Deep brain stimulation

What is Deep brain stimulation?

This is stimulation induce by the device also called Brain pacemaker used therapeutic purpose in certain brain related disease.

Questions and answers on "Deep brain stimulation"

41 yrs old male pt, h/o CVA 7 yrs ago,
Had right Hemiparesis and rubral tremors of right upper limb and lowerlimb.
He was on medication with no improvement,
Hence HE WAS GIVEN THE OPTION OF DEEP BRAIN STIMULATION SURGERY. and he underwent the same. Want to know whether this surgery is approved by FDA in XXXXXXX and how much this surgery will help in this case

doctor1 MD

Brief Answer:
Deep brain stimulation

Detailed Answer:
Hi Vidyadaar, thanks for asking from HCM.


I can understand your concern. The deep brain stimulation surgery is approved in XXXXXXX It is approved in most of the countries. It was first approved for tremors in 1997.

Now coming to your second...

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hi,
I am a patient of essential tremors. How can i get 100% relief from this as if tremors can become history Is it a neurological disorder or psychiatric disorder?

Is the neurologist neccessary or a psychiatrist to slove my problem?

doctor1 MD

Brief Answer:
It is a neurological disorder

Detailed Answer:
There is no cure if you are suffering with essential tremor. Essential tremor is dominantly inherited familial disorder and can be controlled not cured. The drugs are the commonest modality to treat them but they can also be treated in...

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DOES DEEP BRAIN STIMULATION FOR PARKINSONS ELIMINATE THE
ACCOMPANYING DEMENTIA -LEWY BODY DEMENTIA

doctor1 MD

Brief Answer:
Visit to a movement disorder clinic

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
No, deep brain stimulation is not going to help or cure dementia with lewy body disease.
The indications of DBS are specific and needs to be discussed with...

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Hi

I have ADD and have trouble paying attention and focusing on task that require thinking and are not to my liking like writing essays. I tried ritalin which worked for a few months then stopped working and I don't have access to Adderal. I am currently taking Modafinil which gives me some extra energy but doesn't help with paying attention and focus. I tried many supplements which claim to increase focus but with no result. Is there anything that can help me with this problem.

doctor1 MD

Brief Answer:
Detail required

Detailed Answer:
Hi dear,

Thank you for your query.

First of all I would like to know since when you are suffering from ADHD and on treatment?

As you described you improved with methyl phenindate but in what dose?

As you tried many medication but what was the dose...

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Sir,

I am XXXX (Age: 27 yrs.)_belongs to XXXXXXX presently working in Oman. I do computer

related works throughout the day.

History & Present condition:

When I was 11 years old, I felt tremor in my hand while writing or threading a needle. Gradually, the

tremor started increasing and the situation was worse during my college days (age 16 to 20). While I

was 22 yrs. old the tremor started spreading to my arm, hand and sometimes I feel it on head and other

body parts during movements such as eating and writing. Now-a-days my fingers on both hands also

started shivering making it difficult for me to work on computer. I feel body weakness also. The situation

get worsen when I feel nervous.

The doctor named my problem as “Essential Tremor”.

Medication taken:

Unfortunately, doctors were not consulted earlier due to ignorance.

For the first time on 08-08-2013 (Age 26 yrs.) I consulted a neurologist (Dr. XXXXXXX XXXXXXX XXXXXXX Deccan

hospital, Hyderabad), since I was working there.

He suggested for CT & MRI Scan and thyroid test and all the reports were normal. He prescribed_

Betacap 40mg,

Lonazep 0.5mg

Rejunex.

These medicines were consumed for 3 months but couldn’t find any relief.

Then another 3 months following medicines were consumed and it didn’t make any relief.

Nurokind plus &

Ecosprin 150mg

After this another doctor in my home town, XXXXXXX suggested to take_

Gabapentin 100mg,

Ecosprin 150mg &

Wysolin 10mg.

This was consumed for one and half months. I felt quite relax in my head and body but there was no

effect on hand and fingers. So I stopped taking it.

Now the situation is same as before.

Recently I consulted a doctor nearby my work place, Oman.

He suggested for a blood test (CERULOPLASMIN). Result was normal. He prescribed_

Primidone 50mg. (Since the medicine is not available in Oman, I have not consumed it. I am trying to get

it from India).

doctor1 MD

Brief Answer:
Diagnosis is essential tremors.

Detailed Answer:
Hi Mr XXXXXXX

Thank you for posting your query.

I have noted your symptoms, and the fact that all your reports are within normal limits.

This confirms that you have a condition called as essential tremors (also called as familial or...

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Hi, I have idiopathic parkinsons , I take sinemet 100/25 x 2 tbs @ 0530 , 1200 , 1600 . After each dose two and a half hours later I seize up where it difficult to move, arms in particular , voice will slur and right leg will drag or big toe will curl up. This can last from half to an hr then abate to so called normal until after next dose .I have tried entacapone (200mg) with sinemet but this prolonged seizure. Have tried ropinerol ,amantadine with same result. How can this seizure effect (dystonia ? ) on off ) be treated
Regards XXXXXXX

doctor1 MD

Brief Answer:
Try new regimen of Sinemet.

Detailed Answer:
Hi, I had gone through your question and understand your concerns. It seems like a wearing-off effect of dystonia related to dosage and timing administration. I suggest you to try a new regimen of Sinemet. You should increase frequency...

