Deep Brain Stimulation (DBS) is a treatment option for Parkinson's Disease (PD) that involves the surgical implantation of electrodes inside the brain. Here are some key points about DBS:
What is DBS
- DBS involves the implantation of a three-part device to block electrical signals that cause tremors and other motor Show Full Answer
Deep Brain Stimulation (DBS) is a treatment option for Parkinson's Disease (PD) that involves the surgical implantation of electrodes inside the brain. Here are some key points about DBS:
What is DBS?
- DBS involves the implantation of a three-part device to block electrical signals that cause tremors and other motor symptoms of Parkinson’s.
- Components: The system includes electrodes placed in the brain, a small generator device (neurostimulator) near the collarbone, and a thin wire connecting the electrodes to the neurostimulator.
Procedure
- First Surgery:
- Performed while the patient is awake with a local anesthetic to numb the scalp.
- A stereotactic frame keeps the head still.
- Electrodes are placed in the brain, and the neurostimulator is placed near the collarbone.
- Duration: 3 to 6 hours.
- Hospital stay: 2 to 3 days.
- Second Surgery:
- Occurs about a week later under general anesthesia.
- Connects the electrodes to the neurostimulator.
Candidate Criteria
- Ideal Candidates:
- Those with debilitating motor symptoms not controlled by medications.
- Must have intact cognitive function and be healthy enough for surgery.
- Pre-Surgical Evaluation:
- Includes MRI and CT scans to ensure maximum benefit and avoid disruptions of normal brain function.
Outcomes and Results
- Intended Outcomes:
- May reduce motor symptoms and allow reduction or elimination of some medications.
- Success Rate:
- Over 70% of people with Parkinson’s who receive DBS experience significant improvements in motor symptoms.
- Adjustment Period:
- It may take up to six months of adjusting DBS settings to experience benefits.
Risks and Constraints
- Surgical Risks:
- Blood clots, blood loss, infection, breathing problems, reactions to medication, heart attack, stroke, and rarely, seizures.
- Possible temporary or permanent changes like weakness, confusion, or trouble speaking.
- Device Risks:
- Infection may require surgical removal of the device.
- DBS device may be affected by security screening systems, causing discomfort or worsening symptoms.
- The magnet used to control the device must be kept away from televisions and credit cards.
Post-Surgery Care
- Follow-Up:
- Close communication with a neurologist is necessary to ensure optimal functioning of the DBS.
- The battery lasts 3 to 5 years.
- Medication may still be needed, and any changes should be done gradually under a neurologist's guidance.
For more detailed information, you can visit the provided URLs:
- [Deep Brain Stimulation (DBS) for Parkinson's Disease | MyParkinsonsTeam](https://www.MyParkinsonsTeam.com/treatments/dee...)
- [Deep Brain Stimulation for Parkinson’s: How Does It Work? | MyParkinsonsTeam](https://www.MyParkinsonsTeam.com/resources/dbs-...)
July 28