Deep Brain Stimulation Cost in India

How much does Deep Brain Stimulation Cost in India?

Deep Brain Stimulation Price No. of Travelers Days in Hospital Total Days in India
USD 25,000 2 8 9
The cost of Deep Brain Stimulation in India starts from $25000, it varies with choice of hospital and the city. The deep brain stimulation treatment costs around $70000 in the US and around $60000 in the UK, which is way more than what it costs in India.
DBS-in-India

Factors affecting the Cost of Deep Brain Stimulation in India

Some of these factors include:

Get a Free Personalized quote for Deep Brain Stimulation surgery in India

Trusted by Patients from 90+ countries

(jpeg, jpg, doc, docx, pdf)
  • Connect with 1000+ Specialists

Use the built in communication tools to ask as many questions as needed and get a prompt response. Patient Coordinators will assist you from start to finish.

  • Connect with Hospitals around the globe

We hand pick each hospital & only internationally accredited hospitals are included to ensure you will receive high quality care.

  • Unbeatable Quotes - Guaranteed

If you receive a lower quote for the same treatment, hospital and doctor, we guarantee we will beat that price.

  • Free Medical Advice from Experts

Speak directly to doctors to have all your questions and concerns addressed before finalizing where to get your treatment.

What is deep brain stimulation?

Deep brain stimulation is a Food and Drug Administration (FDA) approved therapy for treatment of certain movement and neurologic disorders including:

  • Parkinson’s disease
  • Essential tremor
  • Dystonia
  • Epilepsy
  • Obsessive compulsive disorder

DBS therapy is a surgical procedure used to control the symptoms of certain neurological disorders, especially Parkinson’s disease. Some of the Parkinson’s disease symptoms that are relieved with the help of deep brain stimulation therapy include tremors, walking problems, rigidity, slowed movement and stiffness.

Deep Brain Stimulation is classified under neurostimulation based treatment which can also help control symptoms of conditions such as refractory epilepsy, chronic pain (central pain syndrome), obsessive compulsive disorder (OCD), Tourette’s syndrome, and some major depression related disorders. 

It received FDA approval in 2009, under its humanitarian device exemption, for use in cases of treatment-resistant OCD

Deep brain stimulation is being studied deeply for its potential use and benefits in following conditions:

The major advantage of DBS surgery is that it does not cause damage the brain tissue, like, other procedures such as pallidotomy or thalamotomy. And the DBS procedure can be reversed. 

DBS has been found to effective in reducing dyskinesias, the uncontrolled wiggling motions resulting from use of high doses of medication. DBS surgery is not a permanent cure, but it helps to provide relief from the symptoms and reduce their severity so that medication doses can be lowered for better management of the underlying condition.

How does Deep Brain Stimulation work?

DBS surgery is conducted to implant a small electrical device called a neurotransmitter around the chest region of the patient suffering from tremors, stiffness, rigidity and other neurological symptoms. The neurotransmitter is always kept on by the patient after the surgery.

The neurotransmitter helps patients send electrical signals to specific areas of the brain. These areas of the brain are where the surgeons have placed the other end of the electrical leads that help deliver electrical impulses.

Sending electrical impulses to these identified regions of the brain helps patients control the electrical activity if the brain that leads to specific neurological disorder symptoms. Specific areas of the brain are responsible for producing different symptoms such as tremors and rigidity. Depending on the symptoms experienced by the patient, specific areas of the brain are targeted.

The electrical signals sent by the neurotransmitter help block the nerve signals sent by the brain that lead to PD symptoms, in addition to others. Read more.

A Deep Brain Stimulation device consists of three parts which are implanted inside the body:

Neurostimulator: This is a battery-powered pacemaker device that is programmable by a special control remote. It induces electric pulses. The device is placed under the skin of the chest, near the collarbone, or in the abdomen.

Lead: This is a coated wire with a number of contacts or electrodes at the tip. These are placed inside the brain and connected to another wire (extension wire) through the small holes in the skull. The wire delivers the electric pulses generated by stimulator device to the specific part of the brain. 

Extension: This is an insulated wire that is placed under the skin and connects the lead wire to the neurostimulator device. It runs from the head, behind the ear and down the neck to the chest.

Hand-held programmer device: This device remains outside the body and is used to adjust the device’s electric stimulation. It can turn the pulse generator device off and on.

