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Deep Brain Stimulation Surgery

Overview

 Deep brain stimulation (DBS) is a medical procedure that involves a mild  electrical current delivered to a specific part of your brain.  The electricity in that current stimulates the brain cells in that  area, which can help several conditions. The current reaches your brain  through one or more wires attached to a small device implanted  underneath your skin near your collarbone. 

Who needs deep brain stimulation?

 DBS treats conditions that affect how your neurons — a key type of brain  cell — do their job. When neurons aren't working properly, that affects  the abilities those neurons control. Depending on how severe the  problem is, they can either partly or completely lose those abilities. 

Why is DBS used?

 

There  are billions of neurons in each human brain, and these cells  communicate with each other using electrical and chemical signals.  Several brain conditions can make neurons in different parts of your  brain less active. When that happens, those parts of your brain don’t  work as well. Depending on the part of the brain affected, you can have  disruptions in the abilities controlled in that area.

DBS  uses an artificial electrical current to make those neurons more  active, which can help with the symptoms of several different brain  conditions. However, researchers still don’t know exactly how or why  this works.

What conditions and symptoms can DBS treat?

DBS can treat several conditions that affect your brain, including movement disorders, mental health conditions and epilepsy.

DBS has approval from the U.S. Food and Drug Administration to treat the following conditions:

  • Dystonia.
  • Essential tremor.
  • Medication-resistant epilepsy.
  • Parkinson’s disease (when this condition worsens and medication is not as effective).
  • Medication-resistant obsessive-compulsive disorder (OCD).

For more information:

https://my.clevelandclinic.org/health/treatments/21088-deep-brain-stimulation

DBS Stage 1 : Components and Preparation

DBS Head Ring Assembly

Components:

  • Head Ring Screws (4)
  • Ear Bar Kit (2)
  • Head Ring Wrench (2)
  • Anterior and Posterior Head Posts (4)


CT Localizer Frame/Drum

 A standard in CT image localization for stereotactic procedures, requiring no clamping or scanner alignment when used with StereoCalc or NeuroSight Arc software for target calculations.

CRW Precision Arc System

CRW Precision Arc System

CRW Precision Arc System

CRW Precision™ Arc systems allows clinicians to repeatedly target with sub-millimeter accuracy. Rigid patient stability is maintained throughout the stereotactic procedure. 


Phantom Base System

CRW Precision Arc System

CRW Precision Arc System

 A unique phantom base (CRWPBS) functions to provide additional quality

assurance through an independent target setting verification


DBS Stage 1 : OR Bed Preparation

Mayfield Ultra 360

(Location: On top of the DBS Cart)


Used with:

 Mayfield NeuroGen Adaptor


Mayfield NeuroGen Adaptor (Bar)

It is important to clamp  the adaptor on the torso part of the bed to allow the ultra 360 arm to extend out.


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