Prof Shahzad Shams has the answer to Essential tremors which if start to occur in a person can make their life miserable. These tremors occur in the hands when they are performing fine work like writing, eating, drinking, putting in golf, potting with cue etc, etc which becomes embarrasing, These tremors increase in group meetings and when patient is tense. They are common in elderly who are above 60 years of age. Unfortunately there is no medicine available to control these tremors.
Prof Shahzad performs DBS Deep Brain Stimulation surgery which makes these tremors to stop completely then and there in the operating theatre.
Patient is discharged within 24 hours of admission.
Prof Shahzad Shams excels in all kinds of treatments required for diseases like Essential tremors, Dystonia and Parkinson’s disease.
Prof Shahzad Shams is one of the Pioneers of DBS Deep Brain Stimulation surgery for Essential Tremors and other movement disorders in Pakistan and is referred cases from abroad also. He is the first in Pakistan to start DBS surgery in the Private sector at Omar Hospital, Lahore, Pakistan.
He is the best neurosurgeon for DBS Deep Brain Stimulation Surgery for Parkinson’s Disease in Pakistan and Asia.
DEEP BRAIN STIMULATION OR DBS PROCEDURE-:
DBS surgery involves putting the tip of a hair-thin wire inside the brain in a special area that controls movement. The patient is awake during surgery to allow the surgical team to assess the patient’s brain functions. The small wire runs up through a small hole in the skull and under the scalp, down to a small device implanted under the collarbone. Local anesthetic is applied to these areas, and the patient is occasionally sedated.
While the electrode is being advanced through the brain, the patient does not feel any pain. Most patients have two implants — one on each side of the brain.
Steps of Procedure-:
- Patient Evaluation by Neurophysician
- Patient eligibility for DBS by ANFN team
- Hospital admission
- Pre op imaging
- Appilication of stereotatic frame
- Imaging with frame
- Surgical planning and localization of target radiologically
- Burr hole under local analgesia
- Physiological confirmation of target by MER
- Implantation of electrodes in brain
- Implantation of battery (IPG) infront of chest
- Programming of DBS to obtain best results
HOW DBS or DEEP BRAIN STIMULATION WORKS ?
Deep brain stimulation (DBS), or Electric subcortical stimulation, illustrates functional Neurosurgical intervention with Stereotactic placement of Electrodes into Target brain regions. Propagating from an external stimulation device, which becomes internalized via subdermal implantation, Electric impulses traverse the electrodes, stimulating the desired target and invoking therapeutic responses within the patient giving Miraculous cure from all the diseases listed above. Whole procedure is performed in awake patient and they are discharged the next day.