{"id":13256,"date":"2023-05-25T15:39:37","date_gmt":"2023-05-25T15:39:37","guid":{"rendered":"https:\/\/medicinehospital.com.tr\/test\/en\/?post_type=tibbi-birim&#038;p=13256"},"modified":"2026-03-30T08:21:20","modified_gmt":"2026-03-30T08:21:20","slug":"deep-brain-stimulation-neuromodulation-center","status":"publish","type":"tibbi-birim","link":"https:\/\/atlasuniversitesihastanesi.com\/en\/medical-service\/deep-brain-stimulation-neuromodulation-center\/","title":{"rendered":"Deep Brain Stimulation (Neuromodulation) Center"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"13256\" class=\"elementor elementor-13256\" data-elementor-post-type=\"tibbi-birim\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2a1293d4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2a1293d4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-22d37e42\" data-id=\"22d37e42\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-77d1f8d1 elementor-widget elementor-widget-text-editor\" data-id=\"77d1f8d1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Our center offers high quality standards of differential diagnosis and diagnostic services to patients with Parkinson&#8217;s disease and other movement disorders (tremor, dystonia, Huntington&#8217;s disease, tardive dyskinesia, Tourette syndrome), as well as drug and device-supported treatment applications. One of these treatments is deep brain stimulation (brain pacemaker) surgeries, which have been increasingly applied in the world and in our country in recent years.<\/p><p><strong>Treated Diseases:<\/strong><br \/>Parkinson&#8217;s Disease<br \/>Dystonia<br \/>Essential Tremor<br \/>Epilepsy<br \/>Tourette Syndrome<br \/>Obsessive-Compulsive Disorders<br \/>Major Depression<br \/>Tinnitus<\/p><p><a href=\"http:\/\/beyin-pili-sorulari\" target=\"_blank\">Click Here<\/a> for detailed information about brain pacemaker surgeries.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4482684 e-flex e-con-boxed e-con e-parent\" data-id=\"4482684\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-87ddd0b e-con-full e-flex e-con e-child\" data-id=\"87ddd0b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90c8272 elementor-widget elementor-widget-heading\" data-id=\"90c8272\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DBS(Deep Brain Stimulation Surgery) Before-After<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-02e9876 elementor-widget elementor-widget-video\" data-id=\"02e9876\" data-element_type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=mHfz4y6t9D8&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;mute&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72d12a6 e-con-full e-flex e-con e-child\" data-id=\"72d12a6\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fd60bc8 elementor-widget elementor-widget-heading\" data-id=\"fd60bc8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DBS(Deep Brain Stimulation Surgery)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bde868d elementor-widget elementor-widget-video\" data-id=\"bde868d\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;mute&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"https:\/\/drersoykocabicak.com\/wp-content\/uploads\/2024\/07\/Prof-Dr-Ersoy-Kocabicak-Beyin-Pili-Slider-kare.mp4\" autoplay=\"\" loop=\"\" controls=\"\" muted=\"muted\" playsinline=\"\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f46e575 e-flex e-con-boxed e-con e-parent\" data-id=\"f46e575\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e2c3729 e-con-full e-flex e-con e-child\" data-id=\"e2c3729\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c25ccf elementor-widget elementor-widget-heading\" data-id=\"6c25ccf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our Team\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2175075 e-con-full e-flex e-con e-child\" data-id=\"2175075\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f9e9936 elementor-widget elementor-widget-text-editor\" data-id=\"f9e9936\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Head of Deep Brain Stimulation (Neuromodulation) Center<\/strong><\/p><p>Prof. Dr. Ersoy KOCABI\u00c7AK<\/p><p><strong>Neurology<\/strong><\/p><p>Asst. Prof. Meltem Can \u0130ke<br \/>Dr. Seda Bostan<br \/>Asst. Prof. Zeynep T\u00fcfek\u00e7io\u011flu<br \/>Prof. Dr. Okan Do\u011fu *<\/p><p><strong>Neurosurgery<\/strong><\/p><p>Prof. Dr. Ersoy Kocab\u0131\u00e7ak<br \/>Asst. Prof. Ali Osman Mu\u00e7uo\u011flu<br \/>Prof. Dr. Yasin Temel *<\/p><p><strong>Psychiatry<\/strong><\/p><p>Prof. Dr. Hasan Belli<br \/>Asst. Prof. Zuhal Do\u011fan Bekta\u015f<br \/>Asst. Prof. Filiz Karalar<br \/>Asst. Prof. Talat Sar\u0131kavak<\/p><p><strong>Neuropsychologist<\/strong><\/p><p>Asst. Prof. Fatma G\u00f6ral<\/p><p><strong>Deep Brain Stimulation (Neuromodulation) Center Nurse<\/strong><\/p><p>Nurse Nurbanu Senel<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-18b89b8 e-con-full e-flex e-con e-child\" data-id=\"18b89b8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5d3c677 elementor-widget elementor-widget-text-editor\" data-id=\"5d3c677\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Physical Therapy and Rehabilitation<\/strong><\/p><p>Asst. Prof. Aghalar Javadov<br \/>Asst. Prof. Mehmet \u015eerif \u00d6nen<\/p><p><strong>Physiotherapist<\/strong><\/p><p>Assoc. Prof. Hilal Denizo\u011flu K\u00fclli<br \/>Asst. Prof. Merve Al\u00f6kten<br \/>Res. Physician Saliha Aksoy<br \/>Physician Furkan Anil Karaman<\/p><p><strong>Dietician<\/strong><\/p><p>Dietician