Deep Brain Stimulation Cost In India

Deep Brain Stimulation (DBS) is a revolutionary surgical treatment that has transformed the lives of countless patients suffering from chronic neurological conditions such as Parkinson’s disease, dystonia, essential tremor, and epilepsy. This procedure involves implanting a device that sends electrical impulses to specific areas of the brain, helping to regulate abnormal brain activity and alleviate symptoms. India has become a popular destination for patients seeking affordable yet high-quality healthcare. The Deep Brain Stimulation Cost in India is considerably lower than that of many developed countries without compromising the quality of care.

India is home to some of the world’s most advanced hospitals and highly skilled neurosurgeons, offering state-of-the-art DBS procedures. This combination of affordability, expertise, and access to cutting-edge technology makes India a hub for medical tourism, attracting patients from around the globe. In this blog, we will understand the cost of Deep Brain Stimulation in India and provide a comprehensive list of the top hospitals offering this procedure. Whether you are a domestic patient or travelling from abroad, this guide will help you make an informed decision about choosing the right hospital and understanding the overall expenses involved.

To explore costs for other surgeries and treatments, visit our Comprehensive Guide to Treatment & Surgery Costs in India.

About Deep Brain Stimulation Cost In India

Deep Brain Stimulation (DBS) is a high-precision surgical procedure requiring advanced equipment, expert medical professionals, and post-operative care. In India, the cost of DBS surgery ranges between ₹5,00,000 and ₹16,00,000, depending on multiple factors such as hospital choice, city, type of device, and the case’s complexity.

India’s healthcare system is well-known for offering world-class medical procedures at a fraction of the cost compared to Western countries. For instance, the same surgery in the USA or Europe can cost upwards of ₹50,00,000, making India a favoured destination for medical tourists.

Bifurcation of Costs Involved in Deep Brain Stimulation

1. Pre-Operative Evaluation: ₹50,000 – ₹1,00,000

Before the surgery, patients must undergo thorough evaluations to determine the suitability of DBS and identify the precise target areas in the brain. This includes:

• Neurological Consultation: Initial consultations with a neurologist to assess the condition.
• Imaging Tests: High-resolution MRI or CT scans are necessary to create a detailed map of the brain for electrode placement.
• Psychological Assessments: Some patients undergo psychological evaluations to assess their readiness for surgery.
• Movement Disorder Tests: Specific tests to analyse the severity of symptoms like tremors or rigidity.

2. DBS Device Cost: ₹7,00,000 – ₹9,00,000

The DBS device is the most expensive component of the procedure. Key features include:

• Electrodes: Implanted in the brain to stimulate specific areas.
• Pulse Generator (IPG): A small device implanted in the chest to send electrical impulses.
• Types of Devices:
  • Non-Rechargeable: Requires battery replacement every 3–5 years; costs around ₹7,00,000.
  • Rechargeable: It lasts up to 15 years but is more expensive, costing about ₹9,00,000.

3. Surgical Costs: ₹1,00,000 – ₹2,00,000

This includes charges for:

• Operation Theater Usage: Advanced surgical equipment, neuronavigation systems, and monitoring tools.
• Anesthesia: Administered by a specialist during the procedure.
• Consumables: Such as surgical gloves, sterile drapes, and other disposable equipment.

4. Doctor’s Fees: ₹1,50,000 – ₹2,50,000

DBS surgery requires a multidisciplinary team, including:

• Neurosurgeon: Performs the surgery.
• Neurologist: Monitors brain activity during the procedure and adjusts the device settings post-surgery.
• Other Specialists: Anesthetists and OT (Operation Theater) staff.

5. Post-Operative Hospitalization & Care: ₹1,00,000 – ₹2,00,000

After the surgery, patients are closely monitored in the hospital for a few days to ensure proper recovery. Costs in this phase include:

• Room Charges: Depending on whether the patient opts for a private or semi-private room.
• Medications: Includes antibiotics, pain relievers, and anti-inflammatory drugs.
• Device Programming: The DBS device must be programmed post-surgery to match the patient’s specific requirements.

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Comprehensive Cost Estimate

When combined, these components bring the total cost to approximately ₹12,00,000 – ₹16,00,000 for a standard DBS procedure at a premium private hospital. The price may be lower at smaller or government hospitals, around ₹5,00,000 – ₹7,00,000.

Why Costs Vary

• Hospital Type: High-end hospitals with advanced facilities charge more.
• City: Costs in metropolitan cities like Mumbai, Delhi, and Bangalore tend to be higher.
• DBS Device Type: Rechargeable devices are costlier but have a longer lifespan.
• Complexity of Surgery: Patients with additional complications may require extended hospital stays or specialised care, increasing the total cost.

This breakdown ensures patients understand where their money goes and how the costs are distributed across various stages.

Types Of Deep Brain Stimulation Costs In India

1. Standard DBS Surgery

• Description:
  Standard DBS surgery involves implanting electrodes in specific brain areas to modulate neural activity. This procedure uses non-rechargeable devices that need periodic replacement after 3–5 years. It is commonly used to manage symptoms of neurological disorders like Parkinson’s disease and essential tremors.
• Conditions Treated:
  • Parkinson’s disease
  • Essential tremor
  • Dystonia
• Cost Range:
  ₹8,00,000 – ₹12,00,000
• Key Features:
  • Non-rechargeable devices require battery replacement every few years.
  • Economical, upfront cost compared to advanced systems.
  • Suitable for patients with moderate symptomatology.

