DBS therapy (Deep stimulation of a brain)

The method of DBS therapy is based on implantation in certain structures of a brain of electrodes on which electric current of low tension and high frequency moves. Impulses are generated by in advance programmed device – DBS нейростимулятором, consisting of the battery and the chip (microcomputer) which is implanted to the patient. Thus, impulses change functions of the selected structures of a brain and allow to return the patient to normal life.

Along with Parkinson's disease, DBS therapy is used at treatment of such diseases of nervous system as dystonia, an essentsialny tremor, epilepsy, an obsessivno-compulsive syndrome.

Advantages of a technique

Deep stimulation of a brain has several advantages: first, it represents an alternative to destructive transactions with destruction of a certain part of a brain and, therefore, has less complications and reversible character.

Secondly, electric stimulation is regulated, and its parameters can be changed far off by means of a programmator of the doctor depending on a status of the patient or parameters of drug treatment.

Thirdly, DBS therapy — more effective method in comparison with acceptance of the medicines causing heavy ghost effects.

MRT-compatibility

For April, 2018 the system of deep stimulation of a brain Medtronic DBS Extension – the only MRT-compatible system in the world.

Implantations in Russia

In the Interregional kliniko-diagnostic center in Kazan

Since 2012 implantations of DBS systems are carried out in the Interregional kliniko-diagnostic center in Kazan. Based on Hospital for veterans of wars the Republican kliniko-diagnostic center of extrapyramidal pathology and a botulinoterapiya where provide highly skilled medical care by the patient with extrapyramidal diseases is created (are shown by motive violations of neurologic complications). Here perform complex diagnostics and rehabilitation of patients with Parkinson's disease. At indications to surgical intervention of patients send to the Interregional kliniko-diagnostic center of Kazan or other federal centers where carry out implantation of DBS systems.

However for June, 2018 the selected quotas are not enough for a covering of need of the region. Taking into account an annual gain of number of patients in RT installation not less than 20 DBS systems a year is required. Besides, it is difficult to patients to leave on treatment in the federal centers located in other regions of Russia in view of weight of motive violations".

Transactions at Institute of a brain of the person of N.P. Bekhterova of RAS

Institute of a brain of the person of N.P. Bekhterova of RAS – one of the leading federal medical clinics in the field of neurology, neurosurgery and psychiatry. Operations on implantation of DBS systems to patients with Parkinson's disease are performed in IMCh RAS since 2016. By April, 2018 15 transactions were executed. Until the end of 2018 10 more is planned.

"Institute of a brain of the person of N.P. Bekhterova - one of the lead scientific institutions focused on studying of a brain of the person using modern methods of a research. The institute accumulates wide experience of surgical treatment of epilepsy and parkinsonism, carrying out psychosurgeries. The technology of deep stimulation of a brain yields excellent results at therapy of Parkinson's disease. It allows to control effectively a course of disease of Parkinson and other neurologic diseases and to considerably reduce motive frustration which accompany these diseases. Thereby, the patient is restored to normal life, can work and service himself independently" — Natalya Vladimirovna Sterlikova says.