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Deep Brain Stimulation (DBS) surgery

20 clinics

Overall rating by
verified patients

14 reviews
4.7
The overall rating of clinics where Deep Brain Stimulation (DBS) surgery can be performed, based on Bookimed patients experience.

DBS surgery cost

Country

Prices in ascending order

India $20,000-25,000
Israel $38,000-61,000
Spain 43,000-70,000
Turkey $47,850-61,200
Korea $56,000-65,000
Germany 65,000-70,000

Prices are updated for 30.10.2017

Teknon Hospital (Barcelona)
Overview
Description
Reviews
Doctors

Teknon Medical Center is equipped with the neuromate® stereotactic robot

The robot has 2D and 3D image registration and navigation providing the most accurate and least traumatic surgery performing in the world.

Teknon Medical Center has received over 10,000 neurological patients. It is one of the leading medical institutions working according to the international guidelines of Joint Commission International and quality standards of European Foundation for Quality Management.

Jakub
Dec 21, 2016

My 6-year old son was diagnosed with epilepsy. We couldn’t find an appropriate specialist in Czech Republic who could adequately assign medical treatment for 6 months. So, my wife and I decided to go ...

Bartolomé Oliver
Bartolomé Oliver

Neurosurgeon, neurologist

Experience : 36 years
J
Dec 21, 2016
5
«Very good»
The patient was treated of epilepsy

My 6-year old son was diagnosed with epilepsy. We couldn’t find an appropriate specialist in Czech Republic who could adequately assign medical treatment for 6 months. So, my wife and I decided to go for diagnostics and treatment abroad. To do this we turned to Bookimed company with a request to find and recommend us a specialized clinic that has a possibility to examine our child. Our coordinator Zeeshan Zaman offered several clinics. After a joint discussion we chose the Teknon Clinic in Barcelona and we’re totally satisfied with treatment! Antonio Russi consulted us and made all the tests. With prescribed medication my son doesn’t have any seizures at all.

S
Dec 21, 2016
5
«Very good»
The patient underwent childbirth

My husband often has business trips in Spain, and knowing how I‘m nervous about giving birth, he decided to find the best Spanish clinic for me. I’m very grateful, he chose the Teknon as a place for labor. Everything went well and without complications. In addition, the husband was allowed to be present at the birth himself, which was very supportive. I was well cared at all times and had everything that I needed. Thank you so much!

E
Dec 20, 2016
5
«Very good»

The first sensation of my arrival - I am very satisfied with the service. We were greeted, brought to the hospital and what was promised to us was all done. We have a phone and when we do not understand something, we call and our translator immediately comes. I like it very much. And we have raised the hope that doctors here can help us and I really believe in that. We have already made PET, MRI, blood tests and now passing the fourth day of video monitoring. We asked Bookimed to find a clinic that can help us, then we had all our data sent and we were offered Spain. They said it is one of the best clinics in general.

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Prices on deep brain stimulation (dbs) surgery

Rambam Medical Center
Israel, Haifa
Overview
Description
Doctors

The surgery at Rambam is provided by Professor with 30 years of Neurosurgery experience

Professor Zaaroor who was trained in the USA and Europe is a pioneer in innovative treatments for patients with essential tremor and Parkinson's.

Rambam Medical Center is an academical hospital, the second best hospital in Israel according to the Ministry of Health's National Quality Indicators Program of Israel. Rambam Medical Center receives and treats patients according to the international standards of JCI - medical safety and qualit...

Menashe Zaarour
Menashe Zaarour

Neurosurgeon

Experience : 30 years
Medical Center - University of Freiburg (Uniklinik Freiburg)
Overview
Description
Reviews
Doctors

The Department is recognized as European Training Center of Excellence

Making it a leader among research centers in Neurosurgery.

The Department of Neurosurgery has over 60 years of treating experience. The Department receives over 15,000 patients per year. The neurosurgeons at Freiburg provide over 3,000 surgeries annually. Freiburg Medical Center has a regular program of neurosurgery clinical trials.

Prior Deep...

Richard
United Kingdom
Jun 16, 2017

I was very impressed with the thoroughness of the treatment which I received in Germany. The fact that it did not lead to the treatment which I was hoping for was wholly related to the nature of my di...

Christian Winkler
Christian Winkler

Neurosurgeon

Experience : 20 years
R
United Kingdom
Jun 16, 2017
5
«Very good»
The patient was treated of prostate cancer

I was very impressed with the thoroughness of the treatment which I received in Germany. The fact that it did not lead to the treatment which I was hoping for was wholly related to the nature of my disease. As it was I gained some valuable insights into a fresh development in my disease which has been helpful back in the UK.

