Selection of clinics in 25 countries!

Deep Brain Stimulation (DBS) surgery

What is Deep Brain Stimulation?

Deep Brain Stimulation (DBS) is neurosurgical procedure aimed at fast and effective treatment of neurological disorders as:

Nowadays the DBS procedure is the most efficient treatment method for Parkinson’s disease. Moreover, in 2016, DBS surgery was approved for its earlier stages.

DBS system consists of three leading components: the leading wire (electrode), extender and brain stimulator. All the components, anesthesia, blood products, and other consumables are included into the Deep Brain Stimulation procedure cost.


You may compare the prices in the best clinics in the world, providing DBS here.

Thin electrodes are inserted into the brain through small orifice with following deep structures stimulation by means of brain stimulator. The device is fixed under the skin in the chest area. The electrodes are connected to the stimulator by extension cord, which is held under the skin.

Electrodes and brain pacemaker connection scheme

Clinics specialized in neurosurgery and Deep Brain Stimulation provide the operation with 100% accuracy and effectiveness.

Indications and contraindications for DBS surgery

Indications for DBS procedure (on the example of Parkinson’s disease):

  • Medications are non-effective;
  • Severe tremor and motor disturbance;
  • Painful dystonia;
  • Allergy or strong side effects after administration of medications.

There are no severe contraindications for DBS providing, however some relative ones could make the surgery or preparation for surgery more difficult, including:

  • patient is older than 75;
  • simultaneous thermoradiotherapy;
  • immunological suppression;
  • brain atrophy;
  • some psychological disorders, mental disability.

Preparation for DBS surgery

Before Deep Brain Stimulation providing, a patient should undergo the following diagnostics:

During the examination, the doctor clarifies whether  patient has any allergic reaction on medications and anesthesia.

  • In the week leading up to the surgery, a patient is forbidden to take any anti-inflammatory agents.
  • Moreover, a patient is forbidden to smoke and take alcohol 1 week to and 2 weeks after the surgery, as this could cause bleeding. It’s also prohibited to eat and take any medications right before the surgery.
  • Patients should come to the hospital 2 hours before the surgery to finish with all written arrangements and be briefed on anesthesia effect and possible risks.

Process of the Deep Brain Stimulation surgery

Deep Brain Stimulation for Parkinson’s takes from 5 to 7 hours.

The operation is carried out by the team of at least 5 specialists: neurosurgeon, anesthesiologist, radiation therapist, neurologist, psychiatrist, who control functional abilities of the brain for maximum accurate impact on the zone of stimulation.


DBSmovement

When a patient is moving his hand, the doctor is adjusting the brain stimulator parameters

During DBS surgery the brain feels no pain, so a patient doesn’t feel any discomfort.

What happens after the surgery?

Patient feels the improvement in first hours after the surgery performing. The trembling in extremities disappears, movement coordination and speech articulation are renewed. Few days after the surgery sleeping and general health condition become better, pain is gone.

dbspatient

After the DBS surgery a patient with Parkinson’s disease is easily repeating the moves of the neurologist.

Patient stays in the hospital for a week to adjust all the settings of the temporary device, afterwards the constant device is put into the chest or the abdomen of a patient.

Every 3 weeks after the procedure a patient is recommended to appoint neurologist to check the settings of the brain stimulator. 3-4 visits are required in general.

After the final neurostimulator programming, patient can control the parameters by him/herself, choosing the pre-installed regimes. As a rule, brain stimulator works 24h. There are different types of the neurostimulator devices: with battery and accumulator. Accumulator charge is 12-14 days, the total charge cycle is 1-2h.

Cell phones, beepers, microwave ovens, electromagnetic sensors do not affect brain stimulator.

Deep Brain Stimulation - FAQ

  • Does DBS mean craniotomy?

No, all the manipulations are made through small orifices (the size of the orifice depends on the neurostimulator device, qualification and experience of neurosurgeon).

  • Is the surgery provided under local or general anesthesia?

The first stage - electrodes insertion - of the surgery is provided under local anesthesia. The second - constant stimulator putting is performed under general anesthesia.

  • What complications could appear during and after the surgery?

There are some possible complication that could arise during and after the Deep Brain Stimulation procedure: brain hemorrhage, infection, reaction to anesthesia. However, these conditions are rare and make out less than 1%.

  • What are the Deep Brain Stimulation side effects?

Deep Brain Stimulation have very few side effects (headache, disorientation, problems with hardware, unwanted mood depression).

  • What is the prognosis after DBS?

Most of the patients still need to take medications after DBS procedure, however in much smaller quantity which significantly lowers the medication side effects (incl. dyskinesis - notwilled movement, caused by longstanding levadopa taking). More than 70% of people feel a compelling improvement of tremor, movement slowness, rigidity, walking and balance problems as well.

  • Is MRI necessary before the procedure? If I have heart pacemaker and can’t make MRI?

MRI is the most informative diagnostics method prior to DBS. If it is impossible to provide it, a patient makes computer tomography or DaTscan.

You`ve seen
Now other looking
  • 256 clinics for treatment
  • 80% clinics of Israel, Germany, USA
  • Book airline tickets and clinics
  • 100% truthful comments
  • 844 bookings of clinics per month
Alina 782 days, 4 h., 47 min. ago
«When I was pregnant I was told that I couldn’t go without craniotomy. It is when the fetal head can not pass through the birth canal and may be...»
Operative communication
Enter the time convenient for you:
Wait for the call from your coordinator.
Call will be free for you.
Close
Operative communication
Thanks for request!
Our manager will call you at chosen time.
Close