How long does Deep Brain Stimulation (DBS) surgery take?

Deep Brain Stimulation is used to treat significant movement disorders such as Parkinson's disease, dystonia, and essential tremor. Deep brain stimulation begins with local anesthesia in the morning and stereotatic frame installation, and ends after about 3-3.5 hours.  After resting for a while, patients are returned to their rooms.

In deep brain stimulation, a frame is primarily placed under local anesthesia to reach the desired coordinates in the patient's brain.  This frame is placed on the patient's head and a brain MRI film is taken.  With the help of this method, which is applied to calculate the coordinates of the theoretical target to be reached in the brain, the area where the electrodes will be placed is clearly defined by drawing a map of the patients' brain.  After making two burr holes in the skull under local anesthesia in the operating room, microelectrodes are inserted from here with the help of a computer, and the location of the cells responsible for the disease is determined with a margin of error of less than 80 microns.

The operation is performed while the patients are fully conscious, with the principle of "talk-to-talk surgery".  The purpose of the surgery is to locate the cells responsible for the disease and the anatomical formations around it.  For this reason, we do the surgery with keeping the patients awake and talking to them.  This way, which we make while the patients are awake, makes it very easy to determine the physiological map of the region in the brain to be reached.  Then, under X-ray, the patient's neurostimulator electrodes are placed and the brain part of the surgery performed under local anesthesia is completed.

In fact, the initial moment of well-being and the sense of relief patients experience while the neurostimulator electrodes are placed in the brain, begin at that time.  And of course that first smile that makes us happier during surgery appears on their faces at that moment...