Deep Brain Stimulation for Parkinson’s Diesase and Movement Disorders

What is Deep Brain Stimulation?

Deep Brain Stimulation (DBS) is like a pacemaker for the brain. It sends electrical signals to the brain. It is primarily used for patients who have Parkinson’s diseasedystonia, or essential tremor (ET) who can’t control their disease with medication.

For those with Parkinson’s, DBS can reduce tremors and significantly improve slowness and stiffness; and make tremors disappear for those with ET. DBS can help relax muscles and improve abnormal postures caused by muscle contractions for those with dystonia. Eventually, DBS helps to increase quality of life.

Am i a good candidate for deep brain stimulation (DBS)?

Any patient with a movement disorder such as Parkinson’s disease, essential tremor, dystonia, torticollis, spasmodic torticollis, Tourette’s syndrome, other involuntary movements and tremor should consult with a movement disorders neurologist. Often, the movement disorders neurologist can recommend changes in medications that may reduce the need for DBS surgery. Before any patient is considered for DBS surgery, they are evaluated by multidisciplinary team, which has experience in DBS. The team includes a neurosurgeon, neurologist to discuss your expectations and concerns.

Is deep brain stimulation (DBS) approved by the Food and Drug Administration?

 Yes, DBS has Food and Drug Administration (FDA) approval.

 Does DBS prevent a person from using future treatments or cures that may come along?

No, DBS will not reduce future therapy options. DBS therapy is reversible and the system can be removed.

How effective is DBS therapy?

85–89% of people with Parkinson’s have clinically meaningful and significant improvement with DBS.

DBS therapy extends the control you already get from your medication for movement symptoms of Parkinson’s disease. It’s very important to mention that the success of  DBS depends on:

  • Good candidate selection for DBS therapy. DBS is not for everybody!
  • Good surgical placement of the DBS electrodes

Will I feel the stimulation?

Many people with a DBS system will not feel the stimulation at all. Some people may feel a brief tingling sensation when the stimulation is first turned on. If the stimulation changes or becomes uncomfortable, the doctor should be contacted immediately.

Will the neurostimulator be visible?

Depending on a person’s body build, the neurostimulator may be noticeable as a small bulge under the skin. However, the therapy is fully implantable and generally not visible, giving patients greater freedom compared with drug delivery therapies.

Is DBS therapy permanent?

No. DBS therapy is adjustable, so that the stimulation can be changed over time to maintain control over a patient’s symptoms. The system can also be turned off or removed if necessary.

Will I be able to increase or decrease the strength of stimulation?

In most cases, only the doctor can change the strength of stimulation. Depending on the system and a patient’s therapy needs, the doctor may prescribe a handheld patient programmer that allows a patient to choose from a range of stimulation settings that the doctor has preprogrammed.

Is it safe to have medical tests with a DBS system implanted?

Consult your doctor before engaging in any medical treatment or diagnostic tests, including MRI scan, mammogram, electrocauterisation and heart defibrillation. Diathermy (deep heat treatment) should never be used with an implanted DBS system.

Can stimulation be used during pregnancy?

DBS improves motor and behavioural disorders in all patients and allows reduction in, or even total interruption of, disease-specific medication during pregnancy.

Why should we choose Turkey to have dbs operation?

Because Turkey has relatively price advantage with high experienced physicians with best product brands which also other countries have. The doctor has a lot of experience in dbs and products can be supplied much more appropriate price in Turkey.