How can Lyfboat assist you getting Deep Brain Stimulation in India?

World's Most Trusted Medical Advisory & Discount Platform

Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

What can I expect before the deep brain stimulation surgery?

Prior to surgery, patients have to undergo certain medical evaluations, including:

  • Blood and urine tests: to identify toxins and abnormalities
  • MRI and/or CT Scans: to help doctors identify and target the right area of the brain causing symptoms.

General instructions before the sugery:

  • Stop taking non-steroidal anti-inflammatory medicines (NSAIDs) about one week before the surgery. 
  • Stop smoking or chewing tobacco, and drinking alcohol about a week prior to the surgery. This is to be followed for 2 weeks after the surgery as they increase the risk of bleeding problems. 
  • Get clearance from the cardiologist or primary care physician to ensure you don’t have a history of other medical or heart conditions that may increase surgery risks. 
  • You should not have food or drink, including the medication for Parkinson’s or other condition, after midnight before the surgery.

How deep brain stimulation surgery is performed in India?

DBS surgery can be performed while you are awake (with local anaesthesia and mild sedation) or asleep (local anaesthesia). Some people may remain awake for a part of surgery and asleep during the other part. 

If the surgery is performed while the patient is awake, a local anaesthesia is used to numb the scalp and no anaesthesia is required for the brain as it does not have any pain receptors. 

The doctors may ask the patient to stop taking the medicines that control Parkinson’s symptoms. During the procedure, the patient is asked to perform certain tasks to help guide the surgeon while placing electrode in the accurate part of the brain.

However, remaining awake during a brain surgery or not taking medicine can be unsettling for some people. So using a general anaesthesia is an alternative option as the patient will be unconscious during the surgery.

Following are the steps involved in a Deep Brain Stimulation Surgery in India:

1. Attaching the stereotactic frame

The surgeon first attaches a stereotactic frame to the head of the patient. A local anaesthesia is applied on the scalp where the four pin sites will be inserted to minimize discomfort. The might patient might feel some pressure as the pins are tightened.

2. Imaging scans – MRI or CT scan

The doctor will take imaging scan such as computerized tomography (CT) or magnetic resonance imaging (MRI). These images and special computer software are used to map the brain and identify the area for placement of the electrodes. 

3. Incision on skin and skull 

After the imaging scans, the patient will be taken to the operating room. The stereotactic head frame remains secured and it prevents any movement of the head while placing the electrodes. The patient may remain awake during this part of the surgery. The doctor may give a mild sedative to make it more comfortable during the skin incision. Later, the sedation is stopped so that the doctors can talk to patient and perform the tasks.

The hair is shaved and an incision is made on the skin on the top of the head to expose the skull. The surgeon will then make two burr holes using a drill on the left and right sides of the skull. Through these holes, electrodes are passed into the brain.

4. Insertion of electrode in the brain

The electrodes are inserted through the small burr holes in the skull and placed in the brain. Using the images from the MRI / CT scans and the planning software, the electrode are inserted into the brain at a precise depth and angle. There will be no discomfort as the brain itself does not feel any pain.

The surgeon may implant one lead wire into each side of the brain. The wire will run under the skin, reaching to a pulse generator (neurostimulator) that is implanted near the collarbone.

5. Stimulation of the brain cells

Once the permanent DBS electrode/lead are placed on the correct nerve, test stimulation will be performed. The surgery team will ask if the patient feels any of their symptoms have lessened or completely gone away.

6. Closure of incision

The surgeon will place a plastic cap over the small hole on the head to hold the lead in place. The incision of the scalp is closed with sutures or staples. Later a bandage is placed on the surgical wounds.

After a week later, an outpatient surgery is performed to implant the stimulator in the chest. This is performed under a general anesthesia and the patient will remain unconscious during the procedure. 

Implanting the stimulator

In the operation theatre, the surgeon will reopen a portion of incision on the scalp to access the leads. Then a small incision is made near the collarbone where the neurostimulator will be implanted under the skin. The electrode/lead is attached to the extension wire that is passed under the skin down the neck to connect to the stimulator/battery in the chest. 

The stimulator might be visible as a small bulge under the skin, but it usually remains hidden under the clothes.

