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Deep brain stimulation (DBS) is a treatment for Parkinson's disease symptoms such as tremors, stiffness, and difficulty walking. It is arguably the most important therapeutic advancement since the introduction of levodopa.
It can also be used to treat Parkinson's drug side effects, and it's best for patients who have disabling tremors, wearing-off spells, or medication-induced dyskinesias.
Deep brain stimulation isn't a cure for Parkinson's disease, and it won't stop it from progressing.
However, if you've had the disease for at least 5 years and aren't getting enough relief from medication, it's a viable alternative.
The most prevalent symptoms of Parkinson's disease are motor symptoms like tremor and rigidity, but there are also non-motor symptoms like sleep issues and lack of motivation.
Find a centre that offers DBS treatment and has doctors that are trained and experienced in the process.
A few tests to assess your memory, thinking, and mood would be recommended by your doctor.
MRI and CT scans can assist determine which portion of your brain needs to be treated.
During the procedure, your surgeon will require a means of navigating your brain with precision.
Some surgeons use a frameless system with plates instead, screwed in the day before surgery.
After your scalp has been numbed, a wireframe is usually screwed into your skull.
With the frame or plates in place, your surgeon will do a brain scan to produce a "map."
After that, your surgeon drills a dime-sized hole in your skull.
To attach to the frame or plates to search for just the right spot to place the lead surgeon will use a special probe.
When the desired area is discovered, your surgeon inserts the lead.
Then he connects the lead to the battery pack and inserts it beneath your scalp's skin.
A plastic cap and stitches will be used to close the hole in your skull, and you will most likely stay in the hospital overnight before returning home the next day.
You'll be put to sleep for the process to implant the pulse generator in your chest, which takes about an hour or less in certain cases.
A DBS expert will adjust the system to provide the most effective relief for your symptoms.
After the treatment is finished, you will be able to operate the system on your own.
You can turn it on and off at any time, check the battery, and adjust the settings.
DBS has the potential to cause major problems. Many of them go away within a few days or weeks, but some do not.
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