Tag Archives: DBS

Deep-Brain-Stimulation

The best Deep Brain Stimulation (DBS): A Brain Pacemaker

Deep Brain Stimulation (DBS): A Brain Pacemaker—The best at Dr Rao’s Hospital

Deep brain stimulation (DBS) electrodes are implanted in particular regions of the brain. These electrodes generate electrical impulses, which control the aberrant impulses. Alternatively, electrical impulses in the brain can impact specific cells and substances.

Dr. Rao’s Hospital Guntur is one of Guntur’s most renowned and best neurology hospitals. They have years of expertise in implementing deep brain stimulation.

Under the skin of the upper chest, a pacemaker-like device controls deep brain stimulation. A cable that travels beneath your skin connects this device to electrodes in your brain.

Deep brain stimulation is frequently used to treat a variety of ailments, including:

  1. Parkinson’s disease is a neurological disorder that affects people.
  2. Essential tremor is a kind of tremor that affects
  3. Dystonia
  4. Epilepsy
  5. Obsessive-compulsive disorder (OCD) is a kind of obsessive-compulsive disorder.

Why is it done this way?

People with movement disorders, including essential tremors, Parkinson’s disease, and dystonia, as well as mental diseases like obsessive-compulsive disorder, can benefit from deep brain stimulation. The Food and Drug Administration has also authorized it for use in treating seizures in people with difficult-to-treat epilepsy.

This treatment is only for those who can’t control their symptoms with medicine.

Risks

Although deep brain stimulation is thought to be a low-risk procedure, any operation has the potential for consequences. Furthermore, brain stimulation might have adverse effects.

The dangers of surgery

Deep brain stimulation entails drilling small holes in the skull for the electrodes to be implanted into the brain tissue and surgery to implant the device with the batteries under the skin in the chest. Surgical complications might include:

  1. Leads are misplaced.
  2. There is bleeding in the brain.
  3. Stroke
  4. Breathing difficulties
  5. Nausea
  6. Problems with the heart
  7. Seizure

The device will be turned on a few weeks following surgery, and determining your optimal settings will begin. Some settings may have adverse effects, although these usually improve with more device changes.

The Food and Drug Administration suggests talking with your doctor and adopting water safety precautions before swimming. A few reports have suggested that DBS treatment impairs the movements needed for swimming.

How do you get ready?

Consider the advantages and disadvantages first.

Deep brain stimulation is a method that has the potential to be both serious and hazardous. Even if you believe you could be a candidate for deep brain stimulation, you and your doctors should carefully weigh the risks and benefits.

Prepare for surgery after that.

Before surgery, you’ll almost definitely need medical testing to confirm that deep brain stimulation is a safe and effective therapy option for you. Before the procedure, you may need brain imaging tests, such as an MRI. These studies help map the brain areas where electrodes will be implanted.

What you may anticipate

During the procedure,

Here’s how deep brain stimulation surgery works in general:

Brain Surgery: Your medical team will provide a unique head frame to keep your head still throughout the brain surgery procedure (stereotactic head frame). The experts will next map your brain using neuroimaging (brain MRI or CT) to decide where the electrodes should be put.

Surgery on the chest wall

During the second step of the surgery, the pulse generator (the part of the device that contains the batteries) is implanted under the skin in the chest near the collarbone. General anesthesia will be used during this procedure. The wires from the brain electrodes are routed under the skin to the battery-operated pulse generator. Then, the generator is set up to send electrical impulses to your brain in a loop. The generator is under your control, and you can turn it on or off with a unique remote control.

Following the surgery

The pulse generator in your chest will turn on in your doctor’s office a few weeks after surgery. With a unique remote control, the physician can easily configure his device from outside his body. The intensity of the stimulation is tailored to your needs, and it can take up to six months to achieve the proper balance.

Results

Although deep brain stimulation will not cure your condition, it can help alleviate some of the symptoms. If deep brain stimulation is successful, your symptoms will improve significantly, but they won’t completely disappear. However, certain conditions may require the use of medications.

Deep brain stimulation is not always practical. The effectiveness of deep brain stimulation depends on a variety of factors. Before surgery, talk to your doctor about the improvement you can expect from your condition.

Dr. Rao’s Contact Information:

Surgical management of Epilepsy

The Best Epilepsy Surgery in Andhra Pradesh – Dr Raos Hospital

The Best Epilepsy Surgery in Andhra Pradesh – Dr Raos Hospital

Epilepsy is a neurological condition in which brain activity becomes aberrant, resulting in seizures or episodes of odd behavior, feelings, and occasionally loss of awareness.

Are you suffering from epilepsy?

Don’t worry! You can get effective treatment for epilepsy at Dr. Rao’s Hospital, Guntur. We are one of the best neurology hospitals in Guntur. We have experienced neurosurgeons like Dr. Mohana Rao Patibandla, a fellowship-trained epilepsy surgeon from the USA. Our hospital in Guntur provides solutions for all neurological disorders, including epilepsy.

