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A Comprehensive Guide on Deep Brain Stimulation (DBS) Surgery in India

18 Jun, 2024

Blog author iconDr. Divya Nagpal
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Are you or someone close to you considering Deep Brain Stimulation (DBS) surgery in India? This advanced procedure offers hope for those suffering from neurological conditions like Parkinson's disease and essential tremor. What exactly is DBS surgery, and how does it work to alleviate symptoms? In our comprehensive guide, we'll walk you through the intricacies of DBS surgery in India, from its benefits and risks to the top hospitals renowned for their expertise in performing this life-changing procedure. Join us as we navigate through everything you need to know about DBS surgery, ensuring you make informed decisions for your health and well-being.

DBS Surgery Procedure in India

Pre-surgical Evaluation

The journey to Deep Brain Stimulation (DBS) surgery begins with a thorough pre-surgical evaluation to determine if the patient is a suitable candidate. This step includes:

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  • Neurological Examination: A detailed assessment of neurological symptoms and overall health.
  • Psychological Evaluation: Ensuring the patient can manage the procedure and adapt to post-surgical lifestyle changes.
  • Advanced Imaging: MRI and CT scans create detailed maps of the brain, pinpointing the exact target areas for electrode placement.

Surgical Planning

Once deemed suitable, the surgical team, including neurosurgeons, neurologists, and radiologists, collaborates to plan the procedure. This involves:

  • Identifying Target Areas: Using imaging data to locate precise areas in the brain that will benefit from electrical stimulation.
  • Planning Electrode Placement: Deciding the optimal path for inserting the electrodes while avoiding critical brain structures.

Implantation Procedure

DBS surgery typically involves two main stages:

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  1. Stage One: Electrode Placement:

  • Preparation: The patient's head is stabilized using a stereotactic frame for accurate targeting.
  • Insertion of Electrodes: Small holes are drilled in the skull to insert thin, insulated wires (electrodes) into targeted brain areas. The patient is usually awake during this part to provide feedback, ensuring precise placement.
  • Testing Stimulation: Electrical impulses are administered through the electrodes to test their effectiveness in reducing symptoms, with adjustments made as necessary.
  • Stage Two: Neurostimulator Implantation:

    • Placement of the Neurostimulator: After accurate electrode placement, the patient is put under general anaesthesia, and a neurostimulator device, similar to a pacemaker, is implanted under the skin in the chest area.
    • Connecting Wires: Extension wires are tunneled under the skin from the electrodes in the brain to the neurostimulator in the chest.

    Programming and Follow-up

    Post-surgery, the neurostimulator is programmed to deliver the correct electrical impulses. This involves:

    • Initial Programming: The first programming session usually occurs a few weeks after surgery, where the neurologist adjusts the settings for optimal symptom control with minimal side effects.
    • Regular Follow-ups: Ongoing follow-up visits are necessary to fine-tune the stimulation settings and monitor progress, maximizing therapeutic benefits and minimizing potential side effects.

    Post-Surgical Care

    Recovery from DBS surgery involves physical and emotional adjustments. Post-surgical care includes:

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    • Monitoring for Complications: Close monitoring for signs of infection, bleeding, or hardware issues.
    • Physical Therapy: Rehabilitation to help regain strength and mobility.
    • Psychological Support: Counseling to help the patient and their family adapt to changes and manage the emotional impact of the surgery.

    Benefits and Outcomes

    DBS surgery has been shown to significantly reduce symptoms in patients with neurological disorders, improving their quality of life. Benefits include:

    • Reduction in Symptoms: A marked decrease in tremors, rigidity, and other symptoms.
    • Improved Mobility: Better motor function and increased independence for many patients.
    • Medication Reduction: Reduced need for medication, decreasing medication-related side effects.

    India's advanced medical facilities, experienced neurosurgeons, and cost-effective treatment options make it an excellent destination for DBS surgery. Patients considering this procedure should consult with top neurosurgeons and choose reputable hospitals to ensure the best outcomes.


    Top Doctors for Deep Brain Stimulation (DBS) Surgery in India


    Top Hospitals for Deep Brain Stimulation (DBS) Surgery in India

    1. Apollo Hospitals, Chennai

    Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr. Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.

    Location

    • Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
    • City: Chennai
    • Country: India

    Hospital Features

    • Established Year: 1983
    • Treatment Availability: International
    • Hospital Category: Medical
    • Status: Active
    • Visibility on Website: Yes

    About Apollo Hospitals

    Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.

    Team and Specialties

    • Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
    • Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
    • Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
    • Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
    • Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
    • Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
    • Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.

    Infrastructure

    With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.


    2. Fortis Memorial Research Institute (FMRI), Gurugram


    Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super specialty, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.

    Location

    • Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
    • City: Gurgaon
    • Country: India

    Hospital Features

    • Established Year: 2001
    • Number of Beds: 1000
    • Number of ICU Beds: 81
    • Operation Theaters: 15
    • Hospital Category: Medical
    • Treatment Availability: International
    • Status: Active
    • Visibility on Website: Yes

    Specialties

    FMRI excels in several medical specialities, including:

    • Neurosciences
    • Oncology
    • Renal Sciences
    • Orthopedics
    • Cardiac Sciences
    • Obstetrics and Gynecology

    These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.

    Team and Expertise

    • International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
    • Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
    • Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.