2. Advanced DBS Systems

• Description:
  Advanced DBS systems involve using rechargeable or adaptive devices. These systems provide longer device life (up to 15 years) and personalised stimulation settings, ensuring better symptom control. Adaptive DBS systems adjust stimulation levels automatically based on the patient’s brain activity.
• Conditions Treated:
  • Advanced Parkinson’s disease
  • Complex dystonia
  • Epilepsy
• Cost Range:
  ₹15,00,000 – ₹20,00,000
• Key Features:
  • Rechargeable devices reduce long-term costs by minimising the need for battery replacements.
  • Adaptive systems improve treatment efficacy by fine-tuning stimulation in real time.
  • Higher initial cost but more cost-effective in the long run.

3. Bilateral DBS Surgery

• Description:
  Bilateral DBS involves implanting electrodes in both hemispheres of the brain. This procedure is usually required for conditions that affect both sides of the body. It is more complex than standard DBS and requires highly precise surgical planning and neuronavigation techniques.
• Conditions Treated:
  • Severe Parkinson’s disease affects both sides of the body
  • Advanced essential tremor
  • Dystonia with bilateral symptoms
• Cost Range:
  ₹12,00,000 – ₹18,00,000
• Key Features:
  • Involves double the electrode placement compared to unilateral DBS.
  • Requires extended surgery time and specialised expertise.
  • Advanced devices are often used to control bilateral symptoms better.

4. Revision DBS Surgery

• Description:
  Revision DBS surgery is needed when an existing DBS system malfunctions, the battery depletes, or additional electrode placement is required due to evolving symptoms. This surgery is more technically challenging since it involves working with existing implants.
• Reasons for Revision:
  • Device malfunction or electrode migration
  • Battery depletion requiring replacement
  • Changes in symptom profile requiring new targets
• Cost Range:
  ₹6,00,000 – ₹15,00,000 (depending on the extent of revision)
• Key Features:
  • Additional imaging (e.g., MRI, CT scans) may be needed for re-evaluation.
  • Device upgrades to newer systems may increase upfront costs.
  • Requires careful planning to avoid complications.

Cost Summary Table by Type:

Type of DBS Surgery	Cost Range (₹)	Features	Best For
Standard DBS Surgery	₹8,00,000 – ₹12,00,000	Non-rechargeable devices; periodic battery replacement required.	Patients with localised symptoms seeking affordability.
Advanced DBS Systems	₹15,00,000 – ₹20,00,000	Rechargeable/adaptive devices; long lifespan; personalised stimulation.	Younger patients needing long-term management.
Bilateral DBS Surgery	₹12,00,000 – ₹18,00,000	Double electrode placement for bilateral symptoms; advanced devices are often used.	Advanced cases with symptoms affecting both body sides.
Revision DBS Surgery	₹6,00,000 – ₹15,00,000	Device upgrades or adjustments; additional imaging and surgical time required.	Patients requiring adjustments to existing DBS systems.

Cost Variations of Deep Brain Stimulation Across Cities in India

The cost of Deep Brain Stimulation (DBS) surgery in India varies significantly across cities. Factors such as hospital infrastructure, the expertise of neurosurgeons, availability of advanced medical technology, and overall healthcare costs in a city influence these variations. Below is a detailed analysis of DBS costs across major cities in India:

1. Delhi

• Cost Range: ₹12,00,000 – ₹20,00,000
• Features:
  • Home to leading multi-specialty hospitals such as AIIMS, Fortis, and Max Healthcare.
  • Offers a wide range of DBS systems, from standard to advanced adaptive models.
  • The availability of government hospitals like AIIMS provides a more affordable option for economically weaker sections.
• Why Choose Delhi:
  • Access to highly experienced neurosurgeons.
  • Availability of cutting-edge facilities for pre-operative imaging and neuronavigation.

2. Mumbai

• Cost Range: ₹14,00,000 – ₹22,00,000
• Features:
  • Known for world-class private hospitals such as Kokilaben Dhirubhai Ambani Hospital, Fortis, and Nanavati.
  • Advanced DBS systems with adaptive and rechargeable devices are commonly used.
  • Slightly higher costs due to Mumbai’s overall higher cost of living and premium healthcare facilities.
• Why Choose Mumbai:
  • Renowned neurosurgeons with significant expertise in DBS surgeries.
  • Comprehensive post-operative care services.

3. Bangalore

• Cost Range: ₹10,00,000 – ₹18,00,000
• Features:
  • Hosts premier healthcare institutions like Narayana Health and Manipal Hospitals.
  • Offers a good mix of affordable and premium options for DBS surgery.
  • Known for its technology-driven approach and medical innovation.
• Why Choose Bangalore:
  • High success rates with experienced medical teams.
  • State-of-the-art diagnostic and surgical equipment.

4. Chennai

• Cost Range: ₹9,00,000 – ₹15,00,000
• Features:
  • Some of the most affordable DBS options in India, thanks to hospitals like Apollo and Global Hospitals.
  • Known for medical tourism, with international patients benefiting from lower costs.
  • Focus on patient-centric care with extensive rehabilitation support.
• Why Choose Chennai:
  • Cost-effective treatment without compromising quality.
  • Availability of comprehensive pre-and post-operative care facilities.

