Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
Medical Park Gebze Hospital
Gebze, Turkey
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After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI or CT scan. Based on the results of an additional examination, the physician will clarify the localization of epileptogenic foci in the brain. After that, the preparation according to the preoperative standard will begin.<\/p>\n\n<p style=\"text-align: justify;\">The first stage of treatment is the <strong>implantation of stimulating electrodes<\/strong> into the brain. The operation is performed under local anesthesia, through a small opening in the skull. You will be awake and communicating with your surgeon, so that he will be able to assess the correctness of the brain electrodes placement.<\/p>\n\n<p style=\"text-align: justify;\">The second stage of treatment is the <strong>implantation of a neurostimulator<\/strong>, which will generate electrical impulses that regulate the work of the brain. Depending on the anatomical peculiarities, the surgeon will place the neurostimulator under the collarbone or in the abdomen and attach the brain electrodes to it. Typically, this operation is performed under general anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will stay in the intensive care unit, under the round-the-clock supervision of physicians and nurses. When the condition becomes stable, you will be transferred to a regular ward.<\/p>\n\n<p style=\"text-align: justify;\">Your physician will evaluate the results of the postoperative MRI and program the neurostimulator according to your individual needs. You will be able to turn the device on and off yourself. After setting up the neurostimulator, the attending physician will schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">EEG (if available)<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>TSH, fT3, fT4<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>neurological examination<\/li>\n\t<li>CT\/MRI scan<\/li>\n\t<li>neuropsychological tests (if indicated):\n\t<ul>\n\t\t<li>ENMG (electroneuromyography)<\/li>\n\t\t<li>EEG (electroencephalography)<\/li>\n\t\t<li>SEPs (somatosensory evoked potentials)<\/li>\n\t\t<li>VEPs (visually evoked potentials)<\/li>\n\t\t<li>BAEP tests (brainstem auditory evoked potentials)<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>stationary EEG monitoring<\/li>\n\t<li>preoperative care<\/li>\n\t<li>surgical treatment of epilepsy with deep brain stimulation\u200b and installation of<br \/>\n\tneurostimulator (including the cost of neurostimulator)<\/li>\n\t<li>1-day intensive care unit stay<\/li>\n\t<li>postoperative MRI control<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>developing of further guidance<\/li>\n<\/ul>\n\n<p> <\/p>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, the physician will conduct a clinical examination and neurological examination, and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI or CT scan. Based on the results of an additional examination, the physician will clarify the localization of epileptogenic foci in the brain. After that, the preparation according to the preoperative standard will begin.<\/p>\n\n<p style=\"text-align: justify;\">The first stage of treatment is the <strong>implantation of stimulating electrodes<\/strong> into the brain. The operation is performed under local anesthesia, through a small opening in the skull. You will be awake and communicating with your surgeon, so that he will be able to assess the correctness of the brain electrodes placement.<\/p>\n\n<p style=\"text-align: justify;\">The second stage of treatment is the <strong>implantation of a neurostimulator<\/strong>, which will generate electrical impulses that regulate the work of the brain. Depending on the anatomical peculiarities, the surgeon will place the neurostimulator under the collarbone or in the abdomen and attach the brain electrodes to it. Typically, this operation is performed under general anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will stay in the intensive care unit, under the round-the-clock supervision of physicians and nurses. When the condition becomes stable, you will be transferred to a regular ward.<\/p>\n\n<p style=\"text-align: justify;\">Your physician will evaluate the results of the postoperative MRI and program the neurostimulator according to your individual needs. You will be able to turn the device on and off yourself. After setting up the neurostimulator, the attending physician will schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n<\/div>","is_ambulant":"0","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ff806e4c4185.jpg","city":"Gebze","clinic_site":"https:\/\/medicalparkinternational.com\/en-us\/Pages\/Gebze-medicalpark.aspx?hospitalId=4222","department_recommend":"0","country":"Turkey","country_id":"10","clinic_name":"Medical Park Gebze Hospital","cinic_name":"Medical Park Gebze Hospital","department_id":"3904","duration":"15","direction":"Neurosurgery","min_duration":0,"clinic_id":"2620","paketPrice":"0.00","paket":"<ul>\n <li>Interpreter up to 28 hours\n <\/li><li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n<\/ul>","title":"Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy","price":{"val":41574,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"31","distance":"23","airport_title":"Istanbul"},{"id":"33","distance":"408","airport_title":"Ankara"},{"id":"34","distance":"645","airport_title":"Antalya"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Program id #
601390
Prof. Dr. med. Süleyman Rüştü Çaylı
Department of Adult and Pediatric Neurosurgery
Specialized in: adult and pediatric neurosurgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- TSH, fT3, fT4
- indicators of blood coagulation
- neurological examination
- CT/MRI scan
- neuropsychological tests (if indicated):
- ENMG (electroneuromyography)
- EEG (electroencephalography)
- SEPs (somatosensory evoked potentials)
- VEPs (visually evoked potentials)
- BAEP tests (brainstem auditory evoked potentials)
- stationary EEG monitoring
- preoperative care
- surgical treatment of epilepsy with deep brain stimulation and installation of
neurostimulator (including the cost of neurostimulator) - 1-day intensive care unit stay
- postoperative MRI control
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- developing of further guidance
How program is carried out
During the first visit, the physician will conduct a clinical examination and neurological examination, and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI or CT scan. Based on the results of an additional examination, the physician will clarify the localization of epileptogenic foci in the brain. After that, the preparation according to the preoperative standard will begin.
