Deep brain stimulation (DBS) – Parkinsons: What is deep brain stimulation (DBS)?
Deep brain stimulation (DBS) to treat Parkinson disease is a medical technique that includes placing electrodes or conductors in the brain, which send electrical impulses that change the unusual signals. This approach consists of four parts:
- Leads that end in electrodes that are implanted in the brain
- A small pacemaker-like device that makes the electrical pulses
- Delay leads that transmit electrical pulses from the pacemaker device
- Hand-held computer operator that adjusts the device’s signs
How do I know if I’m a candidate for Deep brain stimulation (DBS) to treat Parkinson disease?
Although Deep brain stimulation is an ideal way to recognize or treat Parkinson, however, before being a candidate for Deep brain stimulation (DBS) to treat Parkinson, patients who are suffering from Parkinson’s disease symptoms needs to undergo a general evaluation method. The patient will be assessed by a multidisciplinary team of specialists. This scientific team comprises psychiatrists, neuropsychologist and neurologists. If patients are well managed by tablets, Deep brain stimulation is not considered.
Candidates for Deep brain stimulation (DBS) in Parkinson are patients who encounter one of the following criteria:
- Signs are not well controlled despite receiving a suitable dose of levodopa.
- Signs are reducing patients’ quality of life.
- Unusual involuntary movements or motor variations are not improving despite alterations in medications.
- Additional doses of levodopa are requisite a day.
- Patient is not able to control tablets use properly.
Deep brain stimulation (DBS) to treat Parkinson: How is deep brain stimulation (DBS) used to treat Parkinson’s disease?
Deep brain stimulation (DBS) to treat Parkinson brings electrical impulses to the brain that is accountable for the signs produced by Parkinson’s disease. In case the abnormal activity is accrued in the brain, the electrical impulses could be able to recognize. Three different areas in the brain can be targets for deep brain stimulation to treat Parkinson disease. They are:
- The subthalamic nucleus
- The specific globus pallidus internus
- The ventral nucleus of the thalamus.
Each area has a role in the brain to control the movements. In deep brain stimulation, electrodes are located in the brain. The electrodes are linked by wires to the pacemaker located in the skin of the chest under the collarbone. When activated, the pulse producer sends electrical pulses to the brain, varying the brain circuits. The deep brain stimulation system functions like a pacemaker for the patient’s heart. In another word, deep brain stimulation is mentioned as “the pacemaker for the patient’s brain.”
Deep brain stimulation (DBS) to treat Parkinson, Levodopa response test
Responding to a particular quantity of levodopa is considered as an additional test that surgeons use to distinguish patients. In this examination, patients take a single dose of Levodopa during a dated of time. Patients are likely to benefit from Deep brain stimulation if they have a positive reaction after taking levodopa. For many patients, the response to Deep brain stimulation will be similar to levodopa but without any symptoms. In addition, Deep brain stimulation is still a good therapeutic choice for tremor in Parkinson’s disease that may not be treated by levodopa. Deep brain stimulation (DBS) will also help decrease dyskinesia.
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