5. Hyderabad

• Cost Range: ₹8,00,000 – ₹15,00,000
• Features:
  • Affordable healthcare options with hospitals like Yashoda and CARE Hospitals leading the way.
  • Focused on offering value-for-money treatment packages.
  • Accessibility to government schemes for financially weaker sections.
• Why Choose Hyderabad:
  • Lower treatment costs compared to other metropolitan cities.
  • High-quality care with experienced specialists in neurology and neurosurgery.

6. Kolkata

• Cost Range: ₹10,00,000 – ₹14,00,000
• Features:
  • Hospitals like AMRI and Fortis offer cost-effective DBS procedures.
  • Moderate pricing with access to skilled neurosurgeons and modern facilities.
  • A growing hub for neurological treatments in eastern India.
• Why Choose Kolkata:
  • Competitive pricing with reliable outcomes.
  • Increasing focus on advanced DBS technology in the city.

7. Pune

• Cost Range: ₹10,00,000 – ₹16,00,000
• Features:
  • Hospitals like Ruby Hall Clinic and Jehangir Hospital are equipped to perform DBS surgeries.
  • Mid-range pricing with access to advanced devices and quality care.
  • Strong focus on patient rehabilitation and follow-up care.
• Why Choose Pune:
  • Cost-effective options with high standards of medical care.
  • Suitable for patients seeking a quieter recovery environment compared to larger metro cities.

Cost Comparison Table

City	Cost Range (₹)	Key Hospitals	Features
Delhi	₹12,00,000 – ₹20,00,000	AIIMS, Fortis, Max Healthcare	Access to government and private hospitals.
Mumbai	₹14,00,000 – ₹22,00,000	Kokilaben, Fortis, Nanavati	High-quality care with advanced facilities.
Bangalore	₹10,00,000 – ₹18,00,000	Narayana Health, Manipal Hospitals	Focus on technology and innovation.
Chennai	₹9,00,000 – ₹15,00,000	Apollo, Global Hospitals	Affordable with a focus on medical tourism.
Hyderabad	₹8,00,000 – ₹15,00,000	Yashoda, CARE Hospitals	Value-for-money treatment options.
Kolkata	₹10,00,000 – ₹14,00,000	AMRI, Fortis	Moderate pricing with skilled professionals.
Pune	₹10,00,000 – ₹16,00,000	Ruby Hall Clinic, Jehangir Hospital	Cost-effective with high standards of care.

Explore cost variations for surgeries across India in our Comprehensive Guide to Treatment & Surgery Costs in India.

Factors Affecting the Cost of Deep Brain Stimulation (DBS) in India

The cost of Deep Brain Stimulation (DBS) in India can vary widely. Here are the main factors that influence how much the procedure costs:

1. Type of DBS System Used

• Non-rechargeable Devices: These are less expensive initially but need battery replacements every 3–5 years.
• Rechargeable or Advanced Devices: These have a higher upfront cost but last longer (up to 15 years) and reduce long-term expenses.

2. City and Hospital

• Major cities like Delhi, Mumbai, and Bangalore tend to have higher costs due to advanced facilities and experienced surgeons.
• Smaller cities or government hospitals may offer more affordable options.

3. Surgeon’s Expertise

• Experienced neurosurgeons or specialists with a strong track record in DBS surgery may charge higher fees.
• The complexity of the procedure also requires highly skilled medical teams, adding to the cost.

4. Hospital Facilities

• Hospitals with state-of-the-art equipment and advanced imaging technology (like MRI and CT scans) may charge more.
• Premium hospitals often include better pre-and post-operative care in their pricing.

5. Pre- and Post-Surgery Expenses

• Pre-Surgery: Costs for tests like MRI, CT scans, and consultations.
• Post-surgery: This includes follow-up visits, rehabilitation, and adjustments to the DBS device settings, all of which add to the total cost.

6. Complexity of the Condition

• The cost can vary depending on the patient’s condition.
  • Simple cases (e.g., tremors) may cost less.
  • Complex cases (e.g., Parkinson’s with severe symptoms) often require more advanced systems and longer surgery, increasing the cost.

7. Unilateral vs. Bilateral Surgery

• Unilateral DBS: Involves one side of the brain and is less expensive.
• Bilateral DBS: Involves both sides of the brain, making it more complex and costly.

8. Length of Hospital Stay

• Longer hospital stays for recovery or complications can increase the overall cost.

Top 10 Hospitals For Deep Brain Stimulation (DBS) In India

1. Medanta – The Medicity, Gurgaon

Established in 2009, Medanta is a premier medical institution in India, renowned for its expertise in neurological sciences. 

Achievements in DBS:

• Milestones: Medanta has achieved significant breakthroughs in DBS, including pioneering minimally invasive techniques.
• Innovations: The hospital uses advanced neuroimaging and robotic-assisted surgery for precise DBS procedures.
• Volume of Procedures: Medanta performs over 200 DBS surgeries annually.
• Success Rates: The hospital boasts a success rate of over 90% for DBS surgeries.
• Accreditations: JCI, NABH

Awards & Recognition

• Best Private Hospital in India: Newsweek has ranked Medanta as the best private hospital in India for four consecutive years (2020-2023).
• World’s Best Hospitals: Medanta has been consistently ranked among the top 200 hospitals in the world by Newsweek.
• Best Multi-Speciality Hospital: Medanta has been recognised as the best multi-speciality hospital in India by the Times Health Survey.
• Best Hospital for Medical Tourism: Medanta has received the Best Hospital for Medical Tourism award by the India Healthcare Awards.
• Best Hospital for Neurosurgery and Neurology: Medanta has been awarded the best hospital for neurosurgery and neurology by the India Today Awards.

