Deep Brain Stimulation Surgery Cost in Lagos

Depending on the symptoms being treated, electrodes are mounted in a particular region of the brain during deep brain stimulation. Via small holes created at the top of the skull, the electrodes are located on both the left and right sides of the brain. The electrodes are attached to a battery-powered stimulator under the skin of the chest by long wires that extend under the skin and down the spine. The stimulator sends electrical pulses when switched on to block defective nerve signals that trigger tremors, rigidity, and other symptoms.

There are three parts of the DBS system which are inserted within the body:

Neurostimulator-
A battery-powered, programmable pacemaker system that produces electric pulses. We place it below the collarbone or in the belly, under the skin of the chest.

Lead – A coated wire at the tip with a variety of electrodes that provide the brain tissue with electric pulses. It is positioned inside the brain and, through a small hole in the skull, attaches to an extension wire.

Extension – An insulated wire that links the neurostimulator to the lead. It runs from the scalp, behind the ear, down the neck, and to the chest and is put under the skin.

Deep Brain Stimulation Surgery Cost in Lagos

  Surgery  name    A minimum price (USD)   Maximum price (USD)   Average price (USD)    

Deep Brain Stimulation

$ 23,000 $ 25,000 $24,000  

The average Deep Brain Stimulation Surgery Cost in Lagos is 24,000 USD.

 Lagos is the preferred destination for Deep Brain Stimulation Surgery because of the Low Cost of Deep Brain Stimulation Surgery in Lagos 23,000 USD.  Many patients travel from abroad and different parts of the country because the Deep Brain Stimulation Surgery price in Lagos 23,000 USD is affordable. 

There are many Hospitals with highly experienced Deep Brain Stimulation in Lagos. Lagos city also has a very good supply of Implants required for  Deep Brain Stimulation Surgery in Lagos. 

Deep Brain Stimulation Surgery reviews in Lagos by past clients are very encouraging because the Deep Brain Stimulation Surgery success rate in Lagos is high. 

 

 

How Deep Brain Stimulation Works?

It is not completely understood exactly how DBS functions, although many experts agree that it controls irregular electrical signaling patterns in the brain. Brain cells interact with each other using electrical signals to regulate normal movement and other functions. These signals become erratic and uncoordinated in Parkinson’s disease, which leads to motor symptoms. The abnormal signaling patterns can be disrupted by DBS, so that cells may interact more smoothly and minimize symptoms.

Deep Brain Stimulation Insurance surgery coverage in Lagos 

 

Deep Brain Stimulation surgery is a very common procedure in Lagos. Many health insurance companies assist you with this medical emergency surgery.  

 Top Insurance companies covering  Deep Brain Stimulation Surgery are, 

AIICO Insurance Deep Brain Stimulation Surgery coverage 

Lead Way Assurance company Deep Brain Stimulation Surgery coverage 

Custodian and Allied Insurance Deep Brain Stimulation Surgery coverage 

Cornerstone Insurance Plc Deep Brain Stimulation Surgery coverage 

AXA Mansard Insurance Deep Brain Stimulation Surgery coverage 

African Alliance Insurance Plc Deep Brain Stimulation Surgery coverage 

Goldlink Insurance Plc Deep Brain Stimulation Surgery coverage 

Continental Insurance Deep Brain Stimulation Surgery coverage 

Industrial and General Insurance Plc Deep Brain Stimulation Surgery coverage 

Deep Brain Stimulation Surgery coverage from Lasaco Assurance Plc 

Who performs the procedure?

A neurosurgeon who has advanced training in functional neurosurgery performs DBS surgery. A neurologist is also included in the surgical team.

What happens before Deep Brain Stimulation Surgery?

Usually, several days before surgery, you can undergo examinations (e.g., blood test, electrocardiogram, chest X-ray). It will perform an MRI scan of your brain. You will sign consent papers and full documents at the doctor’s office to notify the surgeon about your medical history, including allergies, medications, anesthesia reactions, and past surgeries.
Avoid taking all non-steroidal anti-inflammatory drugs 1 week before surgery (Naprosyn, Advil, Motrin, Nuprin, Aleve, etc.). 1 week before and 2 weeks after surgery, avoid smoking, chewing tobacco, and consuming alcohol, as these habits can cause problems with bleeding. If you have a history of any medical or cardiac problems, you may also need to have approval from your primary care physician or cardiologist. No food or drink is allowed after midnight the night before surgery, including your Parkinson’s medication.

Try to get a decent sleep at night. The DBS treatment requires several measures and lasts much of the day, during which you will be awake and off medication.

  • Using antibacterial soap to shower. Dress in loose-fitting freshly washed clothes.
  • Wear shoes with flat-heeled and closed backs.
  • On the morning of the procedure, if you have orders to take daily
  • medicine, do so with tiny sips of water.
  • Eliminate make-up, hairpins, contacts, nail polish, body piercings, etc.
  • Leave all items of importance and jewelry at home (including wedding bands).
  • Bring a list of drugs with dosages and the time of day normally taken (prescriptions, over-the-counter, and herbal supplements).
  • Bring a list of drug or food allergies.

 

What happens during Deep Brain Stimulation Surgery?

The whole procedure lasts 5 to 7 hours when the electrodes are inserted into the brain. In general, the surgery lasts 3 to 4 hours.
Attach stereotactic frame
The operation is conducted stereotactically, which allows a frame to be fixed to your head. The frame is momentarily placed on your head with Velcro straps when you are sitting. With local anesthesia, the four-pin sites are injected to alleviate pain. As the pins are close, you can feel some strain.
MRI or CT scan
Using either computerized tomography (CT) or magnetic resonance imaging, you can then have an imaging scan (MRI). Placed over the top of the frame is a box-shaped localizing unit. On the scan, markers in the box turn up and help define the exact three-dimensional coordinates within the brain of the target region. To design the electrode trajectory, the surgeon uses MRI / CT images and special computer software.

