Clinical screening, surgical candidate evaluation, and specialized post-operative programming for Parkinson's disease and dystonias in Delhi NCR.
Deep Brain Stimulation (DBS) is a highly specialized neurosurgical procedure used to treat motor fluctuations and tremors that no longer respond adequately to medication. It involves implanting thin electrodes into specific deep structures of the brain (typically the subthalamic nucleus or globus pallidus). These electrodes are connected to an implantable pulse generator (IPG) placed under the collarbone, delivering electrical pulses that help regulate abnormal brain signals.
DBS is primarily indicated for patients with:
Dr. Rajneesh Kummar leads the pre-surgical evaluation and post-operative programming process at Max Hospital Dwarka:
We perform standardized **Levodopa Challenge Tests** (assessing motor scores in both 'Off' and 'On' medication states) to ensure the patient's symptoms respond to dopamine, a key predictor of DBS success. We also coordinate brain MRIs and neuropsychological testing to rule out significant cognitive decline or mood disorders.
Working closely with the neurosurgery team, we perform microelectrode recordings (MER) and test stimulation during surgery to verify the lead is placed in the optimal target area while avoiding side effects.
Beginning 2-4 weeks after surgery, we initialize and program the stimulator. Finding the optimal balance between stimulation settings (voltage, pulse width, frequency) and medication doses takes several sessions. We provide regular checkups to adjust settings and monitor the battery status of the generator.
Review our step-by-step patient preparation guide, covering surgical phases, recovery, and what to expect.
Read DBS Prep GuideConsult with Dr. Rajneesh Kummar at Max Super Speciality Hospital, Dwarka, to evaluate if DBS surgery is the right choice for you.