Deep Brain Stimulation (DBS)

Before surgery, the neurosurgeon and neurologist perform a detailed evaluation to determine whether DBS is the right treatment. The evaluation may include: Neurological examination, MRI or CT scan of the brain, Medication response assessment, Blood tests, ECG and anaesthesia fitness assessment. Patients are generally advised to: Follow fasting instructions before surgery, Inform the doctor about medications and allergies, Adjust certain medications if advised, Arrange support during recovery.

On the day of surgery, the patient receives local anaesthesia with sedation or general anaesthesia, depending on the surgical plan. The surgeon precisely places thin electrodes into the targeted area of the brain using advanced imaging and navigation techniques. These electrodes are connected to a neurostimulator (pulse generator) implanted under the skin of the chest through a small incision. After confirming correct placement, the incisions are closed, and the device is tested before completion. The procedure usually takes 3–6 hours.

After surgery, the patient is monitored closely while recovering from anaesthesia. The neurostimulator is usually programmed a few weeks after surgery once initial healing has occurred. Patients are advised to: Take prescribed medications, Keep the incision clean and dry, Attend regular follow-up visits for DBS programming, Resume activities gradually as advised, Continue neurological rehabilitation if recommended. Seek immediate medical attention if you develop fever, severe headache, wound discharge, confusion, seizures, or sudden neurological changes.