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Author of more than 37 scientific publications.
Akin Akakin specializes in the treatment of neurological diseases.
He graduated from the Department of Brain and Nerve Surgery, Faculty of Medicine, Marmara University (2008).
Akin Akakin defended his thesis on the effects of Gamma knife and embolization treatment.
He is a member of the Turkish Neurological Society.
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Professor Altai Senger is a Turkish neurosurgeon. Graduated from the Medical Faculty of Istanbul University. An active member of the scientific community in Turkey, he has about 70 scientific publications.
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Ali Zirch is an Associate Professor in Neurosurgery and a specialist in the surgical treatment of Parkinson’s disease, parkinsonism and other movement disorders. The doctor works in the Department of Brain and Nerve Surgery at the Medipol University Hospital.
The doctor has over 30 years of experience in the field of functional neurosurgery. During his practice, he performed more than 1000 deep brain stimulation procedures and 1500 surgeries that help patients with Parkinson’s disease overcome tremor.
Ali Zirch is the author of 150 scientific papers that are cited by other scientists around the world. The doctor teaches deep brain stimulation techniques at the University of Boston, USA.
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Deep brain stimulation is a surgical treatment in which a neurosurgeon uses an implanted device. It delivers an electrical impulse directly to that part of the brain, the work of which was disrupted due to the disease. In the past, deep brain stimulation (DBS) was only used to treat Parkinson’s disease and epilepsy. But modern research has shown that DBS helps with many other conditions as well.
DBS (DBS) treats pathologies that adversely affect the functioning of neurons – a key type of brain cells. When neurons don’t work properly, it disrupts important bodily functions such as motor and intelligence. Depending on how severe the medical problem is, the patient may partially or completely lose these functions.
DBS – what is it? The abbreviation in English stands for Deep Brain Stimulation (in the English language brain – the brain), that is, deep brain stimulation. This is the name of the method of surgical treatment, which is often used abroad to combat psychiatric neurological disorders.
The DBS procedure is approved by the U.S. Food and Drug Administration (FDA) for the treatment of:
According to the Cleveland Clinic Research Center, DBS has a positive effect on the brain in other conditions as well. In foreign medical centers, DBS is used in complex therapy:
Some doctors abroad use DBS for endogenous depression – a complex emotional disorder, which is accompanied by a change in the amount of neurotransmitters and hormones in the body.
In advanced clinics abroad, deep brain stimulation was approved in the 1990s for the treatment of movement disorders. DBS involves placing electrodes close to deep structures in the brain. The neurosurgeon connects these electrodes to a pulse generator that is implanted subcutaneously into the chest wall. The pulse generator is controlled by a computer, which instructs the electrodes to fire.
Common structures targeted by DBS include the subthalamic nucleus, the globus pallidus internus, and the ventral intermediate nucleus of the thalamus. According to research by the US National Institutes of Health, stimulation of the ventral intermediate nucleus of the thalamus through the DBL leads to a decrease in tremor by more than 80%. At the same time, other unpleasant neurological symptoms also gradually disappear.
Before the DBS operation, the patient will need medical tests. That way, doctors can assess the potential risks, make sure that deep brain stimulation is a safe and appropriate option for the case. Before DBS, doctors usually do brain tests, including an MRI. The research helps to map the areas of the brain where the electrodes will be implanted.
The main two stages of Deep Brain Stimulation:
In most cases, the electrode is placed when the person is awake. This is done in order to ensure the desired effect of stimulation and to maintain the activity of important areas of the brain. In this case, a local anesthetic is injected into the person to numb the scalp before the procedure. In the brain itself, anesthesia is not needed, because there are no pain receptors in it. In rare cases, the operation can be performed under general anesthesia.
The neurosurgeon implants a thin wire electrode with a series of contacts at the ends into the desired area of the brain. A wire runs under the skin to a pulse generator (neurostimulator) implanted near the collarbone. During the operation, the neurologist, surgeon and other medical staff carefully monitor the patient’s condition to ensure the correct placement of the electrodes, which will later give a signal.
At this stage, doctors introduce the patient into a state of general anesthesia. Wires from the brain electrodes are placed under the skin and guided to a battery-powered pulse generator. The generator is programmed to supply continuous electrical impulses to the brain. Then the patient will control the generator, and you can turn it on or off using a special remote control.
Rehabilitation lasts 3-4 days. During this short time, the patient’s surgical field heals, which is about 1 cm in diameter. After the DBS procedure, the patient visits the clinic on an outpatient basis for several weeks. The doctor finally adjusts the apparatus for neurostimulation using a programmer. As a rule, this requires up to 5 visits to a neurologist.
For successful rehabilitation after brain stimulation, the patient is forbidden to drink alcohol for at least 2-3 weeks. Operation of a smartphone and other electronic devices will not affect the operation of the machine.
When can I see results after deep brain stimulation?
The improvement is noticeable on the first day after the operation: the tremor in the limbs decreases or disappears completely, speech and coordination of movements are restored. After a few days, sleep and general condition normalize.
The Spanish clinic Teknon is one of the leading centers in the world, where famous neurosurgeons work, who perform deep brain stimulation. The best specialist of a medical institution is Gerardo Conesa Bertrand. The neurosurgeon has over 30 years of experience and is the director of the Teknon Institute of Neurosurgery and Neurobiology. The clinic also employs a world-famous doctor, neurologist and specialist in the field of functional neurosurgery with more than 40 years of experience – Bartolome Oliver.
In the multidisciplinary clinic Medipol in Turkey, the treatment of parksionism, dystonia and other disorders of the central nervous system is carried out by Ali Tsirkh. The main specialization of the doctor is deep brain stimulation. The doctor has over 35 years of experience in the field of neurosurgery.
In Israel, you can get a consultation with a neurosurgeon, neurologist or epileptologist at the country’s leading medical centers – Sourasky and Herzliya. In South Korea, foreign patients with serious neurological pathologies are accepted by the Gil University Hospital.
The cost of deep brain stimulation in clinics in different countries is different. In some medical centers, package offers are available to patients, which will be more advantageous in price. They include diagnostics before surgery, DBS operation, accommodation in a comfortable room and transfer from the airport.
To undergo a DBS procedure in one of the best hospitals in the world, leave a request on the Experts Medical website. A medical coordinator will contact you to help you choose a doctor and arrange a trip abroad.
With the support of Experts Medical, patients can count on:
You can learn all the details about deep brain stimulation abroad during a personal consultation with an Experts Medical specialist.