Nilay Cansever<\/p><p><strong>Speech and Language Therapist<\/strong><\/p><p>Asst. Prof. Merve Sava\u015f<br \/>Dkt. Burak Manay<\/p><p><strong>Occupational Therapist<\/strong><\/p><p>Ot. Ayca Sultan Koroglu<\/p><p><strong>Patient Relations<\/strong><\/p><p>Ruhsan Konacoglu<\/p><p><strong>Coordinator<\/strong><\/p><p>Erhan Ozdemir<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ee3a255 e-con-full e-flex e-con e-child\" data-id=\"ee3a255\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ebac5eb elementor-widget elementor-widget-text-editor\" data-id=\"ebac5eb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>*Scientific Advisor<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6fdbd31 e-flex e-con-boxed e-con e-parent\" data-id=\"6fdbd31\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a83a2ad elementor-widget elementor-widget-heading\" data-id=\"a83a2ad\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fellowship Program for Deep Brain Stimulation in Neurological and Psychiatric Disorders<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e52dbc4 elementor-widget elementor-widget-text-editor\" data-id=\"e52dbc4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Deep Brain Stimulation (DBS) is a popular field of clinical neuroscience. It is applied in patients with neurological and psychiatric indications. Within the field of Neurology, DBS is used in patients with Parkinson\u2019s disease (PD), essential tremor, epilepsy, and dystonia. In the area of Psychiatry, DBS is applied to patients with refractory obsessive-compulsive disorders, treatment-resistant depression, and Tourette syndrome. This fellowship provides the unique opportunity to participate in the DBS programs of the Maastricht University Medical Center (MUMC+) in the Netherlands and Atlas University Hospital Neuromodulation Center in Istanbul (Turkiye).<\/p><h2><strong>Maastricht and Istanbul<\/strong><\/h2><p>The MUMC+ has been performing DBS surgeries since 1999 and has pioneered this therapy in its clinical applications (e.g., 7T imaging in DBS for PD, DBS in Tourette\u2019s syndrome, and DBS in Tinnitus). In addition, the MUMC+ has contributed substantially to understanding the underlying mechanisms of DBS through fundamental and clinical research.<\/p><p>Atlas University Hospital Neuromodulation Center is well-known for its academic clinical quality and clinical research. They are one of the leading DBS teams in Turkiye. The team has more than 15 years of experience in DBS surgeries and has published many scientific articles.<\/p><h2><strong>The Fellowship<\/strong><\/h2><p>The duration of the Fellowship is 6 months. Three months will be in Maastricht, and 3 months will be in Istanbul. The fellowship will include:<\/p><ul><li>Participation in outpatient movement disorders\/DBS clinics,<\/li><li>Participation in the perioperative DBS program and follow-up of patients,<\/li><li>Participating in scientific research related to neuroscience at the Atlas University Research Center Neuroscience Laboratory and the Maastricht University Neuroscience Laboratories.<\/li><\/ul><p>The fellowship will allow you to get familiar with patient selection, expectations management, perioperative process, and surgical details, neurophysiological and anatomical (including 7Tesla MRI images) aspects of DBS surgeries, electrical activity of basal ganglia structures, patient programming, and adaptive DBS.<\/p><h2><strong>Applications<\/strong><\/h2><p>The fellowship is open and has no deadlines. Neurological and neurosurgical residents, as well as early career neurologists and neurosurgeons, can apply. Applications can be emailed to <a href=\"mailto:y.temel@maastrichtuniversity.nl\">y.temel@maastrichtuniversity.nl<\/a>. Please include your CV with your application letter.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e771c15 e-con-full e-flex e-con e-child\" data-id=\"e771c15\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-546ad2a e-con-full e-flex e-con e-child\" data-id=\"546ad2a\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-425ad7e elementor-widget elementor-widget-heading\" data-id=\"425ad7e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Prof. Dr. Y. Temel<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10fab60 elementor-widget elementor-widget-text-editor\" data-id=\"10fab60\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tHead of Department of Neurosurgery <br>MUMC+ (Maastricht, NL)\n<br>Vice-President of the DBS Society\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ead3d57 e-con-full e-flex e-con e-child\" data-id=\"ead3d57\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2db1d5a elementor-widget elementor-widget-heading\" data-id=\"2db1d5a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Prof. Dr. E. Kocab\u0131\u00e7ak<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-85f0568 elementor-widget elementor-widget-text-editor\" data-id=\"85f0568\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAtlas University Hospital<br> Neuromodulation Center (\u0130stanbul, TR)<br>\nPresident of the National DBS Society\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06a2aac e-flex e-con-boxed e-con e-parent\" data-id=\"06a2aac\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e01039 elementor-widget elementor-widget-heading\" data-id=\"1e01039\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Deep Brain Stimulation in Rare Diseases<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fdb613c elementor-widget elementor-widget-text-editor\" data-id=\"fdb613c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>DBS for epilepsy, obsessive-compulsive disorder, Tourette disorder, treatment-resistant depression, and refractory tinnitus<\/p><p>In our academic centre for Neuromodulation, we provide Deep Brain Stimulation (DBS) for patients with severe obsessive-compulsive disorder (OCD), Tourette syndrome (TS), refractory epilepsy requiring neuromodulation therapy, treatment-resistant depression and severe refractory tinnitus.\u00a0<\/p><p>Selection of patients, surgery and post-operative programming\/management is provided by our multidisciplinary team consisting of neurologists, psychiatrists, neurosurgeons, and paramedics.\u00a0<\/p><p>Data collected from the patients will, in principle, be used for academic purposes if patients provide informed consent, in accordance with our medical ethical committee-approved protocols.<\/p><p>There is evidence from fundamental and clinical studies that in selected patients with the abovementioned neurological, psychiatric and sensory disorders, DBS can provide relief of symptoms. This can lead to improved Quality of Life.\u00a0<\/p><p>The academic program for experimental indications is supported by Prof. Y. Temel (Maastricht University Medical Centre, Maastricht, The Netherlands).<\/p><p><a href=\"https:\/\/www.mumc.nl\/specialisten\/temel\" target=\"_blank\" rel=\"noopener\">https:\/\/www.mumc.nl\/specialisten\/temel<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1ef39a0 e-flex e-con-boxed e-con e-parent\" data-id=\"1ef39a0\" data-element_type=\"container\" id=\"beyin-pili-sorulari\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2fca0d6 elementor-widget elementor-widget-heading\" data-id=\"2fca0d6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently Asked Questions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f1a7077 elementor-widget elementor-widget-accordion\" data-id=\"f1a7077\" data-element_type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2531\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2531\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is brain pacemaker treatment?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2531\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2531\">Brain pacemaker treatment is a surgical method used to correct complaints in Parkinson&#8217;s patients and other movement disorders. Thanks to the low-voltage and high-frequency electric current given to some deep regions in the brain, symptoms such as tremor, slowness of movement, stiffness in the joints, inability to walk and frostbite seen in Parkinson&#8217;s disease can be corrected as much as possible. There are 3 parts of the brain pacemaker system, or deep brain stimulation system as it is said in medical language. This system, which is completely closed; It consists of electrodes placed deep in the brain, a battery placed in the chest cavity under the collarbone, and cables connecting them subcutaneously. After the surgery, the voltage, frequency and electrical amplitude can be adjusted according to the patient&#8217;s complaints with a device placed on the battery from the outside.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2532\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2532\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">In which diseases is brain pacemaker treatment used?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2532\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2532\"><p>It is often used in Parkinson&#8217;s disease and other movement disorders such as tremor and dystonia. In addition, its use is becoming widespread in psychiatric diseases such as Tourette&#8217;s syndrome, severe depression and OCD, and epilepsy. Apart from these, in appropriate cases; There are case examples in the literature in diseases such as alcohol and substance addiction, anorexia nervosa, obesity, autism.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2533\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2533\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is Parkinson's disease?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2533\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2533\">Parkinson&#8217;s disease is a chronic progressive disease that occurs with the decrease in the substance we call dopamine in the brain and is usually seen in advanced ages. The disease almost always begins with symptoms seen in one half of the body and progresses slowly. Slowing down in movements, hand tremor, which is usually seen at rest and can be called counting money, stiffness and stiffness in the joints, walking with small steps and gait disorders are the most important disease findings that impair the quality of life of patients. In addition to these complaints and findings, speech disorder, mask face due to loss of facial expressions, constipation due to decreased bowel movements, decreased sense of smell, tension and pain in joints and muscles, sleep problems, depression and some psychological problems can be counted among the symptoms of the disease that cause considerable complaints.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2534\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2534\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">When do Parkinson's patients need a brain pacemaker?