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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 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.

Medipol Mega Hastaneler Kompleksi
Overview
Description
Reviews
Doctors

Surgery is provided by Dr. Ali Zirh with experience of over 500 DBS

Dr. Zırh is a specialist in functional brain surgeries. He has provided over 1,000 successful interventions for Parkinson’s and other movement disorders treatment.

Medipol University Hospital is one of the leading Turkish medical institution assisting patients according to the international standards of JCI, responsible for safety of health care providing.

Anastasiia Borovyk
Canada
Jan 28, 2016

My close family relative was diagnosed with Acute Leukaemia a year ago at age of 26 and he needed a bone narrow transplant as the very last option to save his life. This procedure is not available ...

Ali Zırh
Ali Zırh

Neurosurgeon

Experience : 29 years
A
Canada
Jan 28, 2016
5
«Very good»
The patient was treated of acute lymphoblastic leukemia

My close family relative was diagnosed with Acute Leukaemia a year ago at age of 26 and he needed a bone narrow transplant as the very last option to save his life. This procedure is not available in Ukraine and we spent weeks searching for the most affordable clinics with a good reputation. On January 12th, a few minutes right after visiting the website I was reached by Aleksey Berkovets from Bookimed.
He was an extremely polite, helpful and very professional. I really liked that compare to other services he didn`t promote any specific clinic or country, he gave me an options to choose from.
After only one short week on January 20th Dmytro was landed in Istanbul to start his treatment in Medipol Clinic!!

Thank you for your constant support Aleksey! You are much appreciated!

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BLK Super Speciality Hospital
Overview
Description
Doctors

Center for Neurosciences at BLK is the Center of Excellence while its Functional Neurosurgery Unit is one of the largest in the country.

Rajiv Anand
Rajiv Anand

Neurosurgeon

Experience : 35 years
HM Hospitales
Spain, Madrid
Overview
Description
Reviews
Doctors

Top Spanish neurosurgeon works at HM Hospitals

The Head of the CINAC (Center of Neurosciences) neurologist Dr. José Ángel Obeso is recognized as the Doctor of the year by ABC Salud for his experience and achievements in neurological disorders treatment.

The price for DBS procedure includes the cost of stimulator and 7-10 days of hospitalization. The type and model of brain stimulator (pacemaker) is chosen by patient individually.

José Angel Obeso
José Angel Obeso

Professor, Neurologist

Experience : 40 years
O
Latvia
Dec 11, 2017
4
«Good»
The patient was treated of neuroblastoma

There are no comments for this review.

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Sourasky Medical Center
Israel, Tel Aviv
Overview
Description
Reviews
Doctors

The Department specialists provide over 1,000 surgeries per year. At Ichilov the DBS procedure is provided in 1 or 2 phases. The method of stimulation is defined by the team of doctors basing on the general condition of a patient.

1-stage procedure

Okwach
Kenya
Jun 14, 2017

So far am very pleased and encouraged by the reception and the consultation so far done. All the way from communication back and forth to guidance for invitation, VISA and payments Arrangement for tra...

Itzhak Fried
Itzhak Fried

Neurosurgeon

Experience : 32 years
O
Kenya
Jun 14, 2017
5
«Very good»
The patient was treated of sarcoma

So far am very pleased and encouraged by the reception and the consultation so far done. All the way from communication back and forth to guidance for invitation, VISA and payments Arrangement for travel was properly coordinated Arrival and hotel arrangement was properly coordinated . It was my first time in Israel but I felt welcomed and well Received. Hotel are good I have to see two more doctors and do other tests before Sunday and I can say they have treated me well, very friendly patient and understanding doctors nurses and support staff I thank God for them and for bookimed I will be able to give a detailed feedback after Sunday when I finish with the doctors and get my medication

A
Apr 21, 2017
5
«Very good»
The patient was treated of brain tumor

I worked with bookimed to explore options for brain tumor surgery in Turkey. In less than 24 hours after filling out the form online with basic information, received a call from bookimed specialist. It was very helpful that Ivan Koval spoke both Russian and English. Upon sending patient's scans, Ivan was able to give his feedback on urgency of the matter and relayed all of that in both languages. Within one day, we received responses from 2 clinics. With Ivan's help we were able to evaluate both bids as well as quality of facilities. It was very reassuring that Ivan knew the names of the specialists that I had already researched. Since the parents of the child insisted that I made at least one contact directly with the clinic, the delay of the direct response and the quality of the bid were very disconcerting. Direct contact with a clinic was done by the clinic's administrative staff who began making contacts with orthopedist and ophthalmologist (based on symptoms caused by the brain tumor!). Contrary to the parents' expectations, direct contact was not "more economic" but turned out to be too vague and still unclear if the correct department was ever consulted. Ivan's situation was very difficult as he had to deal with a family who made decisions based on the cost (no regard for quality) and word of the mouth (no differentiation as to which procedure was done). He was very patient and compassionate to the fate of the child. Ivan was able to relay to the child's parents diagnosis, bids, comparisons, and complexity of the procedure to be performed. It takes several hours per day and several days to coordinate the correct diagnosis based on scans and numerous phone calls between different time zones to coordinate quick and accurate response. I received updates and calls as soon as they came in which implies that Ivan worked 24/7 to make the best arrangements. While my initial contact was a shot in the dark, over the course of few days I began to appreciate the sense of confidence that comes from having a trained medical specialist to represent your interests when "shopping" for a brain surgeon. No amount of googling and online reviews can substitute opinion from a trained medic in dealing with various clinics. At the end of the day, I feel that having Ivan to oversee the process from admission to the RIGHT clinic to take care of the RIGHT procedure (brain and not foot) all the way to discharge is a solid form of medical insurance.

J
Jan 23, 2017
5
«Very good»

Hope and faith work miracles. If you have hope and opportunity, you have to use it undoubtedly. And the first decision that springs to mind is the sole right. Everything was performed qualitatively, people are responsive. I want to say thank you to Sofia (Coordinator of International Patients Support), who helped us to make a right and sole choice. She provided us with all pros and cons, helped to make a right decision.

Н
Russian Federation
Oct 27, 2017
4
«Good»
The patient was treated of larynx cancer

There are no comments for this review.

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Alfried Krupp Krankenhaus
Germany, Essen
Overview
Description
Doctors

Surgery is provided by top neurologist in Germany

Prof. Peter Berlit is awarded by Focus Magazine as one of the leading specialists in neurological disorders treatment.

Comprehensive preliminary examination prior DBS includes laboratory tests, histology, physical therapy, speech therapy, and other procedures if required.

Peter Berlit
Peter Berlit

Neuropathologist

Experience : 30 years
Gachon University Gil  Medical Center
Republic of Korea, Incheon
Description
Apollo Hospitals
India, Delhi
Overview
Description
Reviews
Doctors

Apollo is the first hospital in India where DBS was provided. Institute of Neurosciences Expertise is the Center of Excellence at Apollo. Neurosurgeries have been provided here since 1960.

Mridula
Oct 16, 2015

I took psychiatric consultation from Dr Achal Bhagat. Had a miserable experience. He asked me to visit his Clinic in Safdurjung for counselling. He put me on to a trainee who was pathetic and would j...

Mangaleswaran Balamurugan
Mangaleswaran Balamurugan

Neurosurgeon

Experience : 19 years
M
Oct 16, 2015
4
«Good»

I took psychiatric consultation from Dr Achal Bhagat. Had a miserable experience. He asked me to visit his Clinic in Safdurjung for counselling. He put me on to a trainee who was pathetic and would just sit there humiliating me. When I shared my concern with him, he abused me and said that I need 40 more therapy sessions. He put me onto anti depressant when I didn't even need it and this medicine completely messed up my system. It's really sad that a hospital like Appolo has such doctors. We would never visit this hospital.

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O
Dec 11, 2017
4
«Good»
HM Hospitales
HM Hospitales
The patient was treated of neuroblastoma

There are no comments for this review.

A
Amir
Iran
Nov 28, 2017
3
«I didn't like it»
Gesundheit Nord Bremen (Nord Klinik Allianz)
Gesundheit Nord Bremen (Nord Klinik Allianz)
The patient was treated of breast cancer

There are no comments for this review.

A
Alexander
United States
Nov 28, 2017
4
«Good»
Städtisches Klinikum Solingen
Städtisches Klinikum Solingen
The patient was treated of lymphoma

There are no comments for this review.

Н
Наталья
Russian Federation
Oct 27, 2017
4
«Good»
Sourasky Medical Center
Sourasky Medical Center
The patient was treated of larynx cancer

There are no comments for this review.

M
Muhamed
Bosnia and Herzegovina
Oct 20, 2017
5
«Very good»
Vienna General Hospital (AKH)
Vienna General Hospital (AKH)
Underwent the procedure of heart surgery