Deep Brain Stimulation Cost in India

Cerebellar Non-invasive Brain Stimulation Therapy Cost Estimation

Cerebellar Stimulation therapy, both invasive and non-invasive, aims to modulate brain activity in the cerebellum to treat neurological conditions, like ataxia and movement disorders. The cost of this therapy usually ranges between Rs. 5,00,000 and Rs. 16,00,000, depending on multiple factors, like case complexity and choice of hospital.

What is the Cost of Different Types of Cerebellar Stimulation Therapy in India?

Deep Brain Stimulation is a widely practiced therapy in India for movement disorders, primarily targeting basal ganglia and thalamic regions. Cerebellar DBS remains investigational and is not commonly performed. 

Let us discuss the cost of different types of deep brain stimulation in India. These are as follows:

 Note: These costs vary by hospital, device type (rechargeable vs. non-rechargeable), and city.

1. Standard DBS Surgery

Standard DBS surgery is a surgical procedure in which neurosurgeons implant electrodes into specific areas of the brain to manage neurological conditions like dystonia and Parkinson’s disease.

• Key Features: Standard DBS utilises advanced imaging techniques, like MRI to CT, to pinpoint the exact regions of the brain responsible for symptoms, ensuring accurate electrode placement.  

2. Advanced DBS Surgery

This procedure involves the use of rechargeable or adaptive devices, which provide longer device life. Additionally, it provides personalised stimulation settings and ensures better control of symptoms. It incurs an automatic adjustment of stimulation depending on the patient’s brain activity.

• Key Features: Modern or advanced DBS systems are compatible with magnetic resonance imaging. This allows safe and more comprehensive long-term monitoring of patients.

3. Bilateral DBS Surgery

Bilateral DBS surgery is an advanced surgical procedure that involves implanting electrodes in both hemispheres of your brain. This procedure is usually beneficial for conditions that affect both sides of your body. It is a more complex procedure than standard DBS surgery, and precise surgical planning is required.

• Key Features: Bilateral DBS targets correspond to brain regions on both the left and right sides of the brain. This approach aims to address symptoms that manifest on both sides of the body, such as tremors and rigidity.  

4. Revision DBS Surgery 

Doctors perform this surgery if there is any potential malfunction in an existing DBS system. Major problems that can cause malfunction are battery depletion and additional electrode placement due to evolving symptoms. It is quite challenging technically as this procedure involves working with existing implants.

• Key Features: Revision DBS surgery aims to restore or improve the effectiveness of DBS therapy, addressing the specific issues related to lead placement and hardware complications.

DBS is a reversible procedure that enables the device to be removed when required. Doctors can adjust the stimulation settings to optimise the control of symptoms and minimise side effects for patients. This procedure can improve motor skills and reduce potential risks, such as infection, bleeding, or neurological complications.

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