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2534\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2534\"><p>With the diagnosis of the disease, drug treatment is started. Patients can return to their pre-sick lives for the first few years as if they had never been sick. This period is called the honeymoon period. However, in the following years, it can be said that it is time to consider brain pacemaker surgery with the inability to control complaints such as tremor, freezing, stiffness, slowness of movement despite drug treatment, the increase in the duration of closed periods during the day, and the emergence of involuntary movements such as dancing with the increase in drug doses. Pacemaker surgery is not recommended for the first 4-5 years from the moment of diagnosis. The most important reason for this is that Parkinson&#8217;s disease can be confused with other diseases. Unfortunately, in such diseases called Parkinson&#8217;s plus, brain pacemaker surgeries do not give as successful results as in Parkinson&#8217;s disease. An exception to this situation is Parkinson&#8217;s patients, who cannot be controlled with medications and complain of tremors in the hands predominate. A s in diagnosis<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2535\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2535\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Which Parkinson's patients may not be suitable for brain pacemaker treatment?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2535\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2535\"><p>For brain pacemaker surgery, the onset of the disease must be at least 4-5 years ago. This is because Parkinson&#8217;s disease can be clinically confused with some other neurological diseases. Brain pacemaker surgery is not recommended in patients who have frequent falls and the drugs they use provide almost no benefit even for a short period of time. Moreover; Especially in patients with advanced fall and balance problems, even an increase in postoperative complaints can be observed. Again, brain pacemaker surgery should not be performed in patients with severe psychiatric depression or in patients with serious mental disorders called psychosis. Since patients with Parkinson&#8217;s disease may experience sadness and anxiety due to a decrease in the quality of life of patients and their limited life, such mild clinical psychiatric conditions do not constitute an obstacle for surgery.&nbsp;However, in the more severe psychiatric problems we have just mentioned, drug treatment should be started first and this surgery should be performed after the psychiatric treatment of the patients is completed. Patients who have had such complaints in the past and have recovered with psychiatric drug treatment should be followed closely after brain pacemaker surgeries. This information should be shared in detail with the patient and their relatives before the surgery.<\/p><p>Another obstacle to surgery is patients whose cognitive status is behind compared to their age. Brain pacemaker surgeries should not be performed in patients with dementia findings. In addition, pacemaker surgeries are not suitable for patients with other chronic diseases that are severe and uncontrolled. However, diseases such as hypertension, heart disease or diabetes, which are under control, do not prevent the surgery from being performed.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2536\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2536\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is there an age limit for brain pacemaker surgery?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2536\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2536\">Although there is no legal age limit for brain pacemaker surgery, pacemaker surgery is not recommended for patients over the age of 80. Until 5-10 years ago, this limit was set at the age of 70, and for the recent past at 75 years. If there are no cognitive, psychiatric and severe chronic diseases that will prevent surgery, brain pacemaker surgery can be applied to more advanced patients day by day. However, while this surgery is recommended for patients in the advanced age group, we recommend a more meticulous examination in the preoperative period.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2537\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2537\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How is brain pacemaker surgery decided?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2537\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2537\"><p>Brain pacemaker surgeries are not applications to be decided by a single physician. In order to understand whether Parkinson&#8217;s patients are suitable for surgery, we hospitalize our patients for a few days in our movement disorders and brain pacemaker center. During this period, we first check whether the patient receives the most appropriate drug treatment by our experienced movement disorder neurologists working in our center. If necessary, we add new drugs. Afterwards, detailed tests are applied by our neurologists to our patients in the medicated and non-medicated periods, that is, in the periods when it is closed and open, to measure the degree of Parkinson&#8217;s disease. According to the results of these tests, we decide whether it is neurologically suitable for surgery. If we find our patients suitable for surgery, they are then subjected to a detailed examination by our psychiatrist. Again, in order to evaluate the dementia or cognitive status of our patients, detailed neuropsychological tests are applied to our patients by our neuropsychologist.