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Deep brain stimulation in Kazakhstan

We invite patients from all over the world for quality treatment of Parkinson's disease

NEUROSURGICAL TREATMENT OF PARKINSON'S DISEASE

One of the most effective methods of surgical treatment of Parkinson's disease is called deep brain stimulation. This method involves the implantation of electrodes in the brain in the region of the globus pallidus, thalamus or subthalamic nucleus. Electrical impulses are then given to stimulate the brain tissue to help overcome vibration, stiffness, and slow movements (tremors, rigidity, etc.). Impulses come from a battery (neurostimulator - which is installed at the bottom of the collarbone). This operation is not intended for all patients with Parkinson's disease; performed on patients who meet certain criteria (reference - selection of patients for Deep Brain Stimulation). In addition, the operation relieves many symptoms and has a positive effect on the overall course of the disease. Implantation of electrodes for deep brain stimulation and a pulse generator is currently the most effective of all available surgical interventions.
The whole procedure is divided into two conditional stages:
Stage 1 - bilateral implantation of deep electrodes;
Stage 2 - implantation of a permanent pulse generator and extension cables, followed by connection of the system.
In some clinics, both stages are carried out on the same day, in others - on different days. In addition to the neurosurgeon, a neurologist, a neurophysiologist, an anesthesiologist, an anesthetist nurse, an operating room are involved in the process of installing the stimulation system.
nurse, x-ray laboratory assistant, technical staff.
In our clinic, the implantation procedure is carried out simultaneously in the general neurosurgical operating room, equipped with the necessary anesthetic and operating equipment. Operating table
equipped with a head fixation system, has the ability to change the position up-down, right-left. Sufficient illumination of the surgical field with a regular ceiling lamp is a prerequisite, because the procedure does not use a microscope with illumination. As mentioned above, taking levodopa and other antiparkinsonian drugs is canceled 12 hours before the start of the procedure, because. clinical symptoms of Parkinson's disease are required for intraoperative clinical testing. In special cases, when the abolition of levodopa causes difficulties in the installation of a stereotaxic frame due to severe tremor, medication may be taken in order to relieve symptoms and properly prepare the patient. Below is a description of the procedures and manipulations with a stereotaxic system manufactured by Elekta (Sweden), as well as implantable devices for DBS Activa PC, manufactured by Medtronic (Minneapolis, USA), which are used in our clinic.
Contacts
8(701) 550 50 26
Almaty, Bukhar-Zhyrau Boulevard, 45/1, Baizakov Street intersection
( inside the ''Keruen medicus'' building )
mon-fri — 8:00-17:00
Sat-Sun - weekends

shashkin.clinic@gmail.com
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