2. Fortis Hospitals, Bangalore

Established in 2006, the hospital’s vision is to be a globally respected healthcare organisation known for clinical excellence and distinctive patient care. 

Achievements in DBS:

• Milestones: Fortis has been at the forefront of DBS advancements, including the first successful DBS surgery for Parkinson’s disease in India.
• Innovations: The hospital employs state-of-the-art technology, including intraoperative MRI and advanced neurostimulation devices.
• Volume of Procedures: Fortis performs around 150 DBS surgeries annually.
• Success Rates: The hospital has a success rate of approximately 88% for DBS surgeries.
• Accreditations: JCI, NABH

Awards & Recognitions: 

• BMA Lifetime Achievement Award: Dr. Vivek Jawali, Chairman of Cardiac Sciences at Fortis Hospitals Bangalore, received the BMA Lifetime Achievement Award for his extraordinary contribution to the healthcare industry.
• Best Multispeciality Hospital: Fortis Hospital BG Road, Bangalore, has been recognised as one of the best multispeciality hospitals.
• Healthcare Excellence Award: Fortis Hospitals has received multiple awards for its contributions to healthcare excellence.

3. Fortis Memorial Research Institute, Gurugram

FMRI, established in 2012, is a world-class hospital offering cutting-edge medical treatments. The hospital’s mission is to provide the highest quality of healthcare through innovation and research. Achievements in DBS:

• Milestones: FMRI has achieved several milestones in DBS, including the development of personalised DBS treatment plans.
• Innovations: The hospital uses advanced neuro-navigation systems and deep brain mapping techniques.
• Volume of Procedures: FMRI performs over 180 DBS surgeries annually.
• Success Rates: The hospital has a success rate of over 89% for DBS surgeries.
• Research Contributions: FMRI’s medical staff has published numerous research articles on DBS in international journals. Accreditations and Awards:
• Accreditations: JCI, NABH

Awards & Recognitions:

• World’s Best Smart Hospitals: FMRI was listed among Newsweek’s top 25 ‘World’s Best Smart Hospitals 2021’.
• Best Hospital North India: Recognized in Oncology, Cardiology & Gastroenterology by Economics Times Healthcare Awards 2021.
• Best Private Hospital: Ranked No.2 in Delhi NCR by The Week Magazine Survey in 2019, 2020, and 2021.
• Best Oncology Hospital: Awarded regionally by Economic Times Healthworld Hospital’s Award 2020.
• FICCI Medical Value Specialist Travel Award: Received in 2019 for Neurosciences, Spine Surgery, and Bone Marrow Transplant.
• Pharmacie De Qualite: Awarded for Good Pharmacy Practices in 2019.
• Best Hospital to Work For: Recognized by AHPI (Association of Healthcare Providers) in 2019.
• Centre of Excellence: CSSD was awarded by the Asia Pacific Society of Infection Control (APSIC).
• DL SHAH Awards: Received Certificate of Merit for Quality Improvement Projects in 2015.

4. Apollo Hospitals, Chennai

Established in 1983, Apollo Hospitals in Chennai is a renowned name in the healthcare industry, known for its exceptional medical services. The hospital’s vision is to bring healthcare of international standards within the reach of every individual.

Achievements in DBS:

• Milestones: Apollo has pioneered DBS, performing the first DBS surgery for dystonia in India.
• Innovations: The hospital uses cutting-edge technology, including frameless stereotactic systems and advanced neurostimulators.
• Volume of Procedures: Apollo performs around 170 DBS surgeries annually.
• Success Rates: The hospital has a success rate of approximately 87% for DBS surgeries.
• Accreditations: JCI, NABH

Awards & Recognitions: 

• Best Multi-Speciality Hospital: The All India Multi-Speciality Hospitals Ranking Survey ranked Apollo Hospitals, Chennai, the best multi-speciality hospital in the country.
• Excellence in Cardiac Science: Awarded at the Northeast Healthcare Summit for excellence in cardiac science.
• Best Oncology Specialty Hospital: Recognized at the SICCI MedTech Conference and Healthcare Awards.
• Best Woman and Child Care Specialty Hospital: Awarded at the SICCI MedTech Conference and Healthcare Awards

5. NIMHANS, Bangalore

Established in 1925, NIMHANS is India’s premier institute for mental health and neurosciences. The institute’s mission is to advance the understanding and treatment of neurological and mental health disorders through research and education. 

Achievements in DBS:

• Milestones: NIMHANS has achieved several milestones in DBS, including pioneering research in neurostimulation.
• Innovations: The institute uses advanced neuroimaging and brain mapping techniques for precise DBS procedures.
• Volume of Procedures: NIMHANS performs over 150 DBS surgeries annually.
• Success Rates: The institute has a success rate of over 85% for DBS surgeries.
• Research Contributions: NIMHANS’s medical staff has published numerous research papers on DBS in reputed journals.
• Accreditations: NABH

Awards & Recognitions: 

• Nelson Mandela Award for Health Promotion (2024): Recognized by the World Health Organization for outstanding contributions to promoting mental health and well-being2.
• National Recognition: NIMHANS has received several national awards for its contributions to mental health and neurosciences.
• Global Impact: The institute’s efforts to integrate mental health care into general health care and develop community-based strategies have been recognised globally.

