How much does deep brain stimulation cost?

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Deep brain stimulation (DBS) is a complicated surgery aimed at treatment of neurological disorders as Parkinson’s disease, essential tremor, dystonia, epilepsy. Find out more about:

Bookimed cooperates only with experienced surgeons who perform DBS in the best world hospitals. We do our best to choose the most suitable medical solution for you without additional fees. You may read more about our mission here.

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The patient underwent deep brain stimulation (dbs) surgery

Good afternoon! The level is high! Medicine yakisna! The doctor is competent! Wow live in the wards super! Coordinator bookimed helped with everything! Post on the link! Vagal neochovano prizno zdivovanі usіm. In the first dvіnka to prilotu dodomu. Everything went beskoshtovno: tickets, transfer, transport there, cross-over, accommodation and food. They paid tilki for consulting a doctor and a procedure for an MRI and analytics and so on. Dyakuyu usіm hto byv zad_yany! Thank you !!!!!!!

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The patient underwent deep brain stimulation (dbs) surgery

Thank you anton volvak you made every things easy for us thank you .

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What is Deep Brain Stimulation?

Deep Brain Stimulation (DBS) is neurosurgical procedure aimed at fast and effective treatment of neurological disordersas:
  • Parkinson’s disease
  • essential tremor
  • dystonia
  • epilepsy
  • obsessive-compulsive disorder
  • Tourette syndrome
  • depression.

Nowadays the DBS procedure is the most efficient treatment method for Parkinson’s disease.

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.
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.

Deep Brain Stimulation system

Electrodes and brain pacemaker connection scheme

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

Deep Brain Stimulation FDA approval

Deep Brain Stimulation surgery is approved by American Food and Drug Administration (FDA)*:

  • in 1997 - for Parkinson's disease and essential tremor treatment
  • in 2003 - for dystonia treatment
  • in 2009 - for OCD
  • in 2016 - for the earlier stages of Parkinson's
  • in 2016 - for dystonia in pediatric patients.

*FDA responses for protecting public health and ensures the principles of safety and security of medical devices, drugs and products.

DBS success rate

Deep Brain Stimulation success rate, risks

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 procedure

Before DBS operation providing, a patient should undergo the following diagnostics:

  • examination by neurologist/neurosurgeon;
  • complete blood count;
  • ECG;
  • electromyography;
  • EEG;
  • MRI.

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 DBS operation

Deep Brain Stimulation surgery 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.

Stage 1. At the time of the operation a patient is under local anaesthesia, but remains awake. This is a mandatory requirement, as far as he/she is asked to move the extremities, fingers, eyes, or to say anything - to check and make sure electrodes do not stimulate off-target brain areas. All the impulses - firstly from the brain into the recorded device, and then vice versa - are transferred as structural information into the monitor. Data are processed in real time, which helps to adjust the device simultaneously. The orifice is closed with lead, surgery area is stitched.

Stage 2. After the electrodes adjustment, the temporary device is changed into constant brain stimulator.

DBS movement

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.

Patient after DBS

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 stimulator

Brain pacemaker is a small and sealed device containing a battery and electronics. It is placed into the patient’s chest or the abdomen. Its size is not bigger than heart pacemaker. DBS battery in general lasts 3-5 years. However, the service life depends on the settings and may be 1.5 and 9 years as well.

The deep brain stimulator can be rechargeable and non-rechargeable. This characteristic of DBS battery affects brain pacemaker cost and deep brain stimulation surgery cost correspondingly.

A treating doctor will turn on the pacemaker with a wireless device (clinician programmer) and set up the programming sessions individual for the patient's symptoms relieving with minimum side effects. The procedure of setting can take a couple of hours.

Additional facts on brain pacemaker:

  • DBS stimulator activates the metal detector at the airport. All you need to do - show your card about the brain stimulator.
  • A person can have simultaneously neurostimulator and a cardiac pacemaker.
  • Neurostimulator should be on at any time, even when a patient goes to sleep.

