Surgical Treatments

Deep brain stimulation (DBS)

Medtronic Deep brain stimulation (DBS) is a surgical procedure used to treat a variety of disabling neurological symptoms—most commonly the debilitating symptoms of Parkinson’s disease (PD), such as tremor, rigidity, stiffness, slowed movement, and walking problems.

DBS uses a surgically implanted, battery-operated medical device called a neurostimulator to deliver electrical stimulation to carefully targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and PD symptoms.  At present, the procedure is used only for patients whose symptoms cannot be adequately controlled with medications. Neurology Solutions was named the fourth-largest DBS implantation center by Medtronic, managing the treatment and programming of more than 200 patients with DBS.

Intrathecal Baclofen Pump Treatment (IBT)

Baclofen is a medication commonly used to decrease spasticity by restoring the normal balance of electrical signals coming from the spinal cord through the nerves to muscles that control involuntary movements.

In order to avoid the unpleasant side effects that can be experienced through the use of high oral doses of baclofen, the medicine may be continuously administered into the space surrounding the spinal cord–called the intrathecal space–via a pump. The pump is implanted in the abdomen and connected to a small tube that passes under the skin around the back and is inserted into the space around the spinal cord. Intrathecal baclofen delivers the medication right to the target site in the spinal cord. Since it does not circulate throughout the body, only tiny doses are required to be effective. This technique is often extremely effective for patients with spasticity or dystonia that affects the arms and legs. If it is not effective, the pump and tubing may be removed without significant permanent effects.

Because infections and other complications can occur in patients undergoing IBT and DBS therapies, patients are advised to seek the care of a knowledgeable specialist with experience in proper administration of these techniques.