Deep Brain Stimulation Surgery Cost in India

Deep Brain Stimulation Surgery In India- Rewiring the Brain

The human brain is a complex organ that controls our thoughts, movements, and emotions. However, there are specific neurological disorders that can impair the normal functioning of the brain, which in turn causes a significant impact on the quality of life of an individual. 

Deep Brain Stimulation Surgery in India is a revolutionary treatment option for patients dealing with neurological disorders. In this specific guide, we will delve into the complete procedure and advantages of DBS, the conditions treated by it, and the risks associated with the surgery. Continue reading to learn more about this revolutionary treatment. 

What is Deep Brain Stimulation? 

In Deep Brain Stimulation Surgery in Delhi, electrodes are implanted within some regions of the brain. These electrodes produce electrical impulses that are used to treat abnormal impulses. In DBS, a pacemaker-like device controls how much stimulation is delivered to the brain, placed under the skin in the chest. DBS is used to treat people whose neurons are not working correctly. Deep Brain Stimulation makes these neurons active and thus helps to improve the symptoms of various brain conditions. The DBS System involves three main components:

• An electrode, or lead, is a thin insulated wire implanted through an opening in the skull.
• The extension wire, passed under the head, neck, and shoulder skin, connects the electrode to the internal pulse generator.
• The IPG ( Implantable Pulse Generator) is the third piece of the DBS system implanted under the upper chest’s skin. 

Conditions Treated By Deep Brain Stimulation Surgery in India

• Parkinson’s disease: DBS eases tremors and improves motor function by modulating neural circuits that control movement.
• Essential Tremors: An Essential Tremor is an involuntary shaking of your hands, head, or voice caused by a neurological disorder. Deep brain stimulation can help patients with essential tremors.
• Dystonia: It’s when your muscles contract involuntarily, causing you to twist or repeat motions. Deep Brain Stimulation Surgery in Indraprastha Apollo Hospital  relieves dystonia by normalizing muscle contractions and improving motor control.
• OCD: Deep Brain Stimulation Surgery can help treat severe and treatment-resistant OCD. Using DBS, you can improve overall function and quality of life by targeting specific brain circuits.
• Epilepsy: Deep Brain Stimulation is being explored as a potential epilepsy treatment, especially for people who don’t respond to traditional treatments. It reduces the frequency and severity of seizures by modulating brain activity.

Symptoms of the diseases treated by Deep Brain Stimulation Surgery

Patients may experience a variety of symptoms. The most common ones are:

• Dystonia – Involuntary Muscle Contractions
• Epilepsy – Uncontrollable jerking movements of arms and legs
• Essential Tremor – Essential Tremor is an involuntary shaking of your hands, head
• Obsessive-compulsive disorders 
• Parkinson’s

Testing and Diagnosis Before the Surgery

Patients with Parkinson’s disease have to undergo testing of motor functions on and off to determine the severity of their disease. Epilepsy testing includes electroencephalography, whereas patients suffering from OCD have to undergo Yale-Brown Obsessive Scale Testing. 

Some other tests may include:

• Blood and Urine Tests
• MRI and CT Scans of the brain 

Deep Brain Surgery In India for Treating Parkinson’s: Understanding Everything in Detail

Before the Surgery

• Before the surgery, your neurosurgeon will discuss the advantages and disadvantages of the DBS device that has to be implanted in the brain. 
• You will have to undergo a series of MRI and CT scans to determine the best location for placing wires for the device. 
• You must stop taking medications before the surgery if you are on non-steroidal anti-inflammatories or blood thinners. 
• Your neurosurgeon will ask you to wash your skin and hair with Hibiclens to avoid any infection before the deep brain stimulation surgery in Delhi.
• Including your Parkinson’s medicine, no food or drink will be allowed after midnight.
• Make sure you get plenty of sleep. DBS is a long procedure. Make sure to get enough rest for favourable outcomes.

During the Surgery

Step 1: This procedure begins with attaching a frame to the head. The frame will be attached to your head with velcro straps. The four pin sites will be injected with local anesthesia to reduce discomfort. 

Step 2: An MRI or CT scan is performed in this step. A box-shaped device is placed on top of the frame. Markers in the box help pinpoint the exact three-dimensional coordinates of the target on the scan. The best doctors for DBS Surgery in India use MRI / CT scans and special computer software to plan the electrode trajectory.

Step 3: You will then be taken to the operating room. You will lie on the table with a stereotactic frame on the head. You will remain awake during the surgery with light sedation to help you feel comfortable. A skin incision will be made across your head to expose the skull. Two quarter-size burr holes will be made on the left and right sides of the skull using the drill, allowing electrodes to pass through the brain. 

Step 4: Electrodes are inserted through a small hole into the brain. Based on the MRI and CT scan calculations, they are inserted into a precise location. The placement accuracy is based on the number of tests where you will be asked to lift your arms, and legs. An electrode records the brain’s activity and displays the waveforms on a computer. It’s the longest part of the process. It has to be repeated on both sides of the brain. The surgical team can do their job with your patience and cooperation.

Step 5: Once the exact nerve cells are located, the surgeon will replace the electrode with a permanent DBS electrode. 

Step 6: When the surgical team is satisfied with the electrode placement, a plastic cap is placed over the burr hole to keep the lead in place. A coil wire is left under the scalp for the later procedure. The incision is then closed with sutures. 

After The Surgery

• You will be kept overnight for observation and monitoring. Patients are usually discharged the next day.
• After implanting the electrodes, you might feel better than usual. Brain swelling around the electrode tip can last several days to weeks.
• After about a week, you’ll have outpatient surgery to implant the stimulator in your chest/abdomen.
•  You’ll be under anesthesia for about an hour during this surgery. You can go home the same day.