DBS surgery cost

Country

Prices in ascending order

India $16,000-32,000
Turkey $35,000-61,200
Israel $38,000-61,000
Spain 43,000-70,000
Korea $56,000-65,000
Germany 65,000-70,000

Prices are updated for 23.06.2018

DBS side effects

  • Problems with speech or vision
  • Bad coordination
  • Difficulty with coordination
  • Headache
  • Disorientation
  • Problems with hardware
  • Unwanted mood depression
  • Sence of shocking.

All these side effects are short-term.

Deep Brain Stimulation reviews

I made the decision of DBS providing by myself. My family gave me a support. The scariest thing for me was to become bedridden for the rest of my life. The surgery lasted for 7 hours and I remember everything, especially when they said they found the spot and everything would be great.

I married last year, now I have a child. It gave a second chance at life.

Jeff, the patient with dystonia from the USA

I first found out my tremor in the gym. I was shocked as I was so young. I woke up one day and realized I couldn't do it any more. The disease takes from you little by little who you are. I got tired very easily, I became slower. The doses of medications became higher and higher. I couldn't drive any more. And it became worse with time. DBS therapy changed me. It's unbelievable experience.
Thank God I live in a time for this kind of technology.

Kasandra, the patient with Parkinson’s disease from Italy

Deep Brain Stimulation - FAQs

  • 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 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 medication taking). More than 70% of people feel a compelling improvement of tremor, movement slowness, rigidity, walking and balance problems as well.

  • What to do if battery of a deep brain stimulator runs out?

Neurostimulator is replaced surgically, leads and extensions of the system are stayed in place.

  • Do I need DBS operation on one side or both sides of the brain?

Deep Brain Surgery operation on one side is required to help symptoms on the opposite side of the body. Deep Brain Surgery procedure on two sides is recommended to provide improvement in motor function, especially if a patient has significant symptoms on both sides of the body.
In many clinics doctors firstly implant DBS lead on one side, adjust the setting and in a follow-up measure whether a patient needs a second DBS lead or not.

  • Do I need to take medications after DBS procedure?

DBS reduces total medication dose by 30-50% and spread the intervals, but does not substitute medication therapy.

  • Can DBS not work?

This option is possible and can happen because of improper patient selection, problems during the surgery, problems with the programming, disease progression. To avoid unnecessary risks, it's important to choose a center with experienced in DBS providing team.

TED Talk on DBS procedure

DBS research

For the mid 2017 Deep Brain Stimulation procedure has been a subject of various studies in terms of using the procedure to treat other diseases and mental conditions.

DBS operation has been considering as a method for Alzheimer's patients. Early studies have shown positive results, still some ethical issues remain. Research team of University of Pennsylvania School of Medicine is working on the solutions.

In American National Institute of Neurological Disease and Stroke and Institute of Mental Health the scientists have been investigating nonivasive DBS method - placing the electrodes on the scalp and not in the brain. The method was tested on mice and has been expecting a new stage of the study.

How much does deep brain stimulation (dbs) surgery cost ?

Doctors calculate the cost of the deep brain stimulation (dbs) surgery individually for each patient. The price may depend on the hospital's reputation and doctor's experience. You may get the final deep brain stimulation (dbs) surgery cost only after the consultation with a doctor.

29 clinics are represented in the ranking. According to their data, the approximate deep brain stimulation (dbs) surgery cost is:

  • The average cost is $43200. The lowest price is $16000 and the highest — $100000.
Top choice The hospital is in high demand among our patients
India, Mumbai

Global Hospital Mumbai

Deep brain stimulation (DBS) surgery
From
$22300
Global Hospital Mumbai is a private multidisciplinary clinic in India. The hospital is a part of Gleneagles Global Hospitals Group
Deep brain stimulation (DBS) surgery
From
$22300
Contact the hospital
Top choice The hospital is in high demand among our patients
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Oleg Apr 22, 2019
The patient was treated of coxarthrosis

