Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
Samitivej Hospital Bangkok
Bangkok, Thailand
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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":"5fffedba3b931.jpg","city":"Bangkok","clinic_site":"https:\/\/www.samitivejhospitals.com\/","department_recommend":"0","country":"Thailand","country_id":"13","clinic_name":"Samitivej Hospital Bangkok","cinic_name":"Samitivej Hospital Bangkok","department_id":"1914","duration":"15","direction":"Neurosurgery","min_duration":0,"clinic_id":"1390","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":30234.65,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"90.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"51","distance":"25","airport_title":"Bangkok Suvarnabhumi "},{"id":"52","distance":"25","airport_title":"Bangkok Don Mueang"},{"id":"53","distance":"798","airport_title":"Phuket"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Program id #
346922
Dr. med. Viriya Kaewkangsadan
Department of General Surgery
Specialized in: general surgery 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 General Surgery at the Samitivej Hospital Bangkok offers all modern surgical interventions for the treatment of pathologies of varying severity, ranging from surgery for bone cracks and fractures up to brain tumors and arterial occlusions. The department is headed by Dr. med. Viriya Kaewkangsadan.
The department's competent surgeons perform both minimally invasive interventions, after which the patient can leave the hospital on the same day, and complex extensive operations, after which the patient requires a long stay in the Intensive Care Unit. The highest level of treatment quality is achieved thanks to the cutting-edge medical equipment, impeccable hygiene in all rooms and operating rooms, as well as the use of innovative surgical techniques.
The department specializes in the diagnostics and treatment of the following diseases and pathological conditions:
- Wounds and injuries, including bone fractures, dislocations, sprains
- Burns
- Brain tumors
- Intracerebral hemorrhages
- Brain abscesses
- Hernias
- Valvular heart diseases
- Occlusive arterial diseases
- Lung, breast and liver tumors
- Calculi in the gallbladder, kidneys or urinary tract
- Hemorrhoids
- Hematuria and bladder tumors
- Back and neck pains
- Other diseases
The surgical spectrum of the department includes:
- Minimally invasive surgery
- Laparoscopic appendectomy
- Laparoscopic hernia repair
- Bariatric surgery
- Colon surgery
- Laparoscopic diagnostics
- Arthroscopy
- Vasectomy
- Other interventions
Curriculum vitae
- 2006 Diploma of the Thai Board of Surgery.
- 2007 Certificate of General Surgery, Internal College of Surgeons.
- 2016 PhD, Cancer Immunology, University of Nottingham, UK.
Photo of the doctor: (c) Samitivej Hospital Bangkok
About hospital
The Samitivej Hospital Bangkok is a leading provider of medical services of the international level. The hospital has its campuses in various regions of Bangkok. The Samitivej Sukhuvmit Hospital has the status of the main and most respected medical facility. The accreditation of the Joint Commission International (JCI) is the evidence of the top-class medical care at the hospital.
The hospital was founded in 1979. Thanks to its commitment to high quality treatment and the active use of innovations, nowadays it provides its services not only to local residents, but also leads in the field of medical tourism in Southeast Asia.
The hospital provides the full range of services – from primary to highly specialized medical care. With 275 beds, 87 diagnostic rooms, more than 400 doctors and more than 1,200 care specialists, the hospital is a recognized Center for Comprehensive Health Services in Bangkok.
The experienced team of the hospital includes highly specialized doctors and care specialists, has state-of-the-art medical equipment, due to which it can successfully perform both simple and complex surgical interventions, ranging from open heart surgery to liver transplantation.
In addition, the hospital also shows outstanding results in the field of pediatric medical care. The competent pediatricians working at the hospital care about the health and proper development of infants, young children and adolescents. The pediatric medical team consists of 144 experienced pediatricians, pediatric surgeons and specialized doctors, as well as a large number of specially trained nurses and other medical staff. For each of these specialists, the main value is the health of the child, so they use all their clinical experience and knowledge to achieve the well-being of young patients.
The hospital is recognized by the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO). This is the first hospital in Thailand, which acquired the status of "Baby and mother friendly hospital" in 1999. Other significant awards include the Prime Minister's Award for Outstanding Medical Services in 2004, as well as the accreditation of the Thailand Hospital Accreditation Foundation.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The Samitivej Hospital Bangkok offers its patients various accommodation options, ranging from standard rooms to VIP rooms and presidential suites. Each patient room has an automatically adjustable bed (an extra bed is available for an accompanying person), an adjustable table above the bed, a refrigerator, an LCD TV, an electric kettle, etc. The patient rooms are also equipped with an ensuite bathroom with shower and toilet.
Meals and Menus
The patients of the hospital are offered healthy and tasty three meals a day: breakfast, lunch and dinner. If necessary, the patient will be provided with an individual menu. In addition, the hospital has several restaurants serving international and Japanese cuisine, where one can order full-fledged dishes, snacks, desserts and enjoy a variety of hot and cold drinks.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV