Best Doctors in India for Deep Brain Stimulation
Here are the most reputed neurosurgeons in India expertised in Deep Brain Stimulation (DBS) procedure for the treatment of movement disorders like Parkinson’s disease (PD), essential tremor, dystonia, and other neurological conditions.
- Neurosurgeon, New Delhi, India
- Over 27 years experience
Profile Highlights:
- Dr. Pranav Kumar is one of the best Neurosurgeons in India, having a good success record of over 27 years in performing deep-rooted tumors in the skull.
- Since 1996, Dr. Kumar has been working as a senior consultant neurosurgeon at Apollo Hospital, New Delhi.
- Dr. Pranav Kumar is skilled in surgeries for brain tumors deep-seated at the base of the skull and aneurysms affecting the cerebrovascular system.
- Dr. Kumar specializes in performing the complex ‘Auditory Brainstem Implant,’ where a Bionic device is inserted in the brainstem to recover the hearing capacity in deaf patients who cannot be treated with a cochlear implant.
- He completed microsurgery training at the National Neurosurgical Centre at Beaumont Hospital in Ireland.
- Neurosurgeon, New Delhi, India
- Over 45 years’ experience
Profile Highlights:
- Dr. V K Jain is a leading neurosurgeon in India with refined medical surgical precision.
- Dr. Jain has worked in a variety of significant positions in hospitals all across the world over the course of his career.
- Dr. Jain has also served as a visiting professor at a number of prestigious hospitals throughout the world.
- He has also attended many conferences, workshops, and seminars and has also been invited as faculty to many conventions both in India and abroad.
- Neurosurgeon, New Delhi, India
- Over 60 years’ experience
Profile Highlights:
- Dr. Ravi Bhatia is a veteran neurosurgeon and spine surgeon at Indraprastha Apollo Hospital New Delhi.
- He has about six decades of experience in the management and surgeries of neurological disorders. Before retiring, Dr. Bhatia worked at another prestigious Indian hospital, AIIMS, New Delhi.
- He is particularly interested in Neuro-Oncology, Brain and Spine Tumors, Cerebrovascular Surgery, and Craino vertebral abnormalities.
- To date, Dr. Bhatia has treated neuro patients with a great success rate.
- He authored chapters in many textbooks and has around 95 papers for medical journals to his credit.
- Neurosurgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- With a super-specialization in Neurosurgery, Dr. S K Sogani is one of the most accomplished neurosurgeons in Delhi and NCR.
- His interest lies in tumor removal surgery, skull base surgery, brain stroke surgery, head injury, micro neurosurgery, different types of spine surgery, and emergency trauma surgery.
- Neuro Surgeon & Spine Surgeon, Mumbai, India
- Over 26 years’ experience
Profile Highlights:
- Dr. Abhaya Kumar is a leading name in the field of Neurosurgery who is an expert in Minimally Invasive Spine Surgery, Brain surgery, and Stereotactic Radiosurgery and has performed more than 1400 spine surgeries and 1100 brain surgeries in KDAH alone.
- Dr. Abhaya Kumar’s primary focus includes Minimally Invasive Spine Surgery (MISS) and has handled over 800 MISS cases till date in the hospital with 96% successful results.
- Neurosurgeon, Mumbai, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Ashok Hande is a renowned neurosurgeon in Mumbai who holds the credit for 300 AVMs, 1400 skull base tumor surgeries, 3600 surgeries for cranial and spinal trauma, 1200 lumbar prolapsed intervertebral disc surgeries, 800 cerebral aneurysms, and more than 100 microvascular decompressions.
- He holds an experience encompassing 25+ years and holds the credit for pioneering neurosurgery in Mumbai by bringing in new and advanced neurosurgical procedures for brain and spine surgery.
- Neurosurgeon, Mumbai, India
- Over 28 years’ experience
Profile Highlights:
- Dr. Deepu Banerji is a leading name in the field of Neurosurgery in India and possesses extensive skills in minimally invasive and micro neurosurgery.
- He has been practicing neurosurgery for over 28 years and is counted among the best microscopic neurosurgeons in the country.
- Apart from minimally invasive surgeries, his expertise lies in skull base surgery, brain tumors surgery, vascular surgery, and spine surgeries, and has handled numerous cases of brain and spine diseases and disorders.
- Neurosurgeon, Chennai, India
- Over 35 years’ experience
Profile Highlights:
- Dr. K Sridhar is a renowned Neurosurgeon who has an experience of 35+ years in brain and spine surgery and has performed over 1000 complex brain tumor surgeries.
- His primary area of interest is skull base surgery, micro neurosurgery, and spine surgery, and is currently working on lesions of the brain stem.
- Neurosurgeon, Bengaluru, India
- Over 22 years’ experience
Profile Highlights:
- Dr. Madhusudan H V is an expert Neurosurgeon in South India with 22+ years of experience in neuro and spine surgery.
- With a specialization in minimally invasive neurosurgeries, Dr. Madhusudan holds the credit for more than 7000 neurosurgeries. He also finds interest in endoscopic interventions and frameless navigations.
- Neurosurgeon & Spine Surgeon, Bengaluru, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Prahraj S S is a leading Neurosurgeon who specializes in all types of neurological surgeries and has performed over 6000 neurosurgeries till date along with complex cranial and spine surgeries.
- He is one of the most renowned neurosurgeons in the country and has provided his services to some of the premier medical institutes in India such as NIMHANS where he performed a large number of spinal surgeries.
Best Hospitals in India for Deep Brain Stimulation
Fortis Escorts Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
- The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
- Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
- Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.
Rela Hospital, Chennai
- City: Chennai, India
Hospital Highlights:
- RIMC is a multi-specialty hospital in a sprawling area of 36 acres located in Chromepet, Chennai, Tamil Nadu, India.
