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Parkinson's Disease (PD), also called Shaking Palsy, is the second most prevalent neurodegenerative disorder. Among all the neurological illnesses, PD has shown the fastest increase in prevalence and impairment over the past few years, making it one of the main causes of disability globally. Its prevalence expanded hugely by 21.7% from the year 1990 to 2016.
With a high degree of expertise and understanding in the discipline of Neurosurgery, India is home to about 1800 Neurosurgeons. Various national institutions, including All India Institute of Medical Sciences (AIIMS), National Institute of Mental Health and Neurosciences (NIMHANS), and Postgraduate Institute of Medical Education and Research have exemplary infrastructure and training programmes.
Moreover, multiple state-of-the-art corporate hospitals with extensive infrastructure and indisputable reputation reflect a huge potential of India to provide high end brain treatments like Deep Brain Stimulation for Parkinson's disease. Therefore, it is becoming easier every year to get the best doctor for deep brain stimulation and the best hospital for deep brain stimulation in India.
Parkinson’s Disease (PD) is a degenerative condition of the brain that causes a variety of non-motor complications, including cognitive impairment, mental health disorders, sleep disorders, pain, and other sensory disturbances, as well as motor symptoms like slow movement, tremor, rigidity, walking, and imbalance.
Speech and mobility difficulties, as well as limitations in many facets of daily living, are caused by motor disorders such as dyskinesias (uncontrollable movements) and dystonias (painful uncontrollable muscular contractions). During the course of the illness, dementia (impairment of memory and thinking abilities) strikes a large number of PD patients.
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In today’s scenario, the need for cutting-edge techniques for managing Parkinson's disease is growing. Medicines may aid in managing walking, moving, and easing tremor issues in early stages. However, these treatments increase the requirement for frequent administration to avoid the recurrence of symptoms with the disease progression.
In these instances, the revolutionary Deep Brain Stimulation (DBS), which has recently gained FDA approval, emerges as a pioneering therapeutic alternative for those who are experiencing medication-related complications, advanced Parkinson's symptoms, and a disease process prevailing for at least 4 years.
One of the most significant developments in clinical therapeutics for brain disorders over the past 20 years is the use of deep brain stimulation. DBS can directly measure abnormal brain activity and apply adjustable stimulation for therapeutic impact in brain and behavioural diseases associated with faulty brain circuitry.
You will need to visit the team of brain specialists during your initial evaluation. The procedures included in evaluation appointment are:
The team including neurosurgeons, neurologists, neuropsychologists, movement disorders specialist, and a DBS program coordinator meets you to review your condition and any potential risk factors associated with the treatment. The neurosurgeon will discuss the surgical possibilities, risks, and response to the treatment if DBS surgery is the best option for you.
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DBS, a surgical technique, entails the placement of programmable electrodes in specific deep brain regions (subthalamic nucleus or the globus pallidus internus). A tunnelled extension cable connects these electrodes to a pulse generator that is normally inserted below the collar bone skin. A computer controls the pulse generator, which ultimately instructs the electrodes to fire impulses to the targeted brain area and modulate brain activity tailored to the patient's needs.
Numerous studies have also demonstrated that this therapeutic procedure provides long-lasting symptom relief even five- or ten-years following surgery. However, current scientific research shows that this procedure is generally safe and is linked to a low and maybe non-existent side effect profile. So, in the treatment of Parkinson's disease (the first being medicinal therapy), deep brain stimulation is "the second honeymoon" for the sufferers. However, it can be accompanied by following adverse effects in few cases:
Patients who have had Deep Brain Stimulation (DBS) surgery must follow precise post-operative recommendations to support optimal healing and the best potential outcomes. These instructions may vary significantly depending on specific circumstances and the advice of the medical team, but here are some broad guidelines:
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The days and weeks following DBS surgery for Parkinson's disease are unique to each patient. However, keep the following in mind:
The success rate of deep brain stimulation for Parkinson's disease is determined by a variety of distinct criteria. According to best specialists in India, the risk associated with DBS surgery is less than 5%. The most essential aspect is its ability to treat symptoms such as tremors.
In a 2019 study, researchers followed over 200 people who had this surgical intervention for almost ten years. It was found that around 75% of participants believed the surgery helped them control their symptoms.
While the operation is normally considered after roughly 4 years of diagnosis, certain studies have looked at its benefit when performed sooner. A modest 2020 study assessed the procedure's efficacy between 6 months and 4 years after diagnosis. Deep brain stimulation helped lessen the need for drugs, according to researchers who followed patients for 5 years. This suggests it was helpful at treating symptoms.
The ability of deep brain stimulation to improve survival is another component in the success rate. This is significant since severe Parkinson's symptoms can lead to fractures that necessitate hospitalisation, pneumonia, and death. A 2014 study found a significant improvement in survival in nearly 100 persons with severe Parkinson's disease.
The cost of Deep Brain Stimulation significantly depends upon the patient's health status, patient requirements, hospital choice, and the availability of treatment options. This procedure can cost roughly between Rs.7 lakhs to Rs. 15 lakhs in India which is fairly economical when compared to treatment costs in developed countries.
However, the following information can provide you with a broader view of its cost and expense:
Approximate cost of Deep Brain Stimulation ($)
Surgery & Hospitalization
$ 10000-$ 15000
Expense on Neuro Specialists
$ 1203.18-$ 2406.35
Rough total expense
The cost of diagnostics for Deep Brain Stimulation may include various preoperative evaluations and tests that are typically conducted before the surgical procedure. It mainly requires an MRI and CT scan of the brain.
Brain MRI scans might cost between 12,000-15,000 rupees and Brain CT scan might cost you between 5000-7000 rupees in India. However, the cost of these scans is determined by the scan type and machine quality (1.5 or 3 Tesla). Therefore, the total diagnostic expenses (including facility fees, specialists’ fees, and diagnostic tests) will be roughly around 50,000 INR.
The price of a diagnostics for this procedure varies significantly depending on the following factors:
The common drivers of overall cost of Deep Brain Stimulation are due to the following factors:
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