Клиника на ул. Малвазинки была выбрана потому что: 1. Клиника специализируется именно на операциях по замене тазобедренных и коленных суставов; 2. Здесь предлагалось провести операцию малоинвазивным способом, т.е. разрез не более 10-12 см. Небольшой разрез – гарантировал максимальное сохранение тканей мышц и быстрое восстановление после операции; 3. Клиника предоставляет услуги не только по операции, но и по последующей реабилитации; 4. Предложение по стоимости было наиболее оптимальным по сравнению с предложениями других клиник. После принятия решения, началась переписка с организаторами медицинского тура. Надо отдать должное сотрудниками по связи с иностранными клиентами, они профессионально и оперативно отвечали на все вопросы, подготовили приглашение, встретили и проводили, организовали: трансфер из аэропорта и в аэропорт из клиники, сопровождение переводчиками на протяжении всего срока пребывания в клинике. Всё было сделано на высшем уровне, за что я им очень признателен! Операцию проводил доктор В. Господар. Всё прошло штатно, как и было запланировано. Разрез в районе 12 см. Однако на следующий день после операции появилась сильная боль в продольной мышце вдоль позвоночника под лопаткой с левой стороны. Она меня мучила даже больше, чем должен был беспокоить разрез. Позднее мне несколько ослабили эту боль с помощью массажа и электро-процедур, но боль всё равно давала о себе знать. Реабилитация проводилась под руководством физиотерапевтов, я посещал групповые занятия и старался больше ходить, однако после снятия швов обнаружилась гематома и, как результат, пришлось выдержать ещё одно оперативное вмешательство по её удалению. После второй операции прекратились боли под лопаткой. Правда, восстанавливаться пришлось заново, и продлить реабилитацию на одну дополнительную неделю. Медицинский персонал клиники был очень приветлив и внимателен, что позволило мне чувствовать себя не как в клинике, а просто как в гостях у добрых, давно знакомых людей. Хочу ещё раз выразить свою благодарность: - медицинскому персоналу (сестричкам и мед. братьям, всем); - физиотерапевтам, особенно Martin Kazemir – он заново научил меня двигать ногой в тазобедренном суставе, а не всем тазом; - переводчикам (Айгерим (Айя), Марии и ещё Марии); - ортопеду Сергею Рыжову; - докторам В. Господару и Томашу Виммеру; - организаторам, без которых я так бы и продолжал хромать, Ольге Скатковой и Ирине Корчминской.

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Hamzat Apr 22, 2019
The patient was treated of azoospermia

Very good Clinic, especially Professor Dr. Birol Virol and coordinator doctor in the Russian region Gulshat Ataeva. Very clear explanation for the diagnosis. Good kind approach to the patient. The professor is very experienced. Inspires confidence.

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Helen Apr 20, 2019
The patient was treated of osteoarthritis

I had tests and a consultation at the clinic but was unable to have the treatment I wanted at this time. I will be returning to the clinic in a few weeks. The people I met were really helpful, spoke perfect English and looked after me very well.

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Alena Apr 20, 2019
The patient was treated of epilepsy

Many thanks to the company bookimed for the opportunity to get expert advice from Dr. Russi. We received a lot of answers to our questions, and by the very beginning - we have hope !!! We are going to fly to the clinic for examination. It would seem that someone else's camp and how to get there? But the well-coordinated team bookimed supports in everything !!! Separate boagolar Daria for helping to buy tickets and hotel reservations, Katerina for advice and support, Alena for being in touch and for answering numerous questions !!! Thanks to you you feel not alone in your problem !! Health to you all !!!

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Sergei Apr 19, 2019
The patient underwent hair transplant

First of all, thanks to my coordinating doctor Maxim. Thanks to him, I came to this clinic. Everything went at the highest level. We met at the Airport, settled into the Hotel (excellent room), which is located 20 meters from the Clinic itself + everything was included tomorrow with a buffet that is located in the restaurant of the Hotel. The operation was easy and painless. The staff at the clinic is very attentive and caring. Upon completion, they were taken to the airport. I want to express my gratitude:  Doctor Cagatay Cebeci - was in touch with me 24/7 as well as in addition to the clinic, both on professional issues and on personal help.  Madame Safiye - conducted an inspection and came to check how the operation was going.  Secil and Sibel are professionals in their field, it was they who performed the hair transplant surgery, everything went quickly and easily. Two charismatic girls.  Thanks to all the staff, everyone was interested in how I was doing and whether everything looked fine with my hair. The driver made sure that I carefully sat down and got out of the car.

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