Step 7: This step happens a week after the first  DBS surgery in India. A small incision is made under the collarbone, and a neurotransmitter is planted under the skin. An extension wire connects the lead to the stimulator/battery in the chest or abdomen under the scalp. The device will appear as a small bulge under the skin, but it’s usually not visible under clothes. Incisions take 6-8 weeks to heal, so you can’t lift anything. Follow the discharge instructions and do the neck exercises. You can take medication to ease the pain of an incision.

Step 8: You’ll be scheduled for an OPD visit 10 days after surgery. The simulator will be programmed, and your medication dose will be adjusted. You might have to stop taking your meds for 12 hours before programming. You’ll help determine the best program to control your symptoms during the appointment. Make sure you bring your remote and charger to every appointment. It usually takes 3 to 4 visits to tweak the program settings for the best results.

Individuals may sometimes experience a brief tingling sensation when the stimulator is turned on for the first time. It’s important to keep in mind that Parkinson’s is a progressive disease and that symptoms tend to worsen over time. You must visit the neurologist’s office regularly to adjust the stimulation settings.

Results of the Surgery

• For Parkinson’s, the success rate of Deep Brain Stimulation surgery in India is 70 %. It has improved many patients’ slowness, tremors, and rigidity symptoms. It has helped people to get off medicines and lessen their side effects. 
• DBS has reduced hand tremors in about 60 to 90 % of people for essential tremors. 
• For people suffering from dystonia, DBS has proved to be the most effective treatment option. 
• Many patients have reported improvement in the quality of their lives after DBS surgery.

What is it like living with a Stimulator?

The handheld controller allows you to turn your stimulator on and off and adjust the strength of the stimulation. Most people keep their stimulators on the whole day. Some patients with essential tremors can use it during the day and turn it off at night. You can adjust the settings with the help of your doctor. 

You’ll need a charging unit if your DBS has a rechargeable battery. Charging takes about an hour to two hours a week on average. Other devices like cell phones, pagers, microwaves, security doors, or anti-theft sensors won’t affect your stimulator. Ensure you carry your Implanted Device Identification card when flying since airport security detects them.

The battery lasts for 10 to 15 years. Once the battery wears out, it can be replaced with a new battery. The procedure is performed under anesthesia. The new battery is placed in the same location.

Advantages of the Surgery

The advantages of Deep Brain Stimulation surgery in Delhi are as follows: 

• DBS has proven to be a very effective treatment option for people with neurological conditions. The electrodes used in the surgery deliver electric signals to the targeted brain parts, thus reducing the symptoms.
• Deep Brain Stimulation is an effective option for treating diseases that cause tremors in the body. 
• Most neurological conditions need to be managed via medicines. DBS can help people suffering from various neurological disorders reduce their medication dependence by alleviating their symptoms. 
• DBS is a highly customizable treatment option. The stimulation parameters, like the intensity and frequency of the current, can be customized according to the needs of an individual. 
• One of the benefits of DBS surgery in Delhi is that it’s reversible. Unlike other surgeries, electrodes can be adjusted, turned off, or removed entirely. Patients can modify or stop the treatment with this flexibility if their condition changes.

Deep Brain Stimulation Surgery in India: Factors Affecting the Cost

Following are the factors affecting the cost of the surgery: 

Hospital: The cost of DBS surgery in India increases if: 

• The hospital is JCI-accredited
• The hospital has advanced neurological facilities
• Experienced medical staff
• The hospital is multispecialty.
• The hospital is a single super speciality
• Brand image of the hospital 

Surgeons Fee: The cost of DBS surgery in Delhi greatly depends on: 

• The expertise of the surgeon
• Reputation and skill of the surgeon
• The surgeon is affiliated with reputable hospitals and medical institutions known for their expertise in neurosurgery
• No. of successful procedures performed 
• International education and training 

Type of Device: The cost of a DBS device depends on several factors like manufacturer, model and features.  Discuss the cost of various devices with your treating surgeon, for example, the cost of Medtronic DBS Systems, Boston Scientific DBS Systems and Abbott DBS Systems. 

Duration and Hospital stay: The length of the hospitalization post-surgery also affects the cost. The following things will determine the cost of deep brain stimulation surgery in India: 

• Type of room you choose ( general wards are cheap, while single private rooms are costly) 
• Complications in the surgery may increase the hospital stay and hence, the costs
• ICU stay post-surgery if needed hence discuss the need of ICU after surgery with your neurosurgeon. 

Location of the Hospital: The geographic location of the hospital affects the cost. If the hospital is located in a metropolitan city like Delhi, Gurugram etc. the cost will be on the higher side as compared to the hospitals located in smaller towns and cities of India. 

Surgery-related expenses: The surgery-related expenses include the pre- and post-surgical investigations. The pre-surgical expenses are associated with the age and medical condition of the patient and thus the number and type of investigations required. Post-surgical expenses may include prescription medications and follow-up consultations.

Other Expenses: Other expenses include: 

• Anesthesia Fee
• Doctor Consultation Fees
• Interventions required during surgery
• Additional costs due to the presence of any other health condition

Your Package Will Cover

India Stay: 15 days for DBS Surgery

Success rate of the surgery: 99 % 

Top Hospitals and Doctors Performing Deep Brain Stimulation Surgery in India

Neuro Health on a Budget: Service Cost

How can you avail of the best Deep Brain Stimulation Surgery in India-Step By Step process?

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