Medications no longer provide consistent relief

Patients experience severe motor fluctuations

Tremors remain uncontrollable with drugs

Side effects of long-term medications become intolerable

Daily life is significantly disrupted by symptoms

Electrodes are implanted in targeted brain areas

A small device (neurostimulator) delivers controlled electrical pulses

Helps regulate abnormal brain signals, reducing tremors, stiffness, and dyskinesia

Adjustable and reversible, making it the most common Parkinson’s surgery today

Involves creating small, precise lesions in brain areas linked to abnormal movement

Includes thalamotomy and pallidotomy

Less common today but may benefit patients not suitable for DBS

A non-invasive option that uses high-intensity ultrasound waves

Targets brain tissue without opening the skull

Useful for controlling tremors in selected patients

Significant reduction in tremors and stiffness

Improved movement and daily functioning

Decreased need for high medication doses

Better control of motor fluctuations

Enhanced overall quality of life

Infection or bleeding

Device-related complications in DBS

Speech, balance, or memory issues

Rare anesthesia complications

However, with advanced surgical techniques and expert care, most patients experience safe outcomes

Hospital stay typically lasts a few days

Device programming sessions are needed for DBS

Symptoms may continue to improve gradually over weeks

Regular follow-ups ensure optimal results

Rehabilitation therapies may be recommended for additional support