Skin and skull incision
They will take you to the operating room. You will lie on the table and you will be able to protect the stereotactic head frame. When placing the electrodes, this avoids any slight movements of the brain. During the process, you will stay awake. During the initial skin incision, mild sedation is provided to make you more relaxed but then stops so that you can speak to the doctors and perform tasks.

The hair along the incision line is shaved about an inch high. To show the brain, a skin incision is made across the top of your head. Two quarter-sized burr holes on the left and right sides of the skull are made using a drill (Fig 3). These holes cause the brain to move through the electrodes.

Insert electrode in the brain
A recording electrode is inserted into the brain through a small opening. The electrode is implanted to a specific depth and angle within the brain based on measurements from the MRI / CT scans and the planning machine. No pain is felt by the brain itself, so you do not feel any discomfort.

The accuracy of the positioning of electrodes is verified by a variety of studies. You may be asked to lift or count numbers on your arms or legs. The surgical team will listen to the right nerve cells as well. The recording electrode will hear the firing of the brain cells and show on a screen the waveforms. The most time-consuming part of the treatment is this. For both the left and right sides of the brain, it must be repeated. The surgical team will do their job with your patience and cooperation.

stimulate the brain cells
The surgeon replaces the recording electrode with a permanent DBS electrode/lead until the exact nerve cells are found. Stimulation monitoring is performed. You will be asked whether you believe any of your symptoms are lessening or going away entirely.

Closure
A plastic cap is positioned over the burr hole to keep the lead in place until the team is pleased with the electrode placement. For later connection to the extension wire and the stimulator, a coil of wire is left under the scalp. With sutures or staples, the scalp incision is closed and a bandage is applied.

The cost of Deep Brain Stimulation Surgery in Lagos is as following: 

  Surgery name    A minimum price (Naira)   Maximum price (Naira)  Average price (Naira)  
Deep Brain Stimulation ₦ 8,767,600 ₦ 9,530,000 ₦9,148,800

The Cost for  Brain Stem Surgery may vary according to the following factors: 

  • Doctor’s Fee 
  • Hospital charges 
  • Medical condition after Deep Brain Stimulation Surgery
  • Type & Quality of Implants/Consumables 
  • Lab Tests recommended post-Deep Brain Stimulation Surgery

What happens after Deep Brain Stimulation Surgery?

You may immediately take your daily dose of Parkinson’s medication after surgery. For tracking and observation, you are held overnight. The next day, most patients are released back home.

You may feel better than normal during the recovery period after implanting the electrodes. A lesion effect that lasts from a few days to weeks is caused by brain swelling around the electrode tip. Once the stimulator is inserted and programmed, this transient effect is a strong indicator of the result.
You will return to the hospital for outpatient surgery about a week later, to insert the stimulator in the chest/abdomen. Under general anesthesia, this surgery is done which takes about an hour. For patients who are going home you may immediately take your daily dose of Parkinson’s medication after surgery. For tracking and observation, you are held overnight. The next day, most patients are released back home.

 Implant the stimulator
With general anesthesia, you will be taken to the OR and put to sleep. To access the leads, a part of the scalp incision is reopened. Near the collarbone, a small incision is made, and the neurostimulator is inserted beneath the skin. An extension wire that passes under the skin of the scalp, down the spine, to the stimulator/battery in the chest or abdomen is connected to the lead. The system can be visible under the skin as a slight bulge, but normally it is not seen under clothing.

As the incisions heal, you can avoid arm movements over your shoulder and unnecessary stretching of your neck. With medicine, discomfort at the incision sites may be controlled.

program the stimulator
Around 10 days after the service, an office visit will be arranged for you. The stimulator will be programmed and it will change the dosage of your drug. For up to 12 hours before the programming session, you may be asked to avoid taking your drugs. This is achieved in order to improve the programming’s efficacy in reducing the normal symptoms. It is important that you work to change the drugs and improve the programming with the neurologist and nurse. For programming, you can return to the office every 3 weeks. In order to achieve optimum symptom regulation while reducing side effects, it usually takes 3 to 4 programming sessions.

Symptoms of Deep Brain Stimulation Surgery

Dystonias
Involuntary muscle contractions that occur during particular activities (e.g. writing)
Muscle contractions worsen with stress, fatigue, or anxiety

Epilepsia

Temporary confusion
A spell for gazing
Consciousness Deprivation
Uncontrollable jerking of arms or leg movements

Emotional reactions such as anxiety, paranoia, or déjà vu
Tremor Necessary
Tremor that occurs during routine activities such as writing or drinking
Compulsive-Obsessive Disorder
Fear of infection or germs
Aggressive feelings or one’s self against others
Making everything in perfect order or in symmetry
Cleaning or handwashing excessively
Counting compulsively
Repeatedly testing items (e.g. oven is off, the door is locked, etc.)
Parkinson’s disease
Trembling

Risks of Deep Brain Stimulation surgery

Risks may include:

1% risk of a brain hemorrhage, including stroke
Infection
Device malfunction
Lack of benefit for certain symptoms
Headache
Worsening mental or emotional status

What is the  Brain Stem Surgery success rate in Lagos? 

DBS for PD is associated with a 10-year survival rate of 51%. Survey data suggest that while DBS does not halt disease progression in PD, it provides durable symptomatic relief and allows many individuals to maintain ADLs over long-term follow-up greater than 10 years.

Deep Brain Stimulation Surgery Cost in Lagos

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