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The Procedure

The duration and steps of the implant procedure can vary, and the procedure typically lasts several hours. The hospital stay is usually a few days for the preoperative tests, planning, implant procedure, and initial recovery before home care.

Your surgical team will include:

  • A neurologist
  • A neurosurgeon specialized in DBS Therapy
  • Other healthcare professionals

People who have had the procedure usually describe it as demanding and exhausting rather than painful. Afterwards, you may have some discomfort and soreness that can be managed with pain medication.

Implanting the Leads

In the first part of the procedure, your neurosurgeon places the leads in a precise part of your brain. Your brain is mapped with an MRI or CT scan. You will be awake so you can help your surgeon determine the best place for the lead. You will be lightly sedated and will not experience pain.

Your surgeon will test stimulate areas of your brain while you move your arms or legs, tap your fingers, move your hands, or pretend to drink from a cup. This helps your surgeon find the best lead position to control symptoms like tremor, rigidity, or slowness of movement.

Implanting the Neurostimulator

The neurostimulator may be implanted the same day or later. You will be sedated and asleep for this part of the procedure. The surgeon begins by checking to see that the leads are properly positioned. The neurostimulator is placed under the skin of your chest just below the collar bone. The surgeon will also connect the lead to the neurostimulator with extensions that are placed under the skin, leading up from the chest to your neck and head.

Healing

People usually go home a few days after the surgery. Healing can take several weeks. Discomfort or pain at the incision sites can be managed with medication. When you are sent home to heal, typically your device will not be turned on until your first programming session.

For several weeks you will avoid strenuous activity, arm movements over your shoulder, and excessive stretching of your neck. You may gradually want to try activities that were difficult before your surgery. Talk about this with your doctor first, and be sure to follow all of your doctor's instructions.

Ask someone who receives Medtronic DBS Therapy what the procedure was like

What Are the Risks of the DBS Therapy Implant Procedure?

DBS Therapy requires brain surgery. Risks of brain surgery may include serious complications such as coma, bleeding inside the brain, seizures and infection. Some of these may be fatal. Once implanted, the system may become infected, parts may wear through your skin, and the lead or lead/extension connector may move. Medtronic DBS Therapy could stop suddenly because of mechanical or electrical problems. Any of these situations may require additional surgery or cause your symptoms to return.

Talk to your doctor about the risks that may be applicable to your specific situation.

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Last updated: 8 Sep 2011