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Deep Brain Stimulation India
Deep Brain Stimulation is a surgical treatment involving the implantation of a medical device called a brain pacemaker, which sends electrical impulses to specific parts of the brain. DBS in select brain regions has provided remarkable therapeutic benefits for otherwise treatment-resistant movement and affective disorders such as Chronic pain, Parkinson's disease, Tremor and Dystonia.
DBS uses a surgically implanted, battery-operated medical device called a neurostimulator"similar to a heart pacemaker and approximately the size of a stopwatch"to deliver electrical stimulation to targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and PD symptoms.
Patients with Parkinson's disease, essential tremor, dystonia, epilepsy or tremor due to multiple sclerosis, with movement related symptoms that cannot be controlled by medications can be evaluated as possible candidates for deep brain stimulation only In addition, patients who experience intolerable side effects from medication may also be candidates. It should be noted that not everyone is eligible for DBS, patient's mental state and general condition is taken into consideration. It is important to note that these issues should be discussed with a movement disorders expert or specially trained neurologist.
The therapy of Deep Brain Stimulation requires additional expertise over conventional stereo tactic techniques that are required for functional neurological procedures for movement disorder. It requires careful understanding of the principles of DBS, understanding of the disease being treated and combining the medical therapy along with stimulation to achieve smooth control of the disease. Hospital & Research Center has been able to develop a mulch-disciplinary team to undertake this therapy of DBS
Unlike previous surgeries for PD, DBS does not damage healthy brain tissue by destroying nerve cells. Instead the procedure blocks electrical signals from targeted areas in the brain. Thus, if newer, more promising treatments develop in the future, the DBS procedure can be reversed. Also, stimulation from the neurostimulator is easily adjustable-without further surgery-if the patient's condition changes. Some people describe the stimulator adjustments as "programming."
After the Deep Brain Stimulation procedure
To adjust the stimulation with the help of programming the patient may need to visit the doctor several times after the surgery. To the patient the doctor may prescribe a detailed medication plan. The patient should follow the instructions given by the doctors and take some precautions after the surgery. He/she should take care of the incisions by keeping it dry and covered and also the surgical region on the head. For few weeks after the surgery heavy physical activities and lifting heavy weights should be avoided. Regular follow-up with the treating doctor should be done.
Patients who have undergone this treatment usually have consistently improved relief of movement-related symptoms, including tremor. Although patients still need to take medication after undergoing this treatment, they can often reduce their dosages so much that side effects such as involuntary movements called dyskinesias improve substantially. Unlike older types of surgery for Parkinson's disease, Deep Brain Stimulation does not involve intentional destruction of brain tissue.
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