This article discusses the treatment options for epilepsy. But before we discuss the treatment options, first, let us first examine the causes of epilepsy.

What are the Causes of Epilepsy?

The following factors contribute to the development of epilepsy:.

  1. • Genetics: Genetic factors are one of the causes of epilepsy. Epilepsy is more common in those who have specific genes.
  2. • Head trauma: A head injury may result in epilepsy.
  3. • Brain problems: Brain tumors and strokes can induce epilepsy.
  4. • Infectious illnesses: Infectious disorders such as meningitis, AIDS, and viral encephalitis can induce epilepsy.
  5. • Prenatal injury: Epilepsy can develop as a result of brain damage that happens prior to birth.
  6. Several risk factors contribute to epilepsy. The specifics are as follows:
  7. • Age: Children and the elderly are more likely to develop epilepsy.
  8. • Family History: If epilepsy runs in your family, you’re likely to get it as well.
  9. • Head injuries: Epilepsy is more likely to occur in those who have had a head injury.
  10. • Infectious diseases: Infectious diseases like meningitis and AIDS can increase your risk of developing epilepsy.

What are the symptoms of epilepsy?

The most common sign of epilepsy is seizures. Symptoms vary from one individual to the next and depending on the type of seizure.

Focal or partial seizures

There is no loss of consciousness in a simple partial seizure. Among the signs and symptoms are:

  1. • Changes in the senses of taste, smell, sight, hearing, and touch
  2. • Dizziness
  3. • Limb tingling and twitching
  4. There is a loss of awareness or consciousness with complex partial seizures. Other signs and symptoms include:
  5. • Blank stare
  6. • Unresponsiveness
  7. • Repeating the same moves

Generalized seizures

Seizures that affect the entire brain are known as generalized seizures. There are six different types:

Absence seizures, often known as “petit mal seizures,” result in a blank stare. Repetitive motions, such as lip-smacking or blinking,, may occur due to this type of seizure. There is frequently a brief loss of awareness as well.

Muscle stiffness is a side effect of tonic seizures.

Atonic seizures result in a loss of muscle control, which might cause you to fall unexpectedly.

Clonic seizures are characterized by repeatedly jerky muscular movements in the face, neck, and arms.

A rapid twitching of the arms and legs characterizes myoclonic seizures.

Grand mal seizures were once known as tonic-clonic seizures. Among the signs and symptoms are:

• Body becomes stiff

• Shaking

• Inability to control bladder or bowel movements. There can also be loss of consciousness.

What is intractable epilepsy?

Intractable epilepsy is defined as seizures that two epileptic medicines can’t control at their maximum tolerable doses for two years. (Intractable means “not easily managed or relieved.“) It’s also called refractory, uncontrolled, or drug-resistant epileptic seizures. Nearly 36% of epilepsy patients are refractory to medication, and we need to find surgical candidates in this population.

What will you do when you see your close relative having seizures?

Now, let us discuss the treatment options available in Guntur to treat epilepsy.

What solutions are provided by Dr. Rao’s Hospital in Guntur to treat epilepsy?

We use the following treatment options to manage and treat epilepsy:

Anti-epileptic medications (AEDs)

The most common treatment for epilepsy is antiepileptic drugs (AEDs). In about 7 out of 10 people, they aid in seizure management.

AEDs function by altering the chemical levels in your brain. They cannot cure epilepsy, but they can prevent seizures. AEDs come in a variety of forms, including pills, capsules, liquids, and syrups. In most cases, you must take the medication daily.

Your doctor in Guntur will begin with a low dose and then raise it until you no longer have seizures. If the first medicine you try does not work, your doctor may suggest you try a different type.

You must follow any recommendations for when and how much to take AEDs. If you suddenly stop taking an AED, you risk having a seizure. Drowsiness, headaches, rashes, tremors, etc., are some of the side effects of AEDs.

Surgery on the brain

There’s a reasonable probability that your seizures will stop completely following surgery in certain instances, such as the following: 70% in temporal lobe seizures and 50% in nontemporal lobe seizures.

• AEDs are not controlling your seizures.

Tests show that a disorder in a small area of your brain that is treatable without having severe side effects is the cause of your seizures.

Brain scans (MRI seizure protocol), electroencephalograms (EEG), and other testing are conducted before surgery. The findings of these tests will help you and your doctor determine whether surgery is a viable choice for you.

Resection surgeries:

The identified epilepsy focus was removed during this procedure with the help of brain electric activity.

Epilepsy surgery is usually performed while you are unconscious, using a general anesthetic.

The neurosurgeon at Dr. Rao’s Hospital in Guntur makes a small cut in your head and a hole in your skull to remove the affected area of the brain.

