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Frequently asked questions about Deep Brain Stimulation(DBS)

Living with Parkinson’s disease can feel like a constant struggle, as daily tasks become more difficult and symptoms like tremors, rigidity, and impaired movement take control. At Safak Medical, we understand the emotional and physical toll this condition can have on you and your loved ones. While medications can provide some relief, they often lose their effectiveness over time, leaving many searching for more hope. That’s where Deep Brain Stimulation (DBS) comes in—an advanced, life-changing procedure that offers a new ray of hope for those battling Parkinson’s. Through DBS, many patients have found not just symptom relief, but a renewed sense of independence and improved quality of life. In this blog, we’ll guide you through everything you need to know about DBS, how it works, the benefits it can provide, and how Safak Medical can support you every step of the way. We’re here to help you find the care and treatment you deserve, offering personalized support from the moment you reach out to us.

What is Deep Brain Stimulation(DBS)?

DBS is a surgical procedure where electrodes are implanted into specific areas of the brain to deliver electrical impulses, helping to reduce symptoms of Parkinson’s disease such as tremors, rigidity, and motor control issues.

Does DBS Cure Parkinson’s Disease?

No, DBS does not cure Parkinson’s disease. While Deep Brain Stimulation is a highly effective treatment for managing the symptoms of Parkinson’s, it does not stop or reverse the progression of the disease itself. Parkinson’s disease is a neurodegenerative condition, meaning it gradually worsens over time as brain cells responsible for producing dopamine become damaged or die. DBS can significantly improve motor symptoms, such as tremors, rigidity, and bradykinesia (slowness of movement), and it may reduce the need for medication, but it does not cure the underlying disease or halt its progression.

DBS works by delivering electrical impulses to specific areas of the brain that are involved in motor control, helping to normalize abnormal brain activity associated with Parkinson’s symptoms. This can lead to a significant improvement in daily functioning and overall quality of life. However, as the disease continues to progress, adjustments to the stimulation settings or medication may be required to maintain optimal symptom control.

How does DBS work?

DBS involves placing electrodes in targeted areas of the brain, typically the subthalamic nucleus (STN) or globus pallidus interna (GPi). A small device implanted under the skin in the chest generates electrical impulses that are delivered to the brain to improve motor control.

Who is a good candidate for DBS surgery?

Ideal candidates are individuals with Parkinson’s disease who have motor symptoms that are not well-controlled by medication, have experienced side effects from medications, or have advanced disease stages that affect their quality of life. A comprehensive evaluation by a neurologist and neurosurgeon is necessary to determine suitability.

Is DBS surgery safe?

While DBS is generally safe, like any surgery, it carries some risks such as infection, bleeding in the brain, or device malfunction. However, serious complications are rare, and the benefits often outweigh the risks when carefully managed.

How long does the DBS procedure take?

The entire DBS procedure typically takes between 4 to 6 hours, depending on the complexity of the case and the specific techniques used. It is performed in two stages:

Electrode Implantation: The first stage involves the placement of the electrodes in the brain. This is done under either local or general anesthesia, depending on the surgeon’s approach and patient preference. During this stage, the neurosurgeon will use advanced imaging technology, such as MRI or CT scans, to guide the precise placement of the electrodes into specific areas of the brain that control movement. This stage usually takes around 2 to 3 hours.

Neurostimulator Implantation: The second stage involves implanting the neurostimulator (similar to a pacemaker) under the skin near the collarbone or in the chest. The device is connected to the electrodes in the brain through thin insulated wires. This part of the procedure is typically completed in about 1 to 2 hours, and it is performed under general anesthesia.

What is the recovery process like after DBS surgery?

Recovery varies by patient, but most people stay in the hospital for a few days post-surgery. Initial discomfort at the surgical sites is common and resolves within a few weeks. Follow-up visits are necessary to adjust the stimulator settings and monitor progress.

Will DBS eliminate all my Parkinson’s symptoms?

DBS can significantly reduce tremors, rigidity, and other motor symptoms. However, it may not completely eliminate symptoms such as walking difficulties, balance issues, or non-motor symptoms like depression or cognitive changes.

Will I Stop Taking Medications After DBS Surgery?

After DBS surgery, it is unlikely that you will completely stop taking medications for Parkinson’s disease. However, many patients experience significant improvements in their symptoms, which can allow them to reduce the dosage or frequency of their medications. The primary goal of DBS is to manage motor symptoms more effectively, which may lead to a decrease in the need for certain medications, particularly those used to control tremors, rigidity, and slowness of movement.

While DBS can improve your quality of life and reduce medication side effects, it is typically considered a complementary treatment rather than a complete replacement for medication.

Can DBS be adjusted after surgery?

Yes, one of the key benefits of DBS is that the settings can be adjusted over time to optimize results. Follow-up visits allow doctors to fine-tune the stimulation based on changes in symptoms.

How long will the DBS device last?

The neurostimulator, which is the part of the device that generates the electrical impulses, typically lasts between 3 to 5 years before the battery needs to be replaced. However, the medical centers we have established partnerships with use advanced neurostimulators equipped with batteries that can last up to 25 years, significantly reducing the frequency of replacements and ensuring long-term management of Parkinson’s symptoms.

The electrodes themselves, which are implanted in the brain, tend to last much longer, often 10 years or more, and in some cases, they may last the entire lifespan of the neurostimulator. The longevity of the electrodes depends on factors such as the patient’s condition, the settings of the device, and the frequency of adjustments made to the stimulation system.

Regular follow-up visits with your medical team will help monitor the device’s performance and ensure that any necessary adjustments are made, including battery replacement when required.

Can DBS be used for other conditions besides Parkinson’s disease?

Yes, DBS is also used to treat other neurological conditions, such as essential tremor, dystonia, and obsessive-compulsive disorder (OCD), among others.

Are there any side effects associated with DBS?

Some patients may experience temporary side effects such as speech difficulties, tingling sensations, or muscle contractions. In rare cases, patients may experience permanent neurological issues like balance or speech problems.

How soon will I see results after DBS surgery?

Some patients begin to notice improvements in their symptoms within days to weeks after surgery, but the full effects can take several months, especially as the stimulator is fine-tuned.

Is DBS a permanent solution for Parkinson’s disease?

While DBS is not a cure and doesn’t halt disease progression, it is a long-term solution for symptom management. Most patients continue to benefit from DBS for several years, especially if the device is properly managed.

Will I Need to Make Lifestyle Changes After DBS Surgery?

After undergoing Deep Brain Stimulation (DBS) surgery, most patients are encouraged to maintain or even increase their level of activity to enhance their overall quality of life. While DBS is designed to alleviate many symptoms of Parkinson’s disease, certain lifestyle adjustments may be necessary to ensure the device functions properly and to maximize the benefits of the surgery:

Avoiding Strong Magnetic Fields:
The DBS system is sensitive to strong magnetic fields, such as those generated by MRI machines and industrial equipment. Although some MRI procedures may be safely performed with special precautions, it’s crucial to inform your healthcare providers about your DBS implant to ensure appropriate protocols are followed.

Engaging in Physical Therapy:
Physical therapy often plays a significant role in post-DBS recovery. A tailored exercise regimen, designed with the guidance of your medical team, can help improve mobility, balance, and muscle strength.

Regular Medical Checkups:
You will need to attend regular follow-up appointments to monitor the device and adjust the stimulator settings as needed. These adjustments are crucial to achieving optimal symptom control and adapting to any changes in your condition over time.

Diet and Nutrition:
Maintaining a balanced and healthy diet can complement your treatment and overall well-being. While no specific dietary restrictions are associated with DBS, managing weight and overall health can support better outcomes.

Avoiding High-Impact Activities:
While staying active is encouraged, certain high-impact or contact sports that might dislodge the DBS electrodes or affect the implant site should be avoided.

Travel Considerations:
If you travel frequently, be aware that airport security systems may interfere with your DBS device. Carrying a medical ID card indicating your implant can help you navigate security screenings smoothly.

With the right precautions and adjustments, most patients can return to their usual routines and even experience a greater sense of independence and mobility.

How much does deep brain stimulation surgery cost in Turkey?

The cost of Deep Brain Stimulation (DBS) surgery in Turkey can vary depending on several factors, including the hospital or medical center, the surgeon’s experience, the type of neurostimulator used, and the complexity of the case. On average, the cost for DBS surgery in Turkey typically ranges from $20,000 to $25,000 USD. This price generally includes:

  • Pre-surgery consultations and diagnostic tests (e.g., MRI, CT scans)
  • The DBS procedure (electrode implantation and neurostimulator implantation)
  • Post-surgery follow-up care and adjustments
  • Hospital stay and related medical services

Turkey is known for providing high-quality medical care at a fraction of the cost compared to countries like the U.S. or European nations, making it a popular destination for medical tourism, particularly for procedures like DBS.

What brands are commonly used for DBS surgeries in Turkey?

In Turkey, the most commonly used DBS systems include advanced technology from leading brands, and the Boston Scientific Vercise DBS System is one of the top choices. This system is particularly favored for its precise and effective treatment of Parkinson’s disease and essential tremor. Boston Scientific’s Vercise system offers a 25-year battery life, significantly reducing the need for frequent replacements and providing long-term management of neurological symptoms. This makes it a reliable and cost-effective option for patients seeking long-term solutions.

Our partner medical centers in Turkey use this system, ensuring that patients benefit from the latest in DBS technology, which is designed to enhance symptom control while minimizing side effects.

How can Safak Medical Support You Through your DBS Surgery in Turkey?

At Safak Medical, we are dedicated to making your journey toward improved health as seamless and stress-free as possible. As specialists in medical tourism, we provide comprehensive support to ensure you and your loved ones feel cared for at every stage of the process. Here’s how we assist you in navigating DBS surgery:

We connect you with the leading specialists and world-class medical facilities in Turkey, known for their expertise in Deep Brain Stimulation (DBS) procedures.

We handle all aspects of travel and accommodation. From visa applications to booking flights, we take care of the logistics so you can focus on your health. We also arrange comfortable accommodations near your hospital, tailored to meet your personal preferences and needs.

Our team coordinates pre- and post-surgical appointments, ensuring that your medical journey is well-organized. We manage scheduling for pre-surgical evaluations, surgery dates, and post-surgical programming sessions. Follow-up consultations are also arranged to monitor your recovery and device adjustments, with our team acting as a liaison between you and your medical team to keep you informed and prepared.

Translation and interpretation services are available to eliminate language barriers. Our translators help you communicate effectively with doctors and staff, ensuring that all medical reports, prescriptions, and instructions are accurately translated into your language.

We provide personalized support and care throughout your DBS journey. Our compassionate team is always available to answer your questions, provide emotional support, and offer practical guidance. Even after you return home, we continue to assist with any follow-up care, ensuring a smooth transition back to your daily life.

At Safak Medical, we are honored to be your trusted partner in your path to better health. Let us handle the details so you can focus on what matters most—your health and recovery.

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