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2538\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-2538\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What should be the expectations from brain pacemaker treatment?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2538\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-2538\">Brain pacemaker treatment is a very effective method in patients who are deemed suitable for this surgery as a result of the tests. Especially for patients with complaints such as tremor, freezing, stiffness and slowness of movement and involuntary movements, the results are satisfactory. First of all, patients are relieved of the limited situation in their daily lives. In patients who spend most of the day inactive, the periods we call the closed period are considerably shortened. This provides patients with a serious freedom in their lives.\u00a0 In addition, we can reduce the doses of medication they use after surgery. Thus, patients get rid of the known side effects of Parkinson&#8217;s drugs. However, there are a few important issues that patients and their relatives should know. Brain pacemaker treatment is not a treatment that completely stops Parkinson&#8217;s disease. Unfortunately, the disease will continue to progress over the years. However, the best treatment for suitable patients today is the brain pacemaker method. This view is scientific<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2539\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-2539\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How is brain pacemaker surgery performed?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2539\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-2539\"><p>Brain pacemaker surgeries are a surgical method that is usually performed while patients are awake. There are a couple of important reasons for this. Although neurosurgeons make fine calculations by looking at the brain MRIs of the patients before the surgery, we still prefer the patients to be awake so that the electrodes to be placed in the brain can be sent to the right point. Because the areas we target are points that are located in deep regions of the brain and are a few millimeters in size. If we place the electrodes in a different place by a millimeter or two, it is unlikely that we will get the good result we expect from the brain pacemaker treatment. For this reason, we use the microelectrode recording method, in which we electrophysiologically record a single cell in the brain, in pacemaker surgeries.\u00a0 Thanks to this technique, we can listen to and record the sound of each cell in the brain and find the brain region where there is abnormal activity in diseases such as Parkinson&#8217;s without any margin of error.\u00a0Afterwards, we give low-voltage electrical stimulation to the patients during the surgery. In the meantime, we examine the patient by our neurologist and observe the healing effects and possible side effects of the stimulus we give. Our patients also feel the extent to which their complaints improve during the surgery. In fact, we do the surgery together with our patients. However, some of our patients may be uneasy about having surgery while awake and do not want to. In this case, we can perform brain pacemaker applications by putting our patients to sleep, but still using microelectrode recording during surgery.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25310\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-25310\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How does the process work after brain pacemaker surgery?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25310\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-25310\">After the surgery, we can turn on the battery of our patients from low voltage one day later, or we can leave it for later days depending on the patient&#8217;s condition. In some patients, we can make some small drug dose changes in the first days. We discharge our patients within 5 to 10 days after surgery. We provide discharge training to all our patients by our Parkinson&#8217;s nurse. In addition, we make the necessary suggestions and give them a brochure in which the issues they need to pay attention to are written.\n\nPostoperative 1. Moon and 3. We call our patients for check-ups and make medication and battery settings every month. Usually 3. At the end of the month, in most of our patients, we have relatively reduced the drug doses and are able to adjust the battery settings in the most appropriate way.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25311\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-25311\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What should patients pay attention to after the brain pacemaker?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25311\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-25311\"><p>After brain pacemaker surgery, patients tend to gain weight, especially in the first months, due to both the decrease in joint stiffness and the increase in appetite. We try to prevent this problem by providing nutrition education by our dietitian before the surgery and when they come for control. Another problem can be wound inflammation. In order to prevent this situation, we provide meticulous and detailed information to our patients during discharge by our Parkinson&#8217;s nurse. After surgery, some patients may experience some temporary psychiatric complaints. In this case, we recommend that they contact our center. We definitely do not recommend injurious sports such as football, judo, wrestling and boxing. But we also recommend that they do all the sports they want that are not injurious. Again, we tell them not to pass through x-ray machines at airports and similar places and give them a document stating that they carry a brain pacemaker.