It is advisable to avoid movement of arm over the shoulder or an excessive stretching of the neck as the incision heals. 

Programming the stimulator

About a few days after the surgery, the patient will have their stimulator programmed in a follow-up visit. The doctor programs the pulse generator in his clinic using a special remote control. It may take some time to find 3 to 4 programming sessions to find the optimal setting. The amount of stimulation required is customized depending on the person’s condition. Once the stimulator is programmed, the medication dosage will be adjusted.

How is recovery after deep brain stimulation treatment?

DBS is a risky and a lengthy procedure that requires proper aftercare and follows up a visit to the neurosurgeon to check on the progress and recovery. The stimulation is regularly adjusted by the neurosurgeon during the follow-up visit, depending on the needs of the patient and any improvement in their condition.

The pulse generator attached during the surgery is completely adjustable through programming and can be varied according to the needs of the patient. This can help reduce the severity of symptoms as per individual needs, but the only drawback is that the patient is required to make a visit to the doctor on a regular basis.

Pulse generator battery last for over a period of three to five years and this is when it must be replaced. The DBS battery replacement procedure is performed as outpatient. An incision is made near the placement of the pulse generator (mostly chest or abdomen) and the battery is replaced.

The neurosurgeon also adjusts the medications of the patients after the DBS surgery, the dosage of medications is likely to be reduced after DBS treatment.

Outlook and Life with a stimulator

DBS has proved to be a remarkably safe and effective treatment for the conditions in properly selected patients. Although, it does not cure the underlying condition, DBS provides symptomatic relief and significantly improves the quality of life in most patients. Promising results have been seen for the conditions DBS is still being investigation for.

Once the stimulation system is programmed, the patient is sent home with instructions on how to use the handheld device to adjust the stimulation themselves. The handheld controller can turn the stimulator on and off, adjust the stimulation strength, and select appropriate programs. Mostly, patients are asked to keep their DBS system turned on all day and night. But in some cases, especially with essential tremor, it might be used during the day only and turned off before sleeping. The doctor will make adjustments in the settings to improve the stimulation, if required.

The DBS system can have either a primary cell battery or a rechargeable unit. The surgeon will discuss the pros and cons prior to surgery and help you choose the suitable type. If the DBS system have a rechargeable battery, a charging unit can be used. Usually, the charging time of 1 to 2 hours per week is enough. 

It is important to keep in mind that electronic devices such as cellular phones, microwaves, pagers, security doors, anti-theft sensors and household appliances will not affect the stimulator. However, one should carry the Implanted Device Identification card when travelling by air as the device is detected at airport security gates.

What are the risks and complications of deep brain stimulation?

Some of the common DBS complications and risks include the following:

  • Stroke
  • Bleeding
  • Infection
  • Seizures
  • Nausea
  • Problems related to the heart
  • Breathing problems
  • A headache and confusion
  • Temporary pain
  • Hardware malfunction

Stimulation of the neurotransmitter may also lead to certain side effects in some patients. Some of the DBS side effects include the following:

  • Lightheadedness
  • Problem balancing
  • Spleen problems
  • Numbness
  • Muscular discomfort such as tightness
  • Tingling sensation
  • Mood swings
  • Depression

Why prefer India for deep brain stimulation surgery?

Deep brain stimulation in India is available at all major hospitals located across different cities. Many patients visit India to undergo DBS procedure, which is a sensitive surgical intervention involving the placement of an electrical device. Certain hospitals in India, such as Apollo Hospital, New Delhi, have been there in the field of deep brain stimulation therapy for decades now. These hospitals are equipped with the latest technology used for the treatment of neurological disorders, including Parkinson’s disease and Alzheimer’s disease.

Frequently asked Questions (FAQs) about DBS Surgery in India

Q. Are the hospitals in India well-equipped for neurosurgery procedures?

Indian hospitals are globally known for their superior quality of services and world-class facilities. The best deep brain surgery hospitals in India have a dedicated department for neurosciences that are recognized centre of excellences. These hospitals are accredited by national and international organizations such as National Accreditation for Hospitals and Healthcare providers (NABH) and Joint Commission Internation (JCI). 

