In this article you can find the answers for What is the Deep Brain Stimulation? How is deep brain stimulation surgery performed?
What is Deep Brain Stimulation Surgery (Brain Pacemaker)?
Deep brain stimulation (DBS) surgery (sometimes referred to as a "brain pacemaker") is a technological surgical procedure involving the placement of two electrodes inside the brain and connect them via extension cables to a neurostimulator (pulse generator). This implantable pulse generator sends electrical impulses, through implanted electrodes, to specific targets in the brain (brain nuclei) for the treatment of some disorders including Parkinson's disease, essential tremor, dystonia, Obsessive–Compulsive Disorder (OCD), and Epilepsy.
How is deep brain stimulation surgery performed?
Deep brain stimulation (DBS) surgery is performed in two parts.
In first part we need to implant two bilateral electrodes inside the brain nuclei (which targeted area by MRI images before) via two small holes under local or general anesthesia. In this part of the surgery the patient doesn’t feel any pain because of the local anesthesia. When we are implanting the electrodes we do a micro electrode recording (listening the sound of the brain) to evaluate the areas of the brain and to be sure to implant the electrodes in correct position. After the implantation we send a test signals to evaluate the position of the electrodes and we ca change the position if it’s necessary. When the surgical team satisfied about the Micro electrode recording and Macrostimulation we can pass to the second stage.
Deep brain stimulation (DBS) surgery is performed in two parts.
In first part we need to implant two bilateral electrodes inside the brain nuclei (which targeted area by MRI images before) via two small holes under local or general anesthesia. In this part of the surgery the patient doesn’t feel any pain because of the local anesthesia. When we are implanting the electrodes we do a micro electrode recording (listening the sound of the brain) to evaluate the areas of the brain and to be sure to implant the electrodes in correct position. After the implantation we send a test signals to evaluate the position of the electrodes and we evaluate the patient's symptomes (is the tremor stopped? or is the rigidity resolved?) We can change the position of the electrodes by this evaluation if it’s necessary. When the surgical team satisfied about the Micro electrode recording and Macrostimulation results we can pass to the second stage.
In second stage we need to implant the Implantable Pulse Generator (battery) under the skin on subclavicle area and connect it to electrodes by extension wires. In this stage we need to take the patient under general anesthesia.
Who’s Candidate to Deep Brain Stimulation Surgery?
Which important factors are important to decide to surgery?
What are the risks for Deep Brain Stimulation surgery?
What are the contraindications of the Deep Brain Stimulation surgery?
Please find the answer of such questions on link “Deep Brain Stimulation Surgery” under the “Surgeries” section or please click here.