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25312\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-25312\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is battery replacement necessary? How long is the battery life?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25312\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-25312\">In recent years, rechargeable batteries have been used with the developing technology and the battery life has been extended to about 25-30 years. We can say that the average life of the batteries used in the classical system is about 5 years. This period may be longer in some patients and shorter in some patients depending on the electrical stimulation given. When the battery life decreases, there is an increase in the complaints of the patients. Sometimes our patients do not take these complaints seriously and apply to us with an increased number of complaints due to a sudden discharge of the battery. In order to avoid this situation, we recommend that they come for regular check-ups and have measurements showing battery life.\u00a0 Battery replacement surgery is a relatively simple and short procedure that can be performed with local anesthesia and takes about 15-20 minutes.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25313\" class=\"elementor-tab-title\" data-tab=\"13\" role=\"button\" aria-controls=\"elementor-tab-content-25313\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What does the success of brain pacemaker treatment depend on?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25313\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"13\" role=\"region\" aria-labelledby=\"elementor-tab-title-25313\">We can say that the success of brain pacemaker treatment depends on the correct determination of the patient suitable for this surgery by neurologists, the meticulous and error-free performance of the surgery by neurosurgeons, and the placement of electrodes in the right place. Again, we should say that the meticulous and attentive approaches of related branches such as psychiatry, neuropsychology and anesthesia are important factors affecting success. From the quality of the MRI examination taken, postoperative physiotherapy, speech therapy and nutrition training also make very valuable contributions to increasing success. Again, one of the most important parts of this team is the Parkinson&#8217;s nurse who has completed her training in her field, who ensures that all these branches work in a coordinated manner, helps us physicians in the pre- and post-operative follow-up of patients, and ensures the regular operation of the center.\u00a0 As can be seen, we can say that success depends on a complete teamwork. For this reason, all branches are under one roof, which can do teamwork.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25314\" class=\"elementor-tab-title\" data-tab=\"14\" role=\"button\" aria-controls=\"elementor-tab-content-25314\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is dystonia?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25314\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"14\" role=\"region\" aria-labelledby=\"elementor-tab-title-25314\">Dystonia is muscle contractions that occur in a certain area of the body or in a common way, in which movements such as twisting and twisting are seen. It may be genetically inherited, or it may occur due to head trauma, lack of oxygen after psychotic drug use or during childbirth, and many other secondary reasons.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25315\" class=\"elementor-tab-title\" data-tab=\"15\" role=\"button\" aria-controls=\"elementor-tab-content-25315\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Are the results of brain pacemaker surgery in dystonia satisfactory?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25315\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"15\" role=\"region\" aria-labelledby=\"elementor-tab-title-25315\">The brain pacemaker method has been evaluated by neurology doctors and has been deemed suitable for surgery, especially in patients with genetically inherited dystonia, and gives satisfactory results. Although postoperative recovery is not seen immediately as in Parkinson&#8217;s disease, it becomes more pronounced over time and the improvement increases after a few years.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25316\" class=\"elementor-tab-title\" data-tab=\"16\" role=\"button\" aria-controls=\"elementor-tab-content-25316\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is essential tremor? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25316\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"16\" role=\"region\" aria-labelledby=\"elementor-tab-title-25316\">Essential tremor, in other words, benign tremor, is the most common movement disorder. It is a disease that is usually bilateral, most commonly seen in the hands, but may be accompanied by voice and head tremors. Unlike Parkinson&#8217;s disease, it is a tremor that increases in intensity while moving. It usually starts to be seen in middle and advanced ages and increases in severity over time with a slow course.