Deep brain stimulation Guide, Meaning , Facts, Information and Description
Deep Brain Stimulation (DBS) is a surgical procedure used to treat severe essential tremor and tremor, rigidity and bradykinesia (slow movement) associated with Parkinson's disease.The surgery involves the implantation of an electrode to the thalamus of the brain powered by a battery-operated neurostimulator placed under the collar bone. The electrode targets the substantia nigra in interfering with the electrical signals that cause tremors, rigidity or bradykinesia. After the surgery is completed, an expert calibrates the unit in order to maximize its effectiveness. The programming of the neurostimulator can take up to a year to achieve an optimal setting.
Typically DBS is performed unilaterally on the side of the brain opposite to the side of the body most debilitated by the disease, but in many cases it is performed bilaterally in a single operation.
DBS has been found to significantly alleviate symptoms in two thirds of Parkinson's patients, and has recently being used more frequently to treat cases of severe essential tremor.
Although DBS is a procedure performed on the brain, it is FDA approved in the United States and carries the risks of major surgery.
The post-surgical complication rate is proportional to the experience of the surgical team with a tipping point of 50 DBS procedures and a cushion of 100 DBS procedures.
Depending upon usage, the battery in the neurostimulator must be replaced after three to five years. Due to the necessity to maintain an uncontaminated field within the body, the entire unit must be reimplanted. Nevertheless, this is a minor surgical procedure involving only the shallow subclavicular pocket where the neurostimulator resides.
Remaining battery life may be reliably determined with a telemetric programmer so that arrangements can be made to replace the unit prior to battery failure.
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