At the conclusion of the procedure, the openings in your skull and scalp are closed. Make sure you discuss the risks with your neurosurgeon before undergoing surgery.

 Stimulation procedures:

When we cannot resect the lesion due to eloquence or recognize the precise area, we stimulate the brain or vagus nerve.

• Vagus nerve stimulation:

In vagus nerve stimulation, doctors implant a vagus nerve stimulator beneath the skin of your chest, similar to a heart pacemaker. The cables from the stimulator are connected to the vagus nerve in your neck.

The battery-operated device uses the vagus nerve to send electrical energy bursts to your brain. The device’s mechanism for preventing seizures is unknown, although it can usually reduce seizures by 50%. Side effects of vagus nerve stimulation include throat pain, hoarseness, shortness of breath, and coughing.

Responsive Neurostimulation:

We know that electrical activity comes from the two critical areas, so we placed two electrodes connected to a battery in the skull.

DBS (deep brain stimulation):

This method targets the anterior thalamic nucleus, resulting in a 50% decrease in the devastating seizure frequency.

Ketogenic diet

A ketogenic diet is a high-fat, low-carbohydrate, and low-protein diet that is supposed to reduce the likelihood of seizures in children by altering the quantities of substances in the brain.

Conclusion

As every problem comes with a solution, the problem of epilepsy also comes with a solution. You can get effective solutions for epilepsy by visiting Dr. Rao’s Hospital in Guntur. We have solutions for all your neurological problems. So, visit us now

Dr. Rao’s Contact Information:

Symptoms of Parkinson's disease - best Parkinson treatment at Dr Rao's Hospital, Guntur

The Best Parkinson’s Treatment in Andhra Pradesh – Dr Rao’s Hospital

Do you have shaky hands?

Is there any stiffness in your body?

Are you having difficulty walking?

If yes, then it is likely that you are suffering from Parkinson’s disease.

Parkinson’s disease is a neurological condition that affects movement. It happens when the nerve cells in the brain that create the chemical dopamine, which is crucial for motor function, have a problem. As a person’s dopamine levels fall, his or her motor function begins to deteriorate. Tremors in the hands, rigidity or stiffness in the body, and trouble walking are all early indicators of Parkinson’s disease. Parkinson’s disease causes the muscles of the individual suffering from the condition to weaken over time. But there is no lock in this world made without a key!

In the same way, there is no problem in this world without a solution! Yes, there are treatment options available in Guntur for Parkinson’s disease. The best treatment is at Dr. Rao’s hospital.

One can treat Parkinson’s disease by visiting the best neurology hospital in Guntur, Dr. Rao’s Hospital. Our hospital has top neurosurgeons, such as Dr. Mohana Rao Patibandla. He is a fellowship-trained functional stereotactic surgeon from the USA. He has solutions for all neurological disorders, including Parkinson’s disease.

What are the Parkinson’s treatment options available at Dr. Rao’s Hospital in Guntur for treating and managing Parkinson’s disease?

We suggest a specific treatment for treating Parkinson’s disease based on the following factors:

  • Age
  • Medical history
  • Type and severity of the condition
  • Patient’s tolerance for specific procedures and medications
  • Patient’s preference

Treatment for Parkinson’s disease usually includes the following:

  1. Medications
  2. Surgery
  3. Complementary therapies

Let’s take a closer look at each of these treatment alternatives.

• Medications

Medications can help with the significant symptoms of Parkinson’s disease, such as tremors and movement issues.

Your neurosurgeon in Guntur may prescribe the following medications:

Levodopa plus carbidopa:

Most people with Parkinson’s disease need to take levodopa at some point.

Your brain’s nerve cells absorb levodopa and transform it into the chemical dopamine necessary to transmit signals between brain regions and nerves that control movement. Improvement with Levodopa is one distinguishing feature from other dangerous Parkinson’s plus syndromes.

Movement issues are usually improved by increasing dopamine levels with levodopa.

Agonists of dopamine

Dopamine agonists, like ropinirole and pramipexole, function in the brain as a substitute for dopamine and have a comparable but lesser impact than levodopa. Compared to levodopa, they can be given less frequently.

They’re usually taken as tablets, but they can also be applied to the skin as patches.

Amantadine is an antiviral drug that treats dyskinesias brought on by dopamine agonists.

Inhibitors of monoamine oxidase-B

Selegiline and rasagiline are monoamine oxidase-B (MAO-B) inhibitors that can be used instead of levodopa to treat early Parkinson’s disease.

They increase dopamine levels by blocking the effects of monoamine oxidase-B, an enzyme or brain chemical that breaks down dopamine.