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25317\" class=\"elementor-tab-title\" data-tab=\"17\" role=\"button\" aria-controls=\"elementor-tab-content-25317\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Brain pacemaker applications in essential tremor<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25317\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"17\" role=\"region\" aria-labelledby=\"elementor-tab-title-25317\"><p>The first thing patients with such tremor complaints should do is to consult an experienced movement disorder neurologist. Although the primary treatment is drug therapy, the brain pacemaker method gives very satisfactory results in patients whose tremor cannot be controlled with the treatment applied.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-25318\" class=\"elementor-tab-title\" data-tab=\"18\" role=\"button\" aria-controls=\"elementor-tab-content-25318\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Brain pacemaker treatment in Tourette's Syndrome<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-25318\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"18\" role=\"region\" aria-labelledby=\"elementor-tab-title-25318\">Tourette&#8217;s syndrome is a neuropsychiatric disorder called a tic that causes patients to make sudden movements or sounds that they cannot control. Although the treatment is done by psychiatrists, the brain pacemaker method has been used for many years to stop tics in America and Europe in resistant cases. In our country, it is not yet on the reimbursement list by the social security institution. This treatment can be successfully applied to patients who are deemed suitable for brain pacemaker surgery by the physicians working in our hospital.<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is brain pacemaker treatment?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Brain pacemaker treatment is a surgical method used to correct complaints in Parkinson&#8217;s patients and other movement disorders. Thanks to the low-voltage and high-frequency electric current given to some deep regions in the brain, symptoms such as tremor, slowness of movement, stiffness in the joints, inability to walk and frostbite seen in Parkinson&#8217;s disease can be corrected as much as possible. There are 3 parts of the brain pacemaker system, or deep brain stimulation system as it is said in medical language. This system, which is completely closed; It consists of electrodes placed deep in the brain, a battery placed in the chest cavity under the collarbone, and cables connecting them subcutaneously. After the surgery, the voltage, frequency and electrical amplitude can be adjusted according to the patient&#8217;s complaints with a device placed on the battery from the outside.\"}},{\"@type\":\"Question\",\"name\":\"In which diseases is brain pacemaker treatment used?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>It is often used in Parkinson&#8217;s disease and other movement disorders such as tremor and dystonia. In addition, its use is becoming widespread in psychiatric diseases such as Tourette&#8217;s syndrome, severe depression and OCD, and epilepsy. Apart from these, in appropriate cases; There are case examples in the literature in diseases such as alcohol and substance addiction, anorexia nervosa, obesity, autism.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"What is Parkinson's disease?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Parkinson&#8217;s disease is a chronic progressive disease that occurs with the decrease in the substance we call dopamine in the brain and is usually seen in advanced ages. The disease almost always begins with symptoms seen in one half of the body and progresses slowly. Slowing down in movements, hand tremor, which is usually seen at rest and can be called counting money, stiffness and stiffness in the joints, walking with small steps and gait disorders are the most important disease findings that impair the quality of life of patients. In addition to these complaints and findings, speech disorder, mask face due to loss of facial expressions, constipation due to decreased bowel movements, decreased sense of smell, tension and pain in joints and muscles, sleep problems, depression and some psychological problems can be counted among the symptoms of the disease that cause considerable complaints.\"}},{\"@type\":\"Question\",\"name\":\"When do Parkinson's patients need a brain pacemaker?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>With the diagnosis of the disease, drug treatment is started. Patients can return to their pre-sick lives for the first few years as if they had never been sick. This period is called the honeymoon period. However, in the following years, it can be said that it is time to consider brain pacemaker surgery with the inability to control complaints such as tremor, freezing, stiffness, slowness of movement despite drug treatment, the increase in the duration of closed periods during the day, and the emergence of involuntary movements such as dancing with the increase in drug doses. Pacemaker surgery is not recommended for the first 4-5 years from the moment of diagnosis. The most important reason for this is that Parkinson&#8217;s disease can be confused with other diseases. Unfortunately, in such diseases called Parkinson&#8217;s plