Deep Brain Stimulation Treatment in India

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Deep Brain StimulationTreatment at World's Best
Hospital in India
Deep Brain Stimulation (DBS) is a treatment for
selected patient suffering from Parkinsons
disease dystonia and most forms of tremors.
Recently, the use of DBS therapy has been
extended for the treatment of intractable
epilepsy, refractory Obsessive compulsive
disorders, depression and Progressive
supranuclear palsies. DBS consist of
implantation of very thin DBS Lead which contains
four electrode contacts into the target area in
the brain. The lead extends through a small
opening in the skull and is connected to the
extension that is then connected to an impulse
generator or pacemaker which is implanted under
the skin over the chest. The entire system is
implanted beneath the skin. DBS exerts its
therapeutic effect by delivering electrical
impulses to the target region.

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Types of Deep Brain Stimulation Therapy

• Subthalamic DBS is most effective in terms of
  the range of symptoms that respond and the
  ability of patients to reduce medication.
  Subthalamic DBS is effective for gait and balance
  problems. Problems associated with subthalamic
  DBS include diplopia (double vision), nausea and
  dizziness, paresthesias (tingling skin) and
  muscle contraction
• Globus pallidus DBS is effective for many of the
  symptoms of Parkinson's disease, with the
  possible exception of gait and balance. It is
  especially effective at suppressing dyskinesia
  (involuntary movements or tics) as occur in
  dystonia, Tourettes syndrome and as a
  consequence of medication therapy for Parkinsons
  disease.
• Thalamic DBS is limited in use because it is only
  effective for patients exhibiting tremors and
  possibly rigidity. Thalamic DBS also poses higher
  risks of voice, speech and swallowing
  complications. 
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Advantages of Deep Brain Stimulation
Therapy
Deep brain stimulation therapy offers a number
of advantages. The electrical stimulation is
adjustable, whereas surgical destruction is not.
As the patient's response to surgery changes over
time, the stimulation can be adjusted without the
necessity of repeat operation. Another
significant advantage of deep brain stimulation
therapy relates to future treatments. Destructive
surgery, such as thalamotomy or pallidotomy, may
reduce the patient's potential to benefit from
future therapies. For example, future brain cell
transplantation may be of great help to patients
with Parkinson's disease. There is concern that a
pallidotomy or thalamotomy may prevent patients
from benefiting from brain cell transplantation.
This would not be the case with deep brain
stimulation as the stimulator could be turned
off. Studies show that in 65-85 of the people
who have been implanted with the Deep Brain
Stimulation system, the treatment has
significantly reduced, if not eliminated, their
tremor.

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Deep Brain Stimulation Therapy in India

• DBS therapy has become a much known
  therapy to mitigate movement related disorders
  but can have serious repercussions if not
  delivered by an experienced, knowledgeable and
  skilled specialist. In India most of the
  surgeons, doctors and health care professionals
  are internationally trained. These professionals
  have handled multiple cases related to Deep Brain
  Stimulation Therapy.
• There are millions of people who travel each
  year to India for different types of medical and
  surgical procedures. They seek medical and
  surgical treatment in India as these facilities
  are either very expensive or unavailable in their
  own country especially an advanced brain
  stimulation therapy like DBS. Indian hospitals
  have become highly popular for their
  state-of-the-art amenities and sophisticated
  infrastructure. There are many hotels of
  international standards that make accommodation
  easy for those who seek medical and surgical
  treatment in India.

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