Deep Brain Stimulation

Deep brain stimulation (DBS) involves surgically placing electrodes in the brain that stimulate targeted areas to help control symptoms of neurological disorders including Parkinson’s disease, essential tremor and some forms of dystonia. 

Our Capabilities

The James J. and Joan A. Gardner Family Center for Parkinson’s Disease and Movement Disorders is the only comprehensive movement disorders center in the region offering deep brain stimulation.

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Our internationally recognized team is dedicated to delivering compassionate, innovative care to people with Parkinson's disease and other movement disorders. Starting with a comprehensive assessment, our expert team ensures we have a thorough understanding of your individual symptoms to offer you the right diagnosis and the latest, most effective treatment options available.

To schedule an appointment, please call the James J. and Joan A. Gardner Family Center for Parkinson's Disease and Movement Disorders at 513-475-8730.

Help Along the Way

Answers to Your Deep Brain Stimulation Questions

During deep brain stimulation, surgeons use electrodes to stimulate certain areas of the brain to help control symptoms of neurological disorders including Parkinson’s disease, essential tremor and some forms of dystonia.

The electrodes placed in the brain are connected to a battery in the chest through wires that are under the skin. Electrical impulses are delivered to the brain through deep brain stimulation, similar to how a pacemaker delivers electrical impulses to the heart. Different settings can be programmed into the deep brain stimulator based on the patient’s symptoms and can be adjusted over time.

 

Deep brain stimulation can help control symptoms associated with neurological disorders such as Parkinson’s disease, essential tremor and dystonia by providing constant electrical stimulation in the brain. 

It can also help improve sleep, motor function and overall quality of life. While the procedure cannot cure these conditions or replace medications altogether, some patients can reduce the amount of medication they are taking to help control their symptoms.

Patients that have had Parkinson’s disease for at least five years, who have a good response to levodopa and who have developed involuntary movements or side effects that cannot be effectively treated with medications are good candidates for this procedure.

For patients with dystonia that affects a portion or multiple parts of their body which cannot be managed with injections or medication, deep brain stimulation is also an option.

For patients with dystonia that affects a portion or multiple parts of their body that cannot be managed with injections or medication, deep brain stimulation is also an option.

During your first surgery, electrode(s) will be implanted in your brain. First, a stereotactic frame is attached to your head using four pins while using local anesthesia.

Once the frame is in place, a provider will take a head CT to map out the path of the electrode during surgery. 

Your surgical team will shave your hair and numb your scalp where they will make the incision. A surgeon will make small holes in your skull for each incision to allow for placement of the electrodes.

A recording electrode is then passed through these holes and moved forward in small increments, allowing the surgical team to hear the firing of brain cells to help determine the correct placement of the electrode. Your movements or tremors may also be evaluated to help determine if the electrode is in the right area. 

Once the target area is found, the recording electrode is switched out for the permanent electrode and the electrode is tested, delivering stimulation to your brain to see if there are any significant side effects. 

During this time, you’ll be asked to perform different movements and tell the surgical team if you feel any of your symptoms change. 

Once the electrode is in the proper place, a cap is placed over the hole in the skull to keep the electrode in place, and your surgical team will close the incisons with staples or sutures.  

After surgery, your team will perform another CT scan to confirm proper placement of the electrodes. You can expect to stay in the hospital overnight. Most patients are discharged the next day.  

After your first surgery, you should resume taking medications as directed.

About a week after your first surgery, you’ll return to the hospital so your surgical team can place a stimulator in your chest or abdomen while under general anesthesia. Then, the team will connect an extension wire to the electrode leads placed previously in your brain to the stimulator in your chest or abdomen. The wires are all tunneled under the skin so that no wires are exposed outside the body.

You can expect to go home the same day if there are no complications.

About one to two weeks after your second surgery, you’ll visit the outpatient office to have your stimulator programmed. It may take a few visits to optimize your deep brain stimulator’s programming. 

You’ll also be provided with a programmer to control your settings and turn the stimulator off and on as needed at home. If you have a rechargeable battery, you’ll be given a home battery charger.

 

The benefits of deep brain stimulation vary from patient to patient, but in general, it helps manage symptoms long term. It can also help reduce the amount of medication patients need to take, though it does not replace medication completely. 

 

Why UC Health

Experience and Expertise

Superior Experience

Since 2005, our center has performed more than 500 deep brain stimulation surgeries on patients with Parkinson's disease to help improve dyskinesias and other symptoms.

Multidisciplinary Team

Our care providers include neurologists, neurosurgeons, nurse practitioners, neuropsychologists, nurse navigators and social workers, who all work together with you every step of the way.

Access to Research and Clinical Trials

UC Health is a recognized leader in research, including studies of innovative tools and techniques to help treat patients with Parkinson’s disease and other movement disorders and to decrease their condition’s side effects.

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Referring Physicians: Success and Provider Toolbox

We are committed to providing optimal care to your patient and open communication with you. We understand that as a referring physician, you need to be kept informed on your patient’s progress. That’s why we set up a toolbox to share detailed information about your patient’s health with you.

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