    About Fortis Healthcare

    FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.

    For more information or to schedule an appointment, please contact FMRI through the provided email addresses.

    3. BLK-Max Super Speciality Hospital

    BLK-Max Super Speciality Hospital in New Delhi was established by Dr B L Kapur, an eminent Obstetrician and Gynecologist. Originally set up as a charitable hospital in Lahore in 1930, the hospital was reestablished in post-partition India in Ludhiana and later in Delhi at the invitation of the then Prime Minister. The hospital was inaugurated by Prime Minister Pt. Jawahar Lal Nehru on January 2, 1959.

    Location

    • Address: Pusa Rd, Radha Soami Satsang, Karol Bagh, New Delhi, Delhi, India
    • City: New Delhi
    • Country: India

    About Hospital

    • History: BLK Super Speciality Hospital was founded by Dr. B L Kapur. The hospital celebrated its Silver Jubilee in 1984, marking its status as Delhi's premier multispecialty institute.
    • Services: The hospital offers services in General Surgery, Ophthalmology, ENT, Dentistry, Pulmonology, Intensive Care, Orthopedics, and mother & child care.
    • Capacity: Spread over five acres with 650 beds, BLK is one of the largest tertiary care private hospitals in India.
    • Facilities: Outpatient services are spread across two floors with 60 consultation rooms. The hospital has 17 state-of-the-art modular operation theatres equipped with advanced technology.
    • Critical Care: The hospital has 125 critical care beds in various intensive care units, including Medical, Surgical, Cardiac, Pediatrics, Neonatology, Neurosciences, and Organ Transplant units. Each unit is equipped with high-end patient monitoring devices, ventilators, and dedicated isolation rooms.

    Infrastructure

    • Operation Theatres: 17 well-equipped modular operation theatres with three-stage air filtration and gas scavenging systems.
    • Critical Care: The hospital has one of the largest critical care programs in the region with 125 ICU beds.
    • Transplant Centers: Dedicated ICUs for Liver and Renal Transplants with specialized instruments and equipment.
    • Birthing Suites: Specialized birthing suites with telemetric fetal monitors and a dedicated operation theatre adjacent to the labour room.
    • Technology: Advanced Building Management System, automatic pneumatic chute system, Wi-Fi-enabled campus, and top-of-the-line Hospital Information System (HIS) with contemporary electronic medical records (EMR).

    Deep Brain Stimulation (DBS) Surgery Cost in India (USD)

    The cost of Deep Brain Stimulation (DBS) surgery in India typically ranges from USD 18,000 to USD 40,000. However, it can vary depending on several factors, including:

    • Hospital location: Costs tend to be higher in major cities compared to smaller towns.
    • Neurosurgeon's experience: More experienced surgeons may command higher fees.
    • Type of DBS device: Rechargeable devices are generally more expensive than non-rechargeable ones.
    • Your medical condition and any pre-existing conditions: Additional tests or procedures might be needed, affecting the overall cost.

    Here's a breakdown of estimated costs you might encounter:

    • The surgery itself: USD 17,500 - USD 24,000
    • Hospital stay: Included in surgery cost typically (3-7 days)
    • Neurosurgeon fees: Can vary depending on experience
    • DBS device: Rechargeable being more expensive

    Deep Brain Stimulation (DBS) Surgery Success Rate in India

    DBS surgery has a high success rate in India, with reported rates exceeding 95% for Parkinson's disease specifically. This means a significant portion of patients experience improvement in their symptoms.

    However, success rates can vary depending on the underlying condition being treated. It's important to discuss realistic expectations with your doctor based on your specific situation.

    How can HealthTrip assist with your treatment?

    If you're seeking Deep Brain Stimulation (DBS) Surgery in India, let HealthTrip be your compass. We support you throughout your medical journey with the following:

    • Access to top doctors in 38+ countries and the largest health travel platform.
    • Partnerships with 1500+ hospitals, including Fortis, Medanta, and more.
    • Treatments in neuro, cardiac care, transplants, aesthetics, and wellness.
    • Post-treatment care and assistance.
    • Teleconsultations with leading doctors at $1/minute.
    • Over 61K patients served.
    • Access Top treatments and packages, such as Angiograms and many more.
    • Gain insights from genuine patient experiences and testimonials.
    • Stay updated with our medical blog.
    • 24/7 unwavering support, from hospital formalities to travel arrangements or emergencies.

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    Risks and Complications

    While treatment for bone tumours is generally effective, there are potential risks and complications, including:

    • Surgical Complications: Risk of infection, bleeding, and damage to surrounding tissues during surgery.
    • Chemotherapy Side Effects: Nausea, fatigue, and susceptibility to infections.
    • Radiation Therapy Side Effects: Skin irritation, fatigue, and potential long-term effects on bone health.

    India provides world-class treatment options for bone tumours, featuring experienced medical professionals and state-of-the-art healthcare facilities. Patients can anticipate both high success rates and affordable treatment costs, positioning India as a preferred destination for bone tumour treatment. Consulting with top oncologists and selecting reputable hospitals are essential steps for ensuring optimal care and achieving favourable outcomes.

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    FAQs

    India offers world-class DBS surgery at a fraction of the cost compared to Western countries, with top neurosurgeons and advanced medical facilities, making it a preferred destination for medical tourists seeking high-quality and affordable treatment.