• Surgery

The experienced neurosurgeon at Dr. Rao’s Hospital in Guntur may consider one of the following surgeries for Parkinson’s disease, depending on the patient’s needs, medical history, health, and symptoms:

Surgery for a lesion (burning of tissue):

Deep areas of the brain are targeted in this treatment, and small lesions are produced in important parts of the brain that control movement, like the Globus pallidus or subthalamic nucleus, based on your predominant symptoms. To help pinpoint the exact location of the lesion, the procedure may be performed while the patient is conscious. The lesion is placed to help control or stop the tremor-causing area of the brain.

Deep Brain Stimulation (DBS):

In this sort of surgery, a tiny electrode is implanted in the crucial areas of the brain that help control movement. Wires inserted beneath the skin connect the electrode to a tiny battery in the chest wall. The stimulator is then activated, interrupting the usual flow of information in the brain and helping reduce Parkinson’s disease symptoms.

Continuous intestinal infusion of levodopa/carbidopa in advanced Parkinson’s disease:

Using a portable pump to give a gel suspension of levodopa or carbidopa directly into the duodenum lets the drug work where the body absorbs it. Bypassing gastric emptying and duodenal infusions of LCIG helps to avoid a possible reason why levodopa does not work as well as it should. This leads to less variability in plasma levels of levodopa and fewer motor fluctuations compared to oral levodopa.

Tissue transplants or neural grafts:

Experimental research aims to develop a replacement for the brain area that fails in Parkinson’s disease.

Complementary Therapies:

Physiotherapy

A physiotherapist can help you relieve muscular stiffness and joint pain through movement and exercise.

Occupational therapy

An occupational therapist can help you discover problems in your daily life, such as dressing or getting to the store.

They can help you devise practical solutions and ensure that your home is secure and correctly configured for you. This will help you preserve your independence for as long as possible.

Therapy for speech and language

Dysphagia (difficulty swallowing) and speech issues are common in patients with Parkinson’s disease.

A speech and language therapist can often help address these challenges by teaching speaking and swallowing exercises or offering assistive technology.

Dietary suggestions

Making dietary modifications can help some patients with Parkinson’s disease improve their symptoms.

These modifications may include:

• To avoid constipation, increase the fiber in your diet and ensure you drink enough water.

• Increasing your salt intake and eating small, frequent meals will help you avoid low blood pressure issues, such as dizziness when standing up rapidly.

• Adopting dietary modifications to prevent unexpected weight loss

The above treatment options will surely help manage Parkinson’s disease.

So, what are you waiting for? It is now time to treat and manage Parkinson’s disease by visiting the best neurology hospital in Guntur, Dr. Rao’s Hospital with the best neurologist and neurosurgeon, Dr. Mohana Rao Patibandla.

SYNOPSIS

Parkinson’s disease is a degenerative disorder of the central nervous system that often impairs a person’s motor skills, speech, and other functions. The disease results from the death of brain nerve cells that produce dopamine, which aids in controlling movement.

There are two main types of Parkinson’s disease: early-onset and late-onset. Early-onset Parkinson’s disease usually affects people under the age of 50, while late-onset Parkinson’s disease typically affects people over the age of 60.

There is no cure for Parkinson’s disease, but there are treatments that can help improve a person’s quality of life.

Early-onset Parkinson’s Disease

Early-onset Parkinson’s disease is the less common type of the disease, accounting for about 10 percent of all cases. The average age of onset is around 47 years old. Men are more likely to develop early-onset Parkinson’s disease than women.

The symptoms of early-onset Parkinson’s disease are similar to those of late-onset Parkinson’s disease, but they tend to be more severe. People with early-onset Parkinson’s disease may have difficulty walking and talking, and they may also experience tremors, rigidity, and problems with balance.

There is no cure for early-onset Parkinson’s disease, but there are treatments that can help improve a person’s quality of life. Medications can help relieve symptoms, and surgery may be an option for some people.

Late-onset Parkinson’s Disease

Late-onset Parkinson’s disease is the more common type of the disease, accounting for about 90 percent of all cases. The average age of onset is around 60 years old. Men and women are equally likely to develop late-onset Parkinson’s disease.

The symptoms of late-onset Parkinson’s disease are similar to those of early-onset Parkinson’s disease, but they tend to be less severe. People with late-onset Parkinson’s disease may have difficulty walking and talking, and they may also experience tremors, rigidity, and problems with balance.

There is no cure for late-onset Parkinson’s disease, but there are treatments that can help improve a person’s quality of life. Medications can help relieve symptoms, and surgery may be an option for some people.

Conclusion:

Parkinson’s disease is a degenerative disorder of the central nervous system that often impairs a person’s motor skills, speech, and other functions. The disease results from the death of brain nerve cells that produce dopamine, which aids in controlling movement. There is no cure for Parkinson’s disease, but there are treatments that can help improve a person’s quality of life.

Dr. Rao’s Contact Information: