Deep Brain Stimulation Surgery works miracle for Parkinson’s disease

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Udaipur, January 24, 2013. The medical team at Sterling Hospitals headed by Dr. Paresh Doshi In-charge, Functional and Stereotactic Neurosurgery, Sterling Hospital, Ahmedabad performed a successful Deep Brain Stimulation Surgery (DBS) on Sunday. Mr. Pradip Patel, the first patient to undergo DBS procedure in Gujarat went through a grueling 6 hour long surgery. He lay awake during the whole procedure, while the doctors accurately placed two electrodes in his brain to stimulate the subthalamic nucleus (STN). The neuro-surgery procedure relieved the patient from his decade old suffering putting him back on track towards leading a normal and healthy life.

Mr. Pradip Patel, the patient is a farmer by profession and was suffering from the Parkinson’s disease for the past 10 years but the latest technique infused new life that restored his days back to the tracks of a normal and healthy life. His relief was clearly visible in the spark of his eyes as he was able to cut his birthday cake for the first time in ten years on the very next day of being operated.
The other experts at Sterling Hospitals who helped in performing the surgery successfully includes Dr. Sudhir Shah, Neurologist, and three Neurosurgeons, Dr. Parimal Tripathi, Dr. Y. C. Shah and Dr. Mukesh Patel.
“There are no known reasons for Parkinson’s. Genetic factors are reasons for only a small proportion of cases. Once identified, a clinical diagnosis is needed to establish Parkinson’s disease.” says Dr. Paresh Doshi who has given new lease on life to more than 300 Parkinson’s Patients.
“Parkinson’s Disease can be controlled though there is no cure. It can only be relieved to an extent by medication. Over a period of time the body stops responding to medicines as well. In fact, extensive medication does have side effects also. When symptoms become more pronounced, the patient’s dependency on family members also increases greatly. Deep Brain Stimulation [DBS] therapy is a good option in carefully selected patients who are at an advanced stage of

Parkinson’s disease also exhibiting side effects of medical therapy. DBS improves the quality of life greatly for this group of patients.” Dr. Doshi added.
Dr. Doshi further said, “India is the most sought-after and cost effective medical tourism destination of the world. The cost of most surgeries and medical treatments in India is only a fraction of their cost in developed countries. This applies to treatment and surgeries associated with Parkinson’s disease. The average cost of deep brain stimulation surgery in USA is almost $1,00,000. Medical treatment costs in India are only 15% when compared to similar procedures in North America and the UK. Travel and accommodation expenses are also very reasonable and economical. India also offers plenty of complementary and supportive therapy at highly competitive prices; the fact also increases the concern for quality treatment being provided by Neurosurgeons in India.”
Giving details of the latest technique, Dr. Doshi, said “The DBS system consists of three components: the lead, the extension, and the neuro stimulator. The lead (also called an electrode)—a thin, insulated wire—is inserted through a small opening in the skull and implanted in the brain. The tip of the electrode is positioned within the targeted brain area. Before the procedure, a neurosurgeon uses magnetic resonance imaging (MRI) or computed tomography (CT) scanning to identify and locate the exact target within the brain where electrical nerve signals generate the PD symptoms. Microelectrode recording—which involves a small wire that monitors the activity of nerve cells in the target area—to more specifically identify the target cells is used to locate the target. Thereafter intra-operative testing using stimulation is performed to confirm the improvement before finally implanting the DBS leads. Next day the intracranial electrodes are connected to the pacemaker implanted under the collar bone beneath the skin”.
“Once the system is in place, electrical impulses are sent from the neurostimulator up along the extension wire and the lead and into the brain. These impulses interfere with and block the electrical signals that cause PD symptoms” added further, Dr. Doshi.
Parkinson’s disease [PD], the neurological movement disorder, which is known to affect one in 1000 people worldwide, is increasing its footprint in India. A disease considered to be affecting only the elderly is found to be increasingly affecting people well below 40 years. The mean age of onset of PD is about 65. However, growing number of people are being diagnosed with neurological disorders under the age of 40 and there are some cases of Parkinson’s disease even in the age of 25-30 years.
Sterling Hospitals: Sterling Hospitals, owned and managed by Sterling Addlife India Ltd., is the largest corporate hospital chain in Gujarat. Facilities at Ahmedabad, Vadodara (I & II), Rajkot and Bhavnagar provide multi-specialty tertiary care with high-end secondary care set-up at Mundra SEZ and Adipur. Sterling also operates a dedicated Cardiac Centre at Mehsana. It is engaged in providing high quality secondary and tertiary medical and surgical care in a host of critical specialties. Sterling Hospital, Ahmedabad is the 1st NABH & NABL accredited corporate hospital in the state. Sterling Hospital, Vadodara is also the first Corporate Hospital in South Gujarat, accredited with NABH.

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