6. Manipal Hospitals, Bangalore

Established in 1991, Manipal Hospitals is a leading healthcare provider in India, known for its comprehensive medical services. 

Achievements in DBS:

• Milestones: Manipal Hospitals has achieved significant breakthroughs in DBS, including the first successful DBS surgery for essential tremors in India.
• Innovations: The hospital uses advanced neurostimulation devices and intraoperative neurophysiological monitoring.
• Volume of Procedures: Manipal Hospitals perform around 140 DBS surgeries annually.
• Success Rates: The hospital has a success rate of approximately 86% for DBS surgeries.
• Accreditations: JCI, NABH

Awards & Recognitions:

• Best Hospital Chain – National: Manipal Hospitals was awarded the Best Hospital Chain – National at the ET Healthcare Awards 2022.
• Healthcare Chief Executive Officer of the Year – National: Dilip Jose, CEO of Manipal Hospitals, received this award at the ET Healthcare Awards 2022.
• Healthcare Leader of the Year: Dr. H. Sudarshan Ballal, Chairman of Manipal Hospitals, was recognised as the Healthcare Leader of the Year at the ET Healthcare Awards 2022.
• Karnataka Rajyotsava Award 2024: Dr Satyanarayana Mysore was honoured with this prestigious award for his outstanding contributions to medicine.

7. Max Super Speciality Hospital, Delhi

Established in 2001, Max Super Speciality Hospital is a leading healthcare institution in India, known for its comprehensive medical services. 

Achievements in DBS:

• Milestones: Max Hospital has achieved several milestones in DBS, including the development of personalised DBS treatment plans.
• Innovations: The hospital uses advanced neuro-navigation systems and deep brain mapping techniques.
• Volume of Procedures: Max Hospital performs over 130 DBS surgeries annually.
• Success Rates: The hospital has a success rate of over 84% for DBS surgeries.
• Research Contributions: Max’s medical staff has published numerous research articles on DBS in international journals. Accreditations and Awards:
• Accreditations: JCI, NABH

Awards & Recognitions:

• DL Shah National Award on ‘Economics of Quality’: Max Healthcare received this prestigious award from the Quality Council of India for a Six Sigma project on standardising and consolidating housekeeping items.
• FICCI Healthcare Excellence Awards: Recognized for operational excellence and healthcare leadership.
• ABP News Healthcare Awards: Awarded for being the Health Brand of the Year.
• ET Healthworld Hospital Awards: Recognized as the Best Hospital for Mother & Child Care (North) and Best Integrated Care (Quaternary Care).
• India Today Healthgiri Award: Awarded as the Best Private Hospital Combating COVID-19.
• World Stroke Organisation Angles Awards: Recognized for comprehensive stroke care

8. Artemis Hospital, Gurugram

Established in 2007, Artemis Hospital is a world-class healthcare institution offering cutting-edge medical treatments. 

Achievements in DBS:

• Milestones: Artemis has achieved several milestones in DBS, including the development of personalised DBS treatment plans.
• Innovations: The hospital uses advanced neuro-navigation systems and deep brain mapping techniques.
• Volume of Procedures: Artemis performs over 120 DBS surgeries annually.
• Success Rates: The hospital has a success rate of over 83% for DBS surgeries.
• Accreditations: JCI, NABH

Awards & Recognitions:

• WSO Diamond Status: Artemis Hospital’s Stroke and Vascular Intervention (SVIN) unit received the World Stroke Organization’s Diamond status for its exceptional stroke treatment.
• JCI Re-accreditation: Artemis Hospital has been re-accredited by the Joint Commission International (JCI) for a fourth successive three-year period.
• Healthcare HR Excellence Award: Received in 2019 from Rxcruit Indian Healthcare Excellence Awards.
• Kayakalp Award: Awarded for excellence in promoting cleanliness, hygiene, and infection control by the Quality Council of India in association with the Ministry of Health and Family Welfare, Government of India.

9. Narayana Multispeciality Hospital, Bangalore

Established in 2000, Narayana Multispeciality Hospital is a leading healthcare provider in India, known for its comprehensive medical services. 

Achievements in DBS:

• Milestones: Narayana has achieved several milestones in DBS, including the first successful DBS surgery for Parkinson’s disease in India.
• Innovations: The hospital employs state-of-the-art technology, including intraoperative MRI and advanced neurostimulation devices.
• Volume of Procedures: Narayana performs around 130 DBS surgeries annually.
• Success Rates: The hospital has a success rate of approximately 85% for DBS surgeries.
• Accreditations: JCI, NABH

Awards & Recognitions:

• Good Company Award: Narayana Health was recognised by Forbes India for providing world-class treatment to the poor.
• JCI Accreditation: The Joint Commission International (JCI) accredited Narayana Health’s facilities, including Narayana Multispeciality Hospital.
• NABH Accreditation: The hospital is also accredited by the National Accreditation Board for Hospitals & Healthcare Providers (NABH).
• Philanthropy Awards: Narayana Health has been recognised for its philanthropic efforts and for providing affordable healthcare.