The certification from these organizations provide a quality assurance for clinical care and safety. The neurosurgery hospitals in Delhi, Mumbai, Chennai and other major cities have the most updated technologies for surgery and medical procedures. These include minimally invasive procedures, robot-assisted surgery and many others. The diagnostic department at the hospitals are also equipped with the latest imaging techniques such as functional brain MRI, advanced CT scans and many others.

Q. Is DBS safe?

Deep brain stimulation is considered a safe and effective treatment for several neurological conditions, including Parkinson’s Disease, Tremor, Dystonia, Obsessive-Compulsive Disorder, and Epilepsy, in appropriately selected patients. It is recommended when medications and other procedures are not effective for maintaining good quality of life for patients. However, not all patients are suitable for this procedure, especially those who are incapable of managing the device stimulation, or for patients with Parkinson’s disease and Essential Tremor, for whom test stimulation is unsuccessful. There are several medical conditions that are contraindicated for DBS. Read in details here.

Q. Will DBS be affected by airport security systems?

Electromagnetic interference (EMI) caused by certain sources may cause damage to the device or injury to the patient. Airport security screening devices and theft detectors in malls or shops may cause stimulation of the device to switch On or Off, resulting in a momentary increase in perceived stimulation for some patients. It is best to inform the security personnel about the device and carry a device card indicating the same.

Q. Can DBS affect other medical devices/implants?

The DBS device system can itself get affected by or adversely affect other medical devices or procedures such as cardiac pacemakers, cardioverter or defibrillators, ultrasonic equipment, external defibrillators, electrocautery, or radiation therapy. It is important to inform the doctor about your device during consultation. The medical will consider this before recommending the best treatment option for the clinical condition.

Q. Is it safe to have MRI if I have a DBS device?

Magnetic Resonance Imaging (MRI) may cause excessive heating of the lead electrodes which can lead to serious or even permanent injury to the brain, including paralysis, coma, or death. It may cause damage to the device as well, such as for the neurostimulator implant location other than pectoral and abdominal regions. It is advisable to never undergo an MRI without first checking with the medical team who were involved in DBS procedure. It is important to inform the radiologists which type of MRI is safe for your particular DBS system as some devices are compatible with MRI, while some may not.

The best Indian deep brain stimulation hospitals are located at the entire perimeter of the country, especially in all the major cities that are well connected through air, rail and road transport. This is the reason why patients from abroad can easily access treatment in the best neurology hospitals in India.

Since DBS is a lengthy and a sensitive procedure, the hospitals also possess the facilities to make patient recover from the procedure after the surgery. The hospitals are equipped with the in-house facilities to make the patients comfortable and relax after the surgery.

The top deep brain stimulation hospitals are equipped with all the latest technology used to implant the stimulator and connect it to the wires that transmit the electrical signals to the brain. The neurology and neurosurgery department in these Indian hospitals is run by highly experienced doctors, neurosurgery and neurology specialists, who are educated and trained from abroad. They hold the expertise and the experience that it requires to handle simplest to complex neurological conditions and are experienced with the techniques used to manage the symptoms and the condition.

Dr. Sandeep Vaishya

22+ years of Experience

Dr. Sandeep Vaishya

22+ years of Experience

Dr. Anil Kumar Kansal

23+ years of Experience

Dr. Anil Kumar Kansal

23+ years of Experience

Dr. Bipin Walia

30+ years of Experience

Dr. Bipin Walia

30+ years of Experience

Dr. Aditya Gupta

21+ years of Experience

Dr. Aditya Gupta

21+ years of Experience

Happy Lyfboat Patients

Six Simple Steps

Free Access to the Network

Our medical advisory platform automatically sends your medical query to our network of expert Doctors, working only at top internationally accredited Hospitals.

Direct Communication

You and the medical providers communicate directly via email or your online patient account; our case managers are always available to help you with this.

Get Verified Quotations

You receive medical opinions and cost quotation within 24 to 48 hours via email and your online patient account.

Compare Quotes & Advices

Lyfboat empowers you to compare the medical opinions, and discuss the options with our very own doctors who help answer your questions, and guide you in making informed decisions on the best treatment option.

Get Discounted Costs

We negotiate your final costs, explore available discount offers, and we handle all your logistics including travel, accommodation, transport, and medical co-ordination.

Return Home Fit

Get cured, pay hospital after treatment and return home safe. Our care team is available throughout your journey to good health!

Free Enquiry