Deep Brain Stimulation, Parkinson Surgery, Tremor, Dystonia, OCD Treatment at World Best Hospital in India Indian doctors with training in brain conditions (neurologists), brain surgeons (neurosurgeons), doctors with training in mental conditions (psychiatrists), pain specialists, specialized programming nurses and other specialists use an integrated team approach to treating people who have deep brain stimulation. Indian specialists have successfully used deep brain stimulation to treat hundreds of people who have essential tremor, Parkinson's disease and dystonia. Recently, doctors have used DBS to treat people who have cluster headaches, Tourette syndrome, epilepsy and chronic pain that hasn't responded to other treatment.

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Deep Brain Stimulation & Parkinson Surgery Treatment at
World Best Hospital in India
How long will I stay in the hospital after the first surgery?
Patients need to stay in the hospital until their incision-related pain can be well
controlled with oral pain medications, they are able to eat and drink and can walk. On
average, most patients stay only one night after surgery and occasionally a second night.
Patients will also receive a CT scan or MRI after the surgery to confirm the location of
the electrode(s) and to check for any post-operative bleeding. This CT scan or MRI is
done without the head frame.
How long is recovery? What special instructions will I receive after the
surgery?
Recovery is fairly uncomplicated for most patients, but in 10% of patients they will feel
sleepier and slower and possibly mildly disoriented for several days after surgery. It is
essential for all patients that a plan is in place before surgery for additional help in the
home during at least the first week after surgery.

2. In addition, you will receive instructions not to touch the surgical wounds with your
hands. These instructions apply to both your 1 st stage and 2 nd stage surgeries. You will
not be able to shower or get the area around the incision wet until the wound has
completely healed. You will be scheduled to return to the neurosurgery clinic for a
wound check and if applicable, removal of the stitches. If you see any redness, swelling,
or leaking fluid, please call the neurosurgeon's office immediately as these can be early
signs of infection.
When does the DBS actually get turned on?
DBS programming takes place about 3-4 weeks after your surgery. You will receive a
phone call with an appointment and special instructions regarding medication.
The appointment can last anywhere from 1-3 hours, depending on if you have one or
two electrodes and whether you have Parkinson's disease, dystonia or tremor. Please be
prepared to bring your medications with you and someone to drive you to the
appointment and back.
What follow up care is required if I have this treatment?
It is important to understand that patients who have DBS must make frequent visits to
the outpatient clinic during the first three months after surgery. These visits are
needed so that doctors can "program" your stimulation so that it is just right for you.
The doctor can change the strength and frequency of the electrical stimulation that your
brain is receiving. These changes are then matched with adjustments in your
medications until the right balance is achieved.
At first, you may be coming in as often as every two weeks for adjustments. Once stable
settings are found and a new medication schedule has been established, you will not
need to come in as frequently.
The initial "breaking in" period, when you require frequent adjustments, may last as
long as three months. Over time, you may need additional changes as your Parkinson's
disease progresses. If you live far from the hospital or have difficulty arranging
transportation, this is something to carefully consider before deciding to have the
surgery.
Six months after stimulation is started, we recommend you return for another follow-up
visit and neuropsychological testing (if you have Parkinson's disease).
Deep Brain Stimulation, Parkinson Surgery, Tremor, Dystonia, OCD
Treatment at World Best Hospital in India

3. Indian doctors with training in brain conditions (neurologists), brain surgeons
(neurosurgeons), doctors with training in mental conditions (psychiatrists), pain
specialists, specialized programming nurses and other specialists use an integrated
team approach to treating people who have deep brain stimulation. Indian specialists
have successfully used deep brain stimulation to treat hundreds of people who have
essential tremor, Parkinson's disease and dystonia. Recently, doctors have used DBS to
treat people who have cluster headaches, Tourette syndrome, epilepsy and chronic pain
that hasn't responded to other treatment.
Neuro specialists in India use computer-assisted brain surgery, intraoperative MRI and
awake brain surgery during deep brain stimulation.
Indian Neurologists are ranked among the Best surgeons for neurology and
neurosurgery worldwide. Because the brain can shift slightly during surgery, there is
the possibility that the electrodes can become displaced or dislodged. This may cause
more profound complications such as personality changes, but electrode misplacement
is relatively easy to identify using CT.
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