10. IBS Hospitals, New Delhi

Established in 2011, IBS Hospitals is a leading healthcare provider in India, known for its expertise in neurological sciences. 

Achievements in DBS:

• Milestones: IBS Hospitals has achieved significant breakthroughs in DBS, including pioneering minimally invasive techniques.
• Innovations: The hospital uses advanced neuroimaging and robotic-assisted surgery for precise DBS procedures.
• Volume of Procedures: IBS Hospitals perform over 100 DBS surgeries annually.
• Success Rates: The hospital boasts a success rate of over 85% for DBS surgeries.
• Research Contributions: IBS Hospitals’ medical staff has published numerous research papers on DBS in reputed journals. Accreditations and Awards:
• Accreditations: NABH

Awards & Recognitions:

• NABH Accreditation: IBS Hospitals is accredited by the National Accreditation Board for Hospitals & Healthcare Providers (NABH).
• Excellence in Neurological Care: The hospital has received several awards for excellence in neurological care and innovation in DBS.

Deep Brain Stimulation Success Rate

The success rate of DBS for Parkinson’s disease depends on several factors, such as the type and severity of symptoms, the location and accuracy of electrode placement, the stimulation settings, and the individual response to the treatment.

One of the main indicators of success is the improvement in motor symptoms, such as tremors, rigidity, bradykinesia (slowness of movement), and dyskinesia (involuntary movements). According to a 2019 study of about 200 participants who received DBS for over 10 years, 75% felt that the procedure helped them manage their motor symptoms. Another study from 2020 reported that DBS reduced the need for medications by 41% after five years.

Another indicator of success is the improvement in quality of life, which can be measured by various scales that assess physical, mental, and social well-being. A 2018 study found that DBS improved quality of life by 26% after six months and 22% after two years. A 2019 study showed that DBS enhanced quality of life by 18% after one year and 13% after five years.

A third indicator of success is the survival rate, which can be affected by complications such as falls, fractures, infections, pneumonia, and death. A 2014 study showed that DBS improved survival by 26% after five years and by 51% after 10 years compared to a control group. The exact mechanism behind this effect is not precise, but it may be related to better motor function, reduced medication use, or improved mood.

Does DBS Stop Parkinson’s Progression?

DBS is not a cure for Parkinson’s disease. It does not reverse or prevent the degeneration of dopamine-producing cells in the brain. However, some studies suggest that DBS may slow down the progression of some symptoms or delay their onset.

A 2018 study compared two groups of people with early-stage Parkinson’s disease: one group received DBS plus medication, and the other group received medication only. After two years, the DBS group had better motor outcomes and fewer medication-related complications than the medication-only group. The researchers concluded that DBS may have a disease-modifying effect when applied early in Parkinson’s disease.

However, not all symptoms respond equally to DBS. Some non-motor symptoms, such as cognitive impairment, dementia, depression, anxiety, apathy, hallucinations, and sleep disorders, may worsen over time despite DBS. Therefore, it is vital to monitor these aspects regularly and adjust the treatment accordingly.

Deep Brain Stimulation Side Effects

While DBS can be highly effective in managing symptoms and improving a patient’s quality of life, it can also have side effects and complications. These side effects can differ based on the target area in the brain and the individual patient. Here are some common side effects and complications associated with DBS:

1. Infection: Any surgical procedure carries a risk of infection. In the case of DBS, there is a small risk of infection at the site where the wires are implanted in the brain or the battery (pulse generator) is placed in the chest or abdomen.

2. Bleeding: DBS surgery may cause bleeding in the brain, which can lead to neurological deficits or require additional surgery to address.

3. Cognitive Changes: Some patients may experience changes in cognitive function, such as memory problems, mood swings, or difficulties with concentration. These cognitive changes can be temporary or, in rare cases, more long-lasting.

4. Speech and Language Problems: DBS electrodes placed in certain brain regions, such as the subthalamic nucleus, can lead to speech and language difficulties. Patients may experience slurred speech or difficulty in articulating words.

5. Movement Disorders: Paradoxically, DBS can cause movement-related side effects, such as dyskinesias (involuntary movements), tremors, or muscle contractions, especially if the electrode placement is not precisely tuned.

6. Incoordination: Some individuals may experience problems with coordination and balance, leading to difficulties with walking or performing daily activities.

7. Inadequate Symptom Control: In some cases, DBS may not provide the expected level of symptom relief, or its effectiveness may diminish over time. Adjusting the stimulation settings or repositioning the electrodes may be necessary to address this issue.

8. Surgical Site Pain: Pain or discomfort at the surgical site is common immediately following DBS surgery but usually improves with time.

9. Scarring: Scarring around the implanted hardware may occur, making future surgical revisions or battery replacements more challenging.

10. Device Malfunction: The DBS device itself, including the electrodes and pulse generator, can malfunction, leading to a loss of symptom control or other complications. Battery replacement surgery may be required periodically.

Not all patients will face these side effects, and the severity & duration of side effects can vary widely from person to person. DBS is generally considered a safe and effective treatment for many neurological conditions, but it should only be considered after careful evaluation & discussion of potential risks & benefits with a neurologist or neurosurgeon specializing in DBS therapy. Regular follow-up with a healthcare provider is crucial to monitor and manage possible side effects.

