Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

  • MBBS, MS, MCH (Neurosurgery)
  • Fellowship Sundt & Mayo Clinic, USA
  • HOD & Executive Director - Department of Neurosurgery FMRI
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DR SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Deep Brain Stimulation (DBS) Surgery Cost in India

Deep Brain Stimulation (DBS)

Deep Brain Stimulation DBS

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    Frequently Asked Questions :

    What is Deep Brain Stimulation?

    DBS is a surgical treatment involving the implantation of a device that sends electrical impulses to specific areas of the brain, helping to manage symptoms of certain neurological disorders.

     

    DBS is generally considered safe; however, like all surgical procedures, it carries some risks, including infection and bleeding. A thorough evaluation by Dr. Suraj Munjal and the surgical team will help mitigate these risks.

     

    The DBS surgery typically lasts between 4 to 8 hours, depending on the complexity of the case.

     

    DBS is commonly used to treat:

    • Parkinson’s disease

    • Essential tremor

    • Dystonia

    • Obsessive-compulsive disorder (OCD)

    • Epilepsy

    Electrodes are implanted in the brain and connected to a small battery-powered device (neurostimulator or “brain pacemaker”) placed under the skin in the chest. This device sends electrical signals to targeted brain areas to improve symptoms.

    It helps manage symptoms and can significantly improve quality of life, especially in patients who no longer respond well to medications.

    • Candidates are usually patients with movement disorders who:
    • Have had the condition for several years
    • Experience motor fluctuations or severe tremors
    • Do not respond adequately to medication
    • Are in overall good health

    The procedure typically takes 2 to 3 hours and is often performed in two stages—implanting the electrodes in the brain and then placing the battery (IPG) in the chest.

    Some patients notice improvements within days, while for others it may take weeks or even months of fine-tuning the device settings to achieve the best results.

    The battery life of a DBS device depends on usage and whether it’s rechargeable. Non-rechargeable batteries typically last 5-10 years, while rechargeable ones can last up to 15 years.

    Yes, the device can be turned off or adjusted non-invasively using a handheld programmer. Settings can be changed over time based on the patient’s response.

    Deep Brain Stimulation (DBS)

    About Deep Brain Stimulation (DBS)

    Deep Brain Stimulation (DBS) is a neurosurgical procedure that involves implanting a medical device known as a neurostimulator, which sends electrical impulses to specific brain areas. This innovative treatment has been proven effective for various neurological conditions, particularly movement disorders such as Parkinson’s disease, essential tremor, and dystonia. Dr. Sandeep Vaishya, a leading neurosurgeon, specializes in DBS, providing patients with personalized care and advanced surgical techniques.

    Causes of Conditions Treated with DBS

    DBS is primarily used for patients suffering from conditions caused by abnormal brain activity. These may include:

    • Parkinson’s Disease: Parkinson’s Disease degenerative disorder that affects movement control.
    • Essential Tremor: A neurological disorder causing involuntary shaking.
    • Dystonia: A movement disorder characterized by sustained muscle contractions.
    • Obsessive-Compulsive Disorder (OCD): A mental health condition that can benefit from DBS in severe cases.

    Understanding the underlying causes of these conditions is crucial for determining the suitability of DBS as a treatment option.

    Types of Deep Brain Stimulation

    DBS involves different types of stimulation based on the targeted area of the brain. Some common types include:

    • Subthalamic Nucleus (STN) DBS: Most commonly used for Parkinson’s disease to reduce motor symptoms.
    • Globus Pallidus Internus (GPi) DBS: Effective for dystonia and Parkinson’s disease, targeting the globus pallidus.
    • Ventral Intermediate Nucleus (VIM) DBS: Primarily used for essential tremor.

    Each type of DBS is tailored to the patient’s specific condition and symptoms, enhancing overall treatment effectiveness.

    Symptoms Indicating the Need for DBS

    Patients may consider DBS if they experience:

    • Persistent tremors or shaking.
    • Difficulty with balance and coordination.
    • Uncontrolled muscle contractions.
    • Severe medication side effects.
    • Significant impact on daily activities and quality of life.

    Consulting with Dr. Sandeep Vaishya can help evaluate these symptoms and determine if DBS is the right choice.

    Diagnosis for DBS Candidates

    The diagnosis process for potential DBS candidates typically involves:

    • Comprehensive Neurological Evaluation: Assessing the patient’s medical history and current symptoms.
    • Imaging Studies: MRI or CT scans to visualize brain structure.
    • Response to Medications: Observing how well the patient responds to Parkinson’s or dystonia medications.

    These assessments help identify the most suitable candidates for DBS.

    Treatment Process for DBS

    The DBS treatment process generally involves the following steps:

    1. Consultation: An initial assessment with Dr. Vaishya to discuss symptoms and treatment options.
    2. Preoperative Testing: Detailed evaluations to ensure patient eligibility.
    3. Surgical Procedure: DBS surgery is typically performed under general anesthesia, where electrodes are implanted in the brain.
    4. Postoperative Care: Monitoring and programming of the neurostimulator to optimize treatment outcomes.

    Dr. Vaishya ensures that each patient receives personalized care throughout the entire process.

    Which DBS device manufacturers are most trusted and widely used

    • Medtronic
      • One of the pioneers in DBS technology.
      • Popular models: Activa™, Percept™ PC (with BrainSense™ technology)
      • Known for reliability, wide clinical use, and global availability.
    • Boston Scientific
      • Offers advanced directional leads and programming flexibility.
      • Popular model: Vercise™ Genus and Vercise™ PC Systems
      • Known for its current steering technology, which can reduce side effects.
    • Abbott (formerly St. Jude Medical)
      • Offers Infinity™ DBS System
      • Uses a Bluetooth-enabled controller and iOS devices for programming.
      • Known for patient-friendly tech and directional stimulation.

    Cost of DBS and Stay in India

    The cost of Deep Brain Stimulation in India can vary based on several factors, including:

    • Type of procedure.
    • Hospital facilities.
    • Surgeon’s expertise.

    At Fortis Memorial Research Institute in Gurugram, under the expertise of Dr. Sandeep Vaishya—Executive Director and Head of Neurosurgery—the estimated cost of Deep Brain Stimulation (DBS) surgery typically falls between $25,000 and $35,000 USD.

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