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My dad suffered a stroke around 15 months back and MRI report says "BILATERAL THALAMI INFARCTS".
We have tried ayurveda treatment for 3 months and physiotheraphy for almost 1 year,but noticed no improvement in his health. We coducted Stem cell therapy around 5 months back in Mumbai. and also we found that he has brain atrophy. He is better now and can observe around 2% of improvement.

He is 60 years old.

His current status:
1. He is bedridden, unable to walk and walks only with the help on shoulders.
2. He speaks very slowly and most of the time, we are unable to understand what he is saying.
3. He answers our queries, when we ask him, but never tries to start a conversation and he will be always sitting silent in the chair.
4. He forgets everything like, what he had for breakfast and he doesn't remember most of his life time events and he just knows his close family members name.

Is there any brain surgery is possible to improve his health conditions? I heard about deep brain stimulation, does it help him? Please let me know all the available treatments for his case.

doctor1 MD

Brief Answer:
Pakshaghat & Neurology

Detailed Answer:
Dear Lakshminarasimha

Thanks for contacting Ayurveda with your health concern and following points are worth mentioning from Management point of view:

1. Since possible cause of stroke as suggested by your history:
. no hypertension, on...

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My dad suffered a stroke around 15 months back and MRI report says "BILATERAL THALAMI INFARCTS".
We have tried ayurveda treatment for 3 months and physiotheraphy for almost 1 year,but noticed no improvement in his health. We coducted Stem cell therapy around 5 months back in Mumbai. and also we found that he has brain atrophy. He is better now and can observe around 2% of improvement.

He is 60 years old.

His current status:
1. He is bedridden, unable to walk and walks only with the help on shoulders.
2. He speaks very slowly and most of the time, we are unable to understand what he is saying.
3. He answers our queries, when we ask him, but never tries to start a conversation and he will be always sitting silent in the chair.
4. He forgets everything like, what he had for breakfast and he doesn't remember most of his life time events and he just knows his close family members name.

Is there any brain surgery is possible to improve his health conditions? I heard about deep brain stimulation, does it help him? Please let me know all the available treatments for his case.

doctor1 MD

Brief Answer:
No surgery is possible for him.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your father's diagnosis and treatment received so far. I appreciate your efforts in ensuring your father's good health.

I would like to inform you that surgery such as deep brain stimulation...

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Hi sir
I have tremmors with writers cramp.
Am taking proponolol40mg oD. Tremmors controled for few hours and again started .but idont have big problem with tremmors when i started writing my hand become tightening and unable to go forward. Its my big problem during exam . And dayby day.
I resently serched in website ......i found this treatment
1) deep brain stimulation.
2)artane tablet (trihexyphenidyl)
3)botox injection.
Sir please replay
Am very much depressed with this problem

doctor1 MD

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Writers cramp can be treated with trihexyphenidyl and clonazepam.
Botox is also an excellent option with benefits lasting for 6 months or more after a single injection....

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Recent questions on  Deep brain stimulation

doctor1 MD

Hi sir I have tremmors with writers cramp. Am taking proponolol40mg oD. Tremmors controled for few hours and again started .but idont have big problem with tremmors when i started writing my hand become tightening and unable to go forward. Its my...

doctor1 MD

DOES DEEP BRAIN STIMULATION FOR PARKINSONS ELIMINATE THE ACCOMPANYING DEMENTIA -LEWY BODY DEMENTIA

doctor1 MD

I have fatigue, headaches , anxiety but the main thing that is new is tremors, it feels like the earth is moving under my feet, it first happened when I was sitting down in a chair, but now it happens often while I try to sleep, one night it felt...

doctor1 MD

I am cutting down metoprolol succinate from 50 to 25mg--feel awful.

I am 64 tomorow a female weigh 150 5'10' tall. I have Parkinson's disease. No spleen, gallbladder, 40 % of pancreas gone. had triple coronary bypass 3 years ago. Have had deep brain stimulation for Pd in 2004 again half redone in 2010. Blood presure too low so doctor told me to reduce metoprolol.

doctor1 MD

I HAVE LEFT SIDED BRAIN COMPRESSION FROM A FALL SOME YEARS AGO. AT 54 MY RIGHT LEG STAARTED TO TREMOR THEN LATER MY RIGHT HAND. DUKE DOCTOR'S RULED OUT PARKINSON'S DISEASE RECENTLY BECAUSE THE MEDS DO NOT STOP THE TREMOR'S BUT MY NEUROLOGIST JUST DOES NOT KNOW WHAT TO DO WITH ME. IT GETS SO BAD I CANNOT DRIVE AT ALL. IS THERE BRAIN SURGERY OUT THERE TO HELP ME?LIZ YYYY@YYYY

doctor1 MD

63 year old male, lung cancer 14 years ago from herbicide exposure treated with chemo and radiation. Shows signs of Parkinson's, tremor at rest in hands, sometimes tremor in head when speaking, Rigid leg muscles after resting, difficulty initially getting out of chair but only for a moment. Leg cramps often while sleeping at night. Erectile dysfunction for many years. What type of doctor should be seen? If he feels like he doesn't have any urgency to see doctor because he is functioning fine in life at this time is there a medical reason that it is better to see doctor sooner rather than later

doctor1 MD

hai sir my father is diagnoised with parkinsons .He has been taking medicines for two years with carbidopa,levidopa,entacapone,selgin,,pacitine,amantril..still his movements are not as like as healthy individual.professionally he is a farmer and he does his work.but on heavy work his left hand seems little close.so could you please suggest that continue same medicine or any other midicines .

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