What Is Deep Brain Stimulation?

DBS is a neurosurgical procedure used to treat certain neurological disorders, particularly movement disorders and some psychiatric conditions. It includes the implantation of a medical device known as a neurostimulator, which delivers electrical impulses to specific brain areas. These electrical impulses can help regulate abnormal brain activity and alleviate symptoms associated with various disorders.

DBS is most commonly used to treat the following conditions:

1. Parkinson’s Disease: DBS can help alleviate motor symptoms such as tremors, rigidity, and bradykinesia (slow movement) in Parkinson’s patients.

2. Essential Tremor: This procedure can significantly reduce tremors in individuals with essential tremors characterized by uncontrollable shaking.

3. Dystonia: DBS can provide relief to people having dystonia, a movement disorder that causes muscle contractions & abnormal postures.

4. Obsessive-Compulsive Disorder (OCD): In some cases, DBS has been used to treat severe OCD that has not responded to other treatments.

5. Epilepsy: DBS is being studied as a potential treatment for certain types of epilepsy, mainly when seizures are not controlled with medications.

6. Depression and Other Psychiatric Conditions: There is ongoing research into the use of DBS for depression, bipolar disorder, and other psychiatric disorders, although this is less established than its use for movement disorders.

DBS is generally considered when other treatments have not provided sufficient relief, and it is often seen as a final resort due to the risks associated with brain surgery. However, for many patients, it can be highly effective in improving their quality of life by reducing or managing the symptoms of their neurological or psychiatric condition. It’s essential for individuals considering DBS to have a thorough evaluation by a multidisciplinary medical team to decide whether they are suitable candidates for the procedure.

Deep Brain Stimulation Procedure

DBS involves implanting electrodes in the brain & the pulse generator under the collarbone. The electrodes are thin wires inserted through small holes in the skull and connected to a small device called a neurostimulator or pulse generator. The neurostimulator is implanted under the skin near the collarbone and contains a battery and a computer chip that controls the electrical impulses. A wire that moves under the skin links the device to the electrodes in the brain.

The electrodes are placed in specific areas of the brain that are involved in the condition being treated. For example, for Parkinson’s disease, the electrodes are usually fixed in the subthalamic nucleus or the globus pallidus, parts of the brain that control movement. For epilepsy, the electrodes are typically placed in the anterior nucleus of the thalamus, which is part of the brain that regulates seizures.

The electrical impulses sent by the neurostimulator can affect the activity of the brain cells in those areas. Depending on the condition, the electrical impulses can either increase or decrease the activity of those cells. This can help improve the symptoms of the medical condition by restoring the normal balance of signals in the brain.

The amount and frequency of stimulation can be adjusted by a doctor using a handheld device that communicates with the neurostimulator. The stimulation settings are customized for each person depending on their condition and response to DBS.

What To Expect After Deep Brain Stimulation (DBS) Surgery?

DBS can significantly benefit many patients, but it’s essential to understand what to expect after the surgery. Here’s what you can generally expect after undergoing DBS surgery:

1. Recovery Period:

   – Hospital Stay: Typically, patients spend a day or two in the hospital after the surgery to monitor their condition and ensure no immediate complications.

   – Swelling and Discomfort: You may experience swelling, pain, or discomfort around the surgical site. Medications can help manage this discomfort.

2. Adjustment Period:

   – It may take some time to optimize the settings of the neurostimulator for maximum symptom control. This adjustment period can last several weeks to months.

   – Frequent follow-up appointments with your neurologist and neurosurgeon will be necessary during this time.

3. Symptom Improvement:

   – Over time, you should experience a gradual improvement in your symptoms. The degree of improvement varies from person to person.

   – For Parkinson’s disease patients, improvements in motor symptoms, such as tremors, rigidity, and bradykinesia (slowness of movement), can be significant.

   – For essential tremor patients, tremor reduction is often dramatic.

   – Dystonia patients may experience relief from muscle contractions and abnormal postures.

4. Medication Adjustments:

   – In some cases, you may be able to reduce your medication dosage after DBS. This can lead to a reduction in medication-related side effects.

   – Medication adjustments will be made in consultation with your healthcare team.

5. Lifestyle Improvements:

   – As your symptoms improve, you may find that your overall quality of life improves. You may regain the ability to perform daily activities that were previously challenging.

   – However, managing your expectations and understanding that DBS does not cure the underlying condition is essential.

6. Potential Side Effects:

   – While DBS is generally safe and effective, there can be side effects, including speech problems, balance issues, mood changes, or cognitive changes. These side effects are often temporary & can be managed through programming adjustments.

   – There is also a risk of infection or complications related to the surgical procedure.

7. Long-Term Management:

   – DBS is a long-term treatment; regular check-ups and programming adjustments will be needed to maintain its effectiveness.

   – Following your healthcare team’s recommendations and attending all scheduled appointments is crucial.

8. Support:

   – Psychological support can be essential during the DBS journey. It’s common to experience emotional ups and downs, and having a support system in place can help you cope with these changes.

Remember that the outcome of DBS surgery varies from person to person, and it may not be suitable for everyone. Your healthcare team will evaluate your specific condition and needs to determine if DBS is an appropriate treatment option. 

