Deep Brain Stimulation (DBS) is a neurosurgical procedure that involves implanting electrodes in targeted areas of the brain, often within a millimetre or less from the optimal location, to deliver electrical impulses. These impulses help regulate brain cell activity, making DBS an effective treatment for managing the symptoms of Parkinson’s disease, such as essential tremor, dystonia, and other complex movement disorders and affective syndromes.
While traditional DBS surgery has long been a reliable approach, Asleep DBS surgery offers significant advancements, particularly in patient comfort and procedural precision. Asleep DBS surgery is a type of DBS procedure performed when the patient is asleep, under general anaesthesia.
Apollo Hospitals, Jubilee Hills, stands as the only centre offering Asleep DBS using advanced intraoperative imaging techniques such as highly detailed intraoperative magnetic resonance imaging (iMRI) and intraoperative computed tomography (iCT). This state-of-the-art approach redefines treatment for neurological disorders with exceptional patient outcomes. Unlike traditional DBS, this innovative procedure allows patients to remain asleep during the surgery, enhancing comfort and reducing stress while maintaining unparalleled accuracy.
Benefits of Asleep DBS over Traditional DBS Surgery
Expert Evaluation for Asleep Deep Brain Stimulation (DBS) Surgery
At our Parkinson’s facility, we adhere to the most rigorous protocols to ensure that only the right candidates are selected for Asleep Deep Brain Stimulation (DBS). A multidisciplinary team of specialists carefully evaluates your case to determine your eligibility, and approval for the surgery is only granted if you meet the criteria.
Asleep DBS Approval Process
The approval process typically involves several key steps:
You will be considered a candidate for Asleep DBS only after completing these four steps. Despite its effectiveness in reducing Parkinson’s disease symptoms, Asleep DBS is not suitable for all patients.
Before Asleep DBS Surgery
Once your case is thoroughly reviewed and any concerns addressed, the approval for Asleep DBS is finalised. To ensure precision, before the surgery, an advanced MRI or CT scan will be done to locate the areas of your brain where the electrodes should be implanted. This step is essential to minimise any procedural complications.
During Asleep DBS Surgery
Asleep DBS surgery involves general anaesthesia for a comfortable, stress-free procedure. The head is secured using a stereotactic frame, ensuring precise electrode placement through a small hole in the skull. The electrodes regulate nerve cells and neurotransmitters like dopamine. They are connected to an extension wire tunnelled to the chest, where a pulse generator (a pacemaker-like device) is implanted for stimulation adjustments. Imaging confirms electrode placement before closing the surgical sites. This technique offers enhanced precision, reduced stress, and a shorter procedure compared to traditional DBS.
Post-Surgery Care
Following surgery, our patient-focused approach continues with personalised treatment plans. The pacemaker is programmed to suit your specific needs, and once the right settings are determined, ongoing management can be done remotely. This information is sent directly to your phone, empowering you to manage your condition from home.
Asleep DBS acts like an ‘electronic dopamine,’ reducing the need for medication and minimising its side effects. It can also improve mood and overall well-being.
Postoperative Care
Day Care Asleep DBS Surgery
With advancements in technology, Asleep DBS surgery is now available as a daycare surgery, offering same-day discharge for eligible patients. The minimally invasive procedure ensures precise targeting, less post-operative discomfort, and faster recovery, minimising hospital stays and enhancing patient comfort. However, eligibility depends on the patient’s overall health and the complexity of the surgery.
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