The first stage of treatment is the implantation of stimulating electrodes into the brain. The operation is performed under local anesthesia, through a small opening in the skull. You will be awake and communicating with your surgeon, so that he will be able to assess the correctness of the brain electrodes placement.
The second stage of treatment is the implantation of a neurostimulator, which will generate electrical impulses that regulate the work of the brain. Depending on the anatomical peculiarities, the surgeon will place the neurostimulator under the collarbone or in the abdomen and attach the brain electrodes to it. Typically, this operation is performed under general anesthesia.
After the completion of the operation, you will stay in the intensive care unit, under the round-the-clock supervision of physicians and nurses. When the condition becomes stable, you will be transferred to a regular ward.
Your physician will evaluate the results of the postoperative MRI and program the neurostimulator according to your individual needs. You will be able to turn the device on and off yourself. After setting up the neurostimulator, the attending physician will schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.
Required documents
- Medical records
- EEG (if available)
- MRI/CT scan (if available)
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About the department
The Department of Adult and Pediatric Neurosurgery at the Medical Park Gebze Hospital offers modern surgical interventions for the treatment of diseases of the nervous system in patients of all age categories. The focus of the doctors is on the patients with brain tumors, cerebral hemorrhages, strokes, vascular pathologies and malformations. The department's surgeons use the very latest surgical techniques in order to ensure the best possible accuracy and the preservation of vital anatomical structures during the surgery. The Chief Physician of the department is Prof. Dr. med. Süleyman Rüştü Çaylı.
The department strives to provide comprehensive medical care, and therefore the experts in the field of neurology, neuroradiology, neuroanesthesiology and psychiatry are often involved in the therapeutic process.
Cerebrovascular diseases can be treated by neurosurgeons, as well as in collaboration with specialists in interventional neuroradiology. The decision on treatment tactics is made taking into account the severity of the pathology and the general state of the patient's health.
A key focus of the department's doctors is the surgical treatment of spinal diseases. The department successfully performs interventions to treat cervical and lumbar disc herniation, spinal canal stenosis, spinal and spinal cord tumors, spinal deformities, etc.
It is worth noting that the department offers an innovative treatment method – radiosurgery using Gamma Knife. This technique is the only non-invasive option for "surgical" treatment. In other words, the operation is performed without trephination, so that the patient can return to everyday life just a day after the intervention.
The department's range of medical services includes:
- Surgery to remove brain and spinal cord tumors
- Surgical treatment of head and spinal cord injuries
- Surgical treatment of cerebrovascular disease
- Pituitary surgery
- Surgical correction of spinal deformities
- Surgical treatment of spinal disc herniation
- Surgical treatment of epilepsy
- Radiosurgery using Gamma Knife
- Other surgical options
Curriculum vitae
Education
- Faculty of Medicine, Hacettepe University.
- Ankara Numune Training and Research Hospital.
- İnönü University, Faculty of Medicine, Department of Neurosurgery, Assistant Professor.
- İnönü University, Faculty of Medicine, Department of Neurosurgery, Professor.
Clinical Career
- 1996 - 1998 Ankara Oncology Training and Research Hospital, Department of Neurosurgery.
- 1998 - 2014 İnönü University, Faculty of Medicine, Department of Neurosurgery.
- 2002 Cleveland Clinic, Department of Neurosurgery, Ohio, USA (Scholarship).
- 2003 University of the Aegean, Department of Spinal Surgery, Faculty of Medicine, Department of Neurosurgery.
Clinical Interests
- Brain tumors.
- Interventions to treat disorders of the peripheral nervous system.
- Spinal surgery.
- Pituitary surgery.
Membership in Professional Societies
- Turkish Neurosurgical Society.
- Turkish Spine Society.
Photo of the doctor: (c) Medical Park Hospitals Group
About hospital
The Medical Park Gebze Hospital is a progressive medical facility, which diagnoses and treats patients in almost all fields of modern medicine. The hospital is part of the prestigious Medical Park Hospitals Group, which unites 28 advanced medical centers in various cities of Turkey and is one of the leading providers of medical services at the national level. The priority focus of clinical activities is cancer treatment. To this end, the hospital has the very latest types of drug therapy, radiation therapy, as well as methods of radioisotope diagnostics and treatment.
The hospital owes its success to modern infrastructure, state-of-the-art medical equipment and highly qualified doctors who apply their professional skills and clinical experience for the restoration of health and saving the lives of patients.
It is worth noting that the specialists of the hospital are doing well in such areas as organ transplantation, bone marrow transplantation, infertility and IVF treatment, neurology, neurosurgery, oncology, cardiology, orthopedics, traumatology, obesity treatment and bariatric surgery, nuclear medicine, plastic surgery and hair transplantation.
The work of the medical facility is based on the strictest medical standards and the introduction of innovative methods into clinical practice, due to which it regularly demonstrates the high treatment success rates. In addition, the hospital ranks among the top medical facilities, which are popular among foreign patients.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Medical Park Gebze Hospital live in comfortable rooms. All patient rooms are spacious and designed in bright colors. The standard room furnishing includes an automatically adjustable bed, a bedside table, a sofa for receiving visitors, a telephone and a TV. The patient rooms are also equipped with an ensuite bathroom with shower and toilet.
Meals and Menus
The patients of the hospital are offered tasty and balanced three meals a day: breakfast, lunch and dinner. The menu also includes dietary and vegetarian dishes.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV