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.
Best Hospitals in India for Deep Brain Stimulation
- 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.
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
- 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.
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
- City: Ahmedabad
Hospital Highlights:
- As a member of the Apollo Hospitals Group, Apollo Hospitals International Limited, Ahmedabad is one of the most popular and sought-after medical facilities in Gujarat.
- Through its 6 Centres of Excellence and various affiliated branches, which cover all specialties and subspecialties, the hospital provides the most advanced clinical services.
- Since its inception in 2003, the hospital has been providing each patient with the most up-to-date medical equipment and state-of-the-art technology.
- With more than 150 successful organ transplants, including liver and renal transplants, the facility has been able to build a strong and extensive organ transplant program.
- In addition to performing 600 surgeries and caring for over 1800 patients on an IP basis, the hospital sees more than 18,000 patients on average in the outpatient department.
- With one of the biggest cardiology teams in the area, the hospital provides state-of-the-art regional care treatment in Cardiac Sciences.
- Additionally, the hospital offers a broad range of Neuro Interventional techniques to help stroke patients recover more quickly.
- 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.
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
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.