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Treatment of Parkinsons disease with deep brain stimulation (DBS) and implantation of neurostimulator (327521) | Rambam Health Care Campus Haifa - BookingHealth
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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&nbsp;foci of pathological electrical activity 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 into the brain<\/strong>. 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. 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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;\">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>L-Dopa-Test<\/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 Parkinson&#39;s disease with deep brain stimulation and implantation 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<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. 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Treatment of Parkinsons disease with deep brain stimulation (DBS) and implantation of neurostimulator in Rambam Health Care Campus Haifa

Rambam Health Care Campus Haifa

Haifa, Israel
Program id # 327521
Doctor photo
Prof. Dr. med. Gill Sviri
Department of Neurosurgery
Specialized in: 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
    • L-Dopa-Test
    • 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 Parkinson's disease with deep brain stimulation and implantation 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 foci of pathological electrical activity 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
  • MRI/CT scan (if available)

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About the department

The Department of Neurosurgery at the Rambam Health Care Campus Haifa provides the highly accurate diagnostics and modern surgical treatment of diseases of the nervous system. The medical facility is recognized as the national leader in the treatment of benign and malignant tumors of the brain and spinal cord, vascular diseases, traumatic brain injuries, skull base surgery, microsurgery, as well as in the treatment of degenerative diseases and tumors of the cervical, thoracic and lumbar spine. The department has 32 beds for inpatient treatment, including 11 beds in the Intensive Care Unit. The department treats about 6,000 patients and performs more than 1,300 surgical interventions every year. The department is headed by Prof. Dr. med. Gill Sviri.

The team of the department's doctors includes 8 neurosurgeons and 6 interns who successfully combine clinical activities with research in immunotherapy, robotics, evoked potentials, neurophysiology, etc. The department's nursing staff also has extensive experience in the provision of intensive care.

The department has state-of-the-art surgical and monitoring equipment, while the team of doctors has extensive experience in performing operations using the most advanced surgical techniques. For example, it uses an advanced ultrasound intraoperative navigation technique, which provides the best possible accuracy when removing neoplasms of the nervous system. To detect brain tumors, 5-ALA fluorescence methods are used. Moreover, the department was the first to use the coagulation factor VIIa to arrest hemorrhage in the case of traumatic brain injuries.

The department operates the specialized sections, such as the Intensive Care Unit, Neurophysiological Laboratory and the Tremor Section, which is the only one in Israel and the second in the world in the provision of highly accurate non-invasive MRI-guided intracerebral interventions.

The department's range of medical services includes:

  • Diagnostics and treatment of brain tumors
    • Meningiomas
    • Astrocytomas
    • Glioblastomas
    • Pituitary adenomas
  • Diagnostics and treatment of cerebral hemangiomas
  • Diagnostics and treatment of intracranial hypertension
  • Diagnostics and treatment of congenital and acquired hydrocephalus
    • Endoscopic ventriculocysternostomy of the floor of the third ventricle
    • Aqueductoplasty (stent implantation in cerebral aqueduct)
    • Ventriculocystocysternostomy (creation of anastomosis between the brain ventricles)
    • Septostomy (dissection of the transparent septum of the brain in monoventricular and biventricular forms of the disease, as well as in polycystic hydrocephalus)
    • Endoscopic removal of intraventricular brain tumors
    • Endoscopic bypass grafting
  • Diagnostics and treatment of arteriovenous malformations
  • Diagnostics and treatment of tremor
    • Deep brain stimulation
    • Innovative and non-invasive MRI-guided treatment of tremor using focused ultrasound
  • Diagnostics and treatment of cavernomas
    • Open neurosurgical interventions
    • Stereotactic radiosurgery
  • Diagnostics and surgical treatment of epilepsy
  • LINAC linear accelerator radiosurgery
  • Epiduroscopy for the diagnostics and treatment of spinal diseases
  • Other medical services

Curriculum vitae

Dr. Gill Sviri graduated from the Technion’s Ruth & Bruce Rappaport Faculty of Medicine in 1996. Dr Sviri completed his training in Neurosurgery (2002) at the Rambam Health Care Campus Haifa. It was followed by a fellowship in clinical skull base and cerebrovascular surgery at the University of Washington (2004 - 2006), where he is currently an Affiliated Associated Professor. Dr. Sviri did some advance neurosurgical training at the University Pittsburg and in the Houston Methodist Hospital, in which he is affiliated as a Research Fellow. He is one of the leading Neurosurgeon in Israel. Since May 2018, Dr. Sviri is the Chief Physician of the Department of Neurosurgery and the Head of the Skull Base and Pituitary Program at the Rambam Health Care Campus Haifa. He also holds the position of a Clinical Assistant Professor in Neurosurgery at Technion (Israel institute of Technology).

Photo of the doctor: (c) Rambam Health Care Campus Haifa


About hospital

The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million locals, as well as the members of the Israel Defense Forces, UN Peacekeeping Forces and the United States Sixth Fleet. The medical center houses 61 inpatient departments, 73 specialized departments, 10 medical institutes and 25 laboratories. It is also the clinical and academic base of the Technion – Israel Institute of Technology.

The medical center includes the Ruth Rappaport Children's Hospital. It is a multidisciplinary medical facility specializing in the diagnostics and treatment of various pathologies, including extremely rare ones, in children of all age groups.

The total number of employees in the medical facility is 4,000 (715 doctors and 1,407 nurses). Many doctors are world-famous in the field of their clinical specialty and participate in advanced research projects in order to offer new treatment methods not only to their patients, but also to the world community.

The medical center is a leader in the field of medical care in emergency cases with a large number of victims. In addition, the hospital is certified in accordance with the strict standards of the Joint Commission International (JCI).

During the long-term and successful clinical practice, the medical center has formed a clear vision of optimal medical support and system of values. These suggest that the primary focus is always on the patient with his individual needs and wishes, while the medical services are professional, high-quality and safe. In addition, the specialists of the hospital apply the most effective and innovative treatment methods, as well as create a favorable environment, which contributes to the improvement of physical and emotional health and well-being of the patient. The key role in the daily work of the hospital is also played by a tolerant attitude towards all patients.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Rambam Health Care Campus Haifa live in comfortable rooms designed in light colors. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, an armchair and chairs for receiving visitors, a TV, a telephone. Each room is 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:

Shower
Toilet
Wi-Fi
TV