Deep brain stimulation surgery is the surgical treatment proposed to perform the implantation of the brain pacemaker medical device in the brain. The device is designed and developed to send the electrical impulses to some of the specific parts present in the brain. There are many therapeutic benefits found from the DBS procedures, for selected brain regions. So, it is a good and affective treatment for the Parkinson’s disease.
Doctors determine the condition of the candidate, through thorough examination. When the candidate is determined to have the Parkinson’s disease, deep brain stimulation treatment is proposed. Then the doctors will review the results that are possible from the surgery.
For Parkinson’s disease, deep brain stimulation is considered as a standard treatment. The symptoms of Parkinson’s are slowness, stiffness, tremor and the candidate becomes resistant to medication treatments. Medication works better, however the effect and relief lasts in just a few hours of time. When the deep brain stimulation procedure is conducted, the patient will get relief from the symptoms for 24 hours in a day. So, the overall quality of life will be improved for the patient.
Apart from the Parkinson’s disease, deep brain treatment also works well for the other clinical problems like essential tremor, dystonia and OCD or Obsessive Compulsive Disorder.
Deep Brain Stimulation Surgery
In the deep brain stimulation surgical procedure, a thin wire lead that has four electrodes or contacts are implanted at some specific area tips in the brian of the patient. After the electrodes are implanted inside the brain, these are connected to a pacemaker devicer through wires. The pacemaker device is also called as impulse generator or IPG.
Initially anesthesia is given to the scalp, before the procedure starts. So, the patient is awake while the surgery is performed and any of the side effects can be reported to the doctor, during the placement of the electrodes. The patient is able to talk to the doctors during the placement of the electrodes. The device is implanted under the chest skin and just below the collarbone. After the electrodes are placed at the right place, then general anesthesia is given to the patient. Then the patient is given general anesthesia. The patient will become unconscious and during this time, the doctor implants and places the generator in the chest skin. Then the guide wire is given from the guide to the brain.
The device will start operating, after it is activated. After it is activated, the device starts sending the electrical pulses continuously to the areas targeted in the brain. It further blocks the impulses that stand to be the cause of the tremors. The device can be turned on and off, through swiping over it, with a special magnet. Once the surgical procedure is completed, the surgeons will perform MRI to ensure the accurate placement of the device and its leads.
The total life of the battery of the device depends on the length of the usage and also its settings. Usually, the battery lasts for approximately five years, when it runs continuously for 16 hours a day. In case the battery has to be replaced by the surgeon and it takes less time and can be conducted on the basis of the outpatient procedure.
After the surgery, the patient will be able to get back to the normal activities, after many days.
Cost of Deep Brain Stimulation for Parkinsons Disease
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