A brain pacemaker is a medical device designed to alleviate symptoms caused by functional disturbances in the brain's motor control centers. The device is implanted in specific areas of the brain using specialized electrodes through a procedure called "deep brain stimulation (DBS) surgery." In addition to treating movement disorders, brain pacemakers are also utilized for certain psychiatric conditions.
Which Conditions Can Be Treated with a Brain Pacemaker?
A brain pacemaker is effective for treating the following conditions:
- Parkinson’s disease (especially cases resistant to medication)
- • Essential tremor (uncontrollable shaking)
- • Dystonia and other movement disorders
- • Certain psychiatric conditions, such as major depression and obsessive-compulsive disorder (OCD)
Impact on Parkinson's Symptoms
A brain pacemaker for Parkinson’s disease, also known as Deep Brain Stimulation (DBS), is a surgical treatment option for Parkinson's and other movement disorders. This device can significantly improve symptoms such as tremors, slowed movement, and involuntary movements caused by medication.
The Surgery Process and Decision-Making
Before surgery, patients are closely monitored in a neurology clinic. Those who do not respond to medication are assessed by a multidisciplinary team of neurologists, neurosurgeons, and psychiatrists. Patients considered suitable candidates are then prepared for surgery.
Who Is Not Eligible for Brain Pacemaker Surgery?
The following conditions may render patients ineligible for this procedure:
- Parkinson's disease diagnosed within the first five years
- • Moderate to severe dementia
- • Serious internal health issues
- • Patients over the age of 70
How Is Brain Pacemaker Surgery Performed?
Brain pacemaker implantation surgery, also known as deep brain stimulation (DBS), involves placing electrodes in targeted areas of the brain to deliver electrical impulses. This stimulation helps regulate abnormal brain activity and is most commonly used to treat neurological disorders such as Parkinson’s disease, essential tremor, and dystonia.
The surgery involves the following steps:
- Imaging (MRI and CT): Identify target areas in the brain.
- • Local Anesthesia: Apply a special frame to the patient’s head.
- • Electrode Placement: Implant electrodes in the designated brain regions.
- • Battery Connection: Attach the electrodes to a battery implanted under the skin in the chest.
After surgery, continuous electrical stimulation is applied to the targeted brain areas, helping to reduce or even eliminate symptoms such as tremors, freezing, and decreased mobility.
Post-Surgery Process
- Patients are typically discharged the day after surgery.
- The pacemaker settings are fine-tuned within the first week after surgery.
- Regular follow-up appointments are scheduled—initially every 10 days, then every 4 to 6 weeks, and subsequently transitioning to monthly or quarterly intervals.
How Does a Brain Pacemaker Affect Daily Life?
Following surgery and with their doctor's approval, patients can resume social and professional activities. They are able to meet daily needs independently and maintain a healthy, active lifestyle.
Frequently Asked Questions
Can a Brain Pacemaker Be Recharged?
Yes. Thanks to technological advances, rechargeable batteries with a lifespan of up to 25 years are now available. When the battery reaches the end of its life, it can be replaced with a simple procedure.
Sports and Driving
Patients are allowed to participate in all sports except those that may pose a risk of trauma; however, driving is generally not recommended.
Issues at Security Checkpoints
Brain pacemakers can trigger alarms at security checkpoints. To prevent inconvenience, patients receive a special certificate to present at these checkpoints, especially in airports.
Complications of Brain Pacemaker Surgery
While the surgery is generally safe, rare complications include dizziness, balance and coordination issues, speech and vision problems, mild paralysis, infections, and allergic reactions.
The cost of a brain pacemaker (Deep Brain Stimulation or DBS) for Parkinson's disease can be quite high, reflecting the complexity of the procedure, the technology involved, and ongoing management and care. In Turkey, deep brain stimulation (DBS) is a prominent treatment option for various neurological disorders. Liv Hospital serves its patients with a high success rate with its specialist doctors and experienced team in deep brain stimulation surgery.
* Liv Hospital Editorial Board has contributed to the publication of this content .
* Contents of this page is for informational purposes only. Please consult your doctor for diagnosis and treatment. The content of this page does not include information on medicinal health care at Liv Hospital .