DBS means deep brain stimulation and this method is used to
treat the symptoms of Parkinson's disease. These symptoms are shivering,
stiffness and difficulty in walking etc. Not only this, it is also used to
remove the side effects of Parkinson's disease. If you have had this disease
for at least five years and are not getting relief from any other medicine,
then this therapy can be a good option for that. For some people this therapy
can be life-changing.
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How does deep brain stimulation work?
A small device for this therapy is placed inside the
patient's chest. This device runs on a battery. Electrodes are implanted
in specific movement centers of the brain. This device sends electrical pulses
to the brain. These pulses block nerve signals that cause Parkinson's symptoms.
In addition to Parkinson's disease, deep brain stimulation
is often used to treat tremors and dystonia. In some cases, it has also been
used to treat or treat psychiatric conditions, such as multiple sclerosis,
Alzheimer's disease, unbearable pain, and severe depression.
Deep brain stimulation system has four parts.
A thin wire, called a lead, is placed in the part of the brain
from where its symptoms begin.
A pulse generator, similar to a pacemaker and which sends
small electric signals to the leads.
A wire that connects the lead to a pulse generator.
Remote control for programing the system - This is the only
part outside the body.
When the system is in its place and is switched on, a deep
brain stimulation expert adjusts it to relieve you of the symptoms. You can
also control the system yourself. You can turn it on and off, check its
battery.
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What to prepare for it?
Before this therapy, find a doctor who is fully trained and
skilled in this procedure. Discuss this with your doctor, and set realistic
expectations for the outcome.
Deep brain stimulation is expensive, so before completing
it, complete your insurance plan cover and other paperwork in advance.
You should first do full tests like memory, thinking and
mood, and others like MRI and CT scans.
You have to be awake during this brainstorming process, so
it is necessary for you to be comfortable. Take a deep breath and meditate.
How is DBS Parkinson treated?
Parkinson's disease can cause abnormal electrical signals in
parts of the brain that control movement.
Deep brain stimulation uses electrical stimulation that
combines these control centers on the surface of the brain. This improves
communication between brain cells.
This therapy reduces symptoms like tremors, slowness, and
cramps. It does not have much effect on non-motor symptoms or balance cases.
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Under what conditions is deep brain stimulation done?
- If you see symptoms for at least more than five years.
- Due to different dosage of medicines, medicines do not have
much effect on your symptoms.
- These symptoms are affecting daily life.
- Under what conditions do your doctors recommend deep brain
stimulation?
- If you have trouble or thinking problems
- If you have anxiety or depression problems that do not go
well after treatment
- You are going through a disease like dementia
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What is this process like?
It contains a type of therapy. To do this, injections of
medicines that numb the patient's skull are given.
The patient's head is then inserted into a frame. The
electrodes are pierced into the skull.
The patient remains awake during this surgery. So that,
patients can answer questions and move particular areas of their body when
prompted.
This imaging test helps pinpoint the areas of the brain
where symptoms occur. This is where the electrode will be placed.
The electrode is implanted one or both sides of the brain.
The neurostimulator will be implanted under the skin near
the patient's collarbone or in the chest. (What is a collarbone rupture)
Leeds will travel from the head to the shoulders under the
patient's skin, which connects the electrodes to the neurostimulator.
After surgery, the patient will be screened for any
complications. After this, the patient is kept in the hospital for at least 24
hours, but if you have any problem then you can be kept in the hospital for a
longer period of time.
DBS side effects
Deep brain stimulation can have some serious side effects.
Some of these can be cured in a few days or weeks but some do not. These side
effects are as follows:
- Bad effects of anesthesia
- Allergic reactions to ingredients present in the implanted
device
- Pain and swelling where surgery has taken place
- Infraction
- Electrodes or hardware breakdown movement
- Symptoms of stroke such as numbness or difficulty speaking
- Change in mood, memory or thinking
- Caesars
- Problems with walking or speaking that may worsen
- Headache, dizziness and tingling
- Tingling Or Shocking Sensation
- Problems with speech or eyesight
- dizziness
- Co-ordination issue
- Paralysis
You may have a problem with a DBS device, such as loose wire
or misplaced leads.
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