Indian doctors with training in brain conditions (neurologists), brain surgeons (neurosurgeons), doctors with training in mental conditions (psychiatrists), pain specialists, specialized programming nurses and other specialists use an integrated team approach to treating people who have deep brain stimulation. Indian specialists have successfully used deep brain stimulation to treat hundreds of people who have essential tremor, Parkinson's disease and dystonia. Recently, doctors have used DBS to treat people who have cluster headaches, Tourette syndrome, epilepsy and chronic pain that hasn't responded to other treatment.

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DBS Therapy for Parkinson's control helps reduce
some of the symptoms of Parkinson's disease
DBS Therapy for Parkinson's control helps reduce some of the symptoms of Parkinson's
disease and is used in conjunction with medication. Electrical stimulation is delivered to
targeted areas on both sides of the brain to help relieve symptoms on both sides of the
body. You may be a candidate
for this therapy if your
symptoms respond to
levodopa, but levodopa andor
other medications have
become less effective or
ineffective.
The benefit of deep brain stimulation in controlling tremors and improving motor
function for those with Parkinson's disease appears to last at least 10 years, according to
a small new study. Parkinson’s disease is one of several conditions called motor system
disorders, which are caused by the loss of dopamine-producing brain cells. The main
symptoms of Parkinson's disease are tremors or trembling in hands, arms, legs, jaw and
face; rigidity or stiffness of the limbs and trunk; slowed movement; and impaired
balance and coordination.

2. As the disease progresses, patients can have difficulty
walking, talking or doing other simple tasks, In deep
brain stimulation, a surgeon implants a small device
called a neurostimulator under the skin near the
collar bone. The doctor then positions wires from the
device with electrodes on their ends in areas of the
brain that control motor function. The device works
by electrically stimulating these areas, blocking
abnormal nerve signals that cause the tremor in
Parkinson's disease patients.
"Deep brain stimulation is still effective in improving motor signs in advanced
Parkinson's disease patients 10 years after the surgery". However, this surgery does not
stop the slow progression of the disease over time, as documented by the progressive
loss of benefit that both deep brain stimulation and the drug levodopa show in
improving walking, balance and speech over the years, Parkinson's disease patients who
are considering deep brain stimulation surgery should always ask their doctor how long
the benefit lasts after surgery
Deep Brain Stimulation, Parkinson Surgery, Tremor, Dystonia,
OCD Treatment at World Best Hospital in India
DBS uses a surgically implanted medical device, similar to a
cardiac pacemaker, to deliver electrical stimulation to
precisely targeted areas within the brain. Stimulation of
these areas blocks the signals that cause the disabling
motor symptoms of Parkinson's disease. The electrical
stimulation can be noninvasively adjusted to maximize
treatment benefits. As a result, many individuals may
achieve greater control over their body movements.
DBS System consists of three implanted components :
 Lead – A lead consists of four thin coiled insulated
wires with four electrodes at the lead tip. The lead is
implanted in the brain.
 Extension – An extension connects to the lead and is
threaded under the skin from the head, down the neck and into the upper chest.
 Neurostimulator – The neurostimulator connects to the extension. This small,
sealed device, similar to a cardiac pacemaker, contains a battery and electronics. The
neurostimulator is usually implanted beneath the skin in the chest below the collarbone
(depending on the patient, a surgeon may implant the neurostimulator in the abdomen).

3. Sometimes called a "brain pacemaker," it produces the electrical pulses needed for
stimulation. These electrical pulses are delivered through the extension and lead to the
targeted areas in the brain. The pulses can be adjusted wirelessly to check or change the
neurostimulator settings.
After the Deep Brain Stimulation procedure
The doctor may advise few antibiotics to prevent infection. The patient may need to visit
the doctor several times after the surgery to adjust the stimulation with the help of
programming. The doctor may prescribe a detailed medication plan to the patient. The
patient should take some precautions after the surgery and follow the instructions given
by the doctors. He/she should take care of the incisions and the surgical region on the
head, by keeping it dry and covered. Heavy physical activities and lifting heavy weights
should be avoided for few weeks after the surgery. Regular follow-up with the treating
doctor should be done.
Deep Brain Stimulation Surgery Advantage:
 In this surgery we do not injure the brain so it is relatively risk free.
 Completely reversible and programmable
 Parkinson medications are reduced which results in improvement of drug related
side effects.
 There is improvement of quality of life in both off and on stage of the disease.
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