Conclusion

Deep Brain Stimulation is a life-changing procedure for patients battling neurological disorders. India is a leading destination for this surgery, offering advanced technology, experienced surgeons, and affordable treatment options. With the proper guidance, patients can choose from some of the best hospitals in India to undergo DBS surgery and significantly improve their quality of life.

The cost of Deep Brain Stimulation, although affordable compared to other countries, can still be a financial challenge for many families. This is where crowdfunding platforms can make a big difference. By sharing your story with friends, family, and even strangers, you can raise the required funds for the surgery. Crowdfunding is a powerful tool that has helped countless patients overcome financial hurdles and access the needed treatment.

For a complete understanding of medical expenses in India, visit our Comprehensive Guide to Treatment & Surgery Costs in India.

FAQs Related To Deep Brain Stimulation

1. What is Deep Brain Stimulation (DBS)?
Deep Brain Stimulation (DBS) is a neurosurgical procedure where electrodes are implanted in specific brain parts to regulate abnormal neural activity. It’s primarily used to treat movement disorders such as Parkinson’s disease, essential tremor, and dystonia by sending electrical pulses to the brain, which helps alleviate symptoms like tremors, rigidity, and bradykinesia.

2. How much does Deep Brain Stimulation cost in India?
The cost of DBS in India varies depending on the type of procedure, the city, and the hospital. On average, DBS surgery in India costs between ₹5,00,000 to ₹16,00,000. This range can be higher in major metropolitan cities like Mumbai and Delhi due to advanced technologies and expert surgeons. For standard procedures, the cost can be between ₹8,00,000 to ₹15,00,000, while advanced and bilateral DBS surgeries can go up to ₹20,00,000.

3. What factors affect the cost of DBS surgery in India?
Several factors influence the cost of DBS surgery in India:

• Type of DBS System: Non-rechargeable devices are generally less expensive than rechargeable or adaptive systems.
• City and Hospital: Cities like Delhi, Mumbai, and Bangalore have higher costs due to advanced infrastructure and experienced medical professionals.
• Surgeon’s Expertise: Renowned surgeons with a proven track record may charge higher fees.
• Pre- and Post-operative Care: Diagnostics, hospitalisation, and rehabilitation costs also add to the overall expense.
• International Patients: Medical tourism can make costs vary, as international patients may avail packages that include travel and accommodation.

4. Is Deep Brain Stimulation effective for all patients?
DBS is most effective for patients with advanced movement disorders, such as Parkinson’s disease or essential tremor, who do not respond well to medications. However, it is not suitable for everyone. Factors such as age, the stage of the disease, and the patient’s overall health condition are crucial in determining whether DBS is a good option. A thorough medical evaluation by a neurosurgeon and neurologist is essential to assess the suitability of the surgery.

5. Does DBS cure Parkinson’s disease or other conditions?
No, DBS does not cure Parkinson’s disease or any other neurological disorder. Instead, it helps control symptoms and improve the quality of life for patients by reducing tremors, rigidity, and bradykinesia. The procedure does not halt the progression of the disease, but it can significantly improve daily functioning and reduce the need for medication.

6. How long does the DBS surgery take, and what is the recovery time?
DBS surgery typically takes about 4 to 6 hours, and the patient is generally awake during part of the procedure to provide feedback on the effects of the stimulation. Recovery time varies, but patients usually stay in the hospital for 3–5 days post-surgery. Full recovery may take several weeks to months, with rehabilitation and follow-up adjustments to the DBS settings for optimal results.

7. Are there any risks or side effects associated with DBS surgery?
As with any surgery, DBS carries certain risks, including:

• Infection or bleeding at the electrode insertion sites.
• Severe side effects like mood changes, confusion, or speech problems.
• Device malfunction or electrode misplacement.
• Post-operative discomfort such as headache or numbness.

Most side effects are temporary, and with proper monitoring and follow-up, they can be managed effectively.

8. Can DBS surgery be performed for conditions other than Parkinson’s disease?
Yes, DBS is also used to treat other neurological disorders such as:

• Essential Tremor: Severe shaking that does not respond to medication.
• Dystonia: Involuntary muscle contractions causing twisting and repetitive movements.
• Epilepsy: For patients whose seizures are not controlled by medication.
• Obsessive-Compulsive Disorder (OCD): In some cases of treatment-resistant OCD.

9. Are the results of DBS surgery permanent?

The results of DBS surgery can be long-lasting, but they are not permanent. The battery of the implanted device typically lasts around 3–5 years before needing replacement (in the case of non-rechargeable devices). The effectiveness of DBS may also vary over time, and patients may need periodic adjustments to the device’s settings.

10. What are the different types of DBS systems available?
There are primarily two types of DBS systems:

• Non-rechargeable DBS: Less expensive but requires more frequent battery replacements.
• Rechargeable DBS: More expensive initially but has a longer battery life, requiring fewer replacements.

Additionally, some advanced DBS systems come with adaptive capabilities that adjust stimulation based on real-time brain activity, offering more precision in treatment.

11. What is the difference between unilateral and bilateral DBS surgery?

• Unilateral DBS involves implanting electrodes on one side of the brain. It is generally used for patients whose symptoms are confined to one side of the body.
• Bilateral DBS involves implanting electrodes on both sides of the brain. This procedure is more complex and is typically used for patients with symptoms affecting both sides of the body.

Bilateral DBS tends to be more expensive due to the complexity and the additional equipment needed.