- The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
- RIMC is led and managed by world-renowned physicians committed to healthcare.
- RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
- Rela Institute is driven by patient needs, comfort and confidence.
CARE Hospitals, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- CARE Hospitals were established in the year 2000, by CARE Group.
- The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
- The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
- The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
- The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.
Fortis Hiranandani Hospital, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
Fortis Hospital, Anandpur, Kolkata
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
Fortis Hospital Banerghatta, Bengaluru
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
Fortis Hospital, Malar, Chennai
- City: Chennai, India
Hospital Highlights:
- Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is multi-specialty, tertiary care facility with 180 beds.
- The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.
Gleneagles Global Hospital, Parel, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
- The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
- The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
- The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.
Jaypee Hospital, Noida
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Manipal Hospital, Dwarka, Delhi
- City: New Delhi, India
Hospital Highlights:
- Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
- The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
- Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
- The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.
Deep Brain Stimulation
Deep brain stimulation is an elective surgical procedure, which involves implanting electrodes in certain areas of the brain. These electrodes or leads help in generating electrical impulses for controlling any abnormal activity in the brain. The electrical impulses can also adjust for any chemical imbalance within the brain which can lead to various conditions. A programmable generator resembling a pacemaker placed under the skin in the upper chest controls the stimulation of brain areas.
Deep brain stimulation has been approved for treating several conditions which include dystonia, epilepsy, essential tremor, Parkinson’s disease, and obsessive-compulsive disorder. Currently, it is also being studied as a potential treatment for addiction, chronic pain, cluster headache, dementia, depression, stroke recovery, multiple sclerosis, Huntington’s disease, Tourette syndrome as well as traumatic brain injury.
Purpose
Deep brain stimulation is an established treatment for people who are suffering from movement disorders, which can include essential tremor. Parkinson’s disease and dystonia, and psychiatric conditions such as OCD are few other ailments which can be treated by this procedure.
This treatment is reserved for the people who are unable to control their symptoms with the use of medications.
Preparation
Since deep brain stimulation is a serious as well as a risky procedure you need to weigh the pros and cons carefully, along with your doctor, even if you are considered eligible for the procedure.
Before the surgery, you will require a few medical tests for making sure that deep brain stimulation is safe and appropriate for you. You will also require brain-imaging studies such as an MRI, before your surgery to map the areas of your brain to implant the electrodes.
Procedure
The surgery for deep brain stimulation has two portions.
Brain surgery
For the brain surgery portion, the surgery team will fit you with a special head frame so that your head is still during the procedure. Then, team members will use magnetic resonance imaging (MRI) in order to map your brain. This will allow them to identify the areas in your brain where they will need to place the electrodes.
The surgery can be performed under general anesthesia or local anesthesia. If local anesthesia is used, it will numb your scalp before the procedure. However, you will not need an anesthetic inside your brain as it has no pain receptors.
Your surgeon will be implanting a thin wire lead with a number of contacts or electrodes at the tips into a specific area in your brain. He/she might also implant one lead into each side of your brain. Then a wire will run under your skin to a pulse generator which will be implanted near your collarbone.
During the surgery, your brain will need to be closely monitored by the surgeon and the neurologist, to help ensure correct electrode placement.
Chest wall surgery
During the second portion of your surgery, the surgeon will implant the part of the device containing the batteries under your chest’s skin, near the collarbone. During this procedure, general anesthesia will be used. Wires from your brain electrodes will be placed under your skin. They will then be guided down to the battery-operated pulse generator. This generator will be programmed to send continuous electrical pulses to the brain. You will be controlling the generator and you are also able to turn it off using a remote control.
After the procedure
The pulse generator in your chest will be activated in your doctor’s office a few weeks after your surgery takes place. Using a special remote control, the doctor will easily be able to program your pulse generator from outside your body. The amount of stimulation will then be customized to match your condition. Finding the optimal setting can take a few hours.
Depending on your condition, your doctor will advise you whether you need stimulation constantly running 24 hours a day, or you need to turn off the pulse generator at night before sleeping. The special remote control which you will receive from your doctor can help you turn the stimulation on and off. Your doctor may also program the pulse generator to let you make any minor adjustments at home.
Your generator’s battery life can vary with usage and settings. When your battery needs replacement, your surgeon will replace the generator during an outpatient procedure.
It is important to note that this procedure will not be curing your disease, but it can provide help in lessening your symptoms to a great extent. If this procedure works, your symptoms will be improving significantly. However they don’t go away completely and in some cases, you might still need medications for certain conditions. It is also noteworthy that this procedure isn’t successful for anyone. Before your surgery, it is important to talk with your doctor regarding the benefits, risks, and expectations.
Advantages
This procedure can be performed on either side of your brain, depending on your symptoms. For each patient’s clinical status, the effects can be customized individually for each patient’s clinical status.
The device can help to provide continuous symptom control 24 hours a day. If one sees side effects, stimulation settings can be modified to diminish them.
Risks
Deep brain stimulation is a minimally invasive surgery and is generally considered safe. However, like any other surgery, it has a risk of a few complications.
The first surgery involves creating small holes in the skull for implanting the electrodes, and the second surgery involves implanting the device with batteries under the skin in the chest.
Complications of surgery might include:
- Misplacement of lead
- Stroke
- Infection
- Bleeding in the brain
- Breathing problems
- Heart problems
- Seizure
- Nausea
Side effects that are associated with deep brain stimulation include seizure, infection, headache, difficulty in concentration, temporary pain and swelling at the implantation site, etc.
The device will be turned on a few weeks after your surgery, and the process of finding the best settings will begin. Though some of the settings can cause side effects, most of them can improve with further adjustment of the device.