It is used to link the lead and the pulse generator.
  • Remote control device: This part of the DBS device is placed outside the body of the Parkinson’s patient to regulate the programming of the system.

The setting of the device can be changed, as and when required.

Tests you will require before the surgery are:

  • MRI
  • CT scans

Procedure

During DBS surgery, you will undergo two types of procedures.

  • In the first procedure, the lead is placed in the brain. This is done by fixing a wireframe or frameless structure into the skull and followed by the brain scan to make a map. Thereafter, a hole is made in the skull and the surgeon looks for the spot to position the lead. Using a plastic cap and stitches, this hole is sealed. It will be an overnight procedure and a very elusive one.
  • In the second one, a pulse generator is placed in the chest which just takes less than an hour.

After the Surgery

Even after the DBS surgery, you need to take your Parkinson’s medication. Once the inflammation in your brain goes away, the device is programmed. The programming doesn’t happen at once. While some patients may require as long as six months to get their programming right, a few others may take less time than this.

DBS Surgery for Epilepsy

Who is the best candidate?

The patient suffering from epilepsy whose seizures couldn’t be controlled with medication can opt for DBS surgery. Moreover, patients who can’t have epilepsy surgery to remove the part of the brain that is responsible for causing seizures can also go for DBS surgery.

How does it work?

A battery-driven device known as neuro-stimulator is placed in the body of the patient. It sends signals to the Anterior Nucleus of the Thalamus (ANT) using electrodes. This part of the brain is responsible for causing seizures.

The procedure for the DBS surgery remains the same in both Parkinson’s and Epilepsy. Once the device is placed and programmed, the epilepsy patients can use the programmer to control their seizure if a simple focal seizure has just happened to them.

Why CARE Hospitals?

CARE Hospitals is recognised as one of the most advanced, all round health care centre in the country, powered by cross functional teams comprising of surgeons, critical acre and emergency medicine specialists. The founding team of CARE Hospitals comprises of medical innovators and pioneers who are passionately driven to make healthcare affordable for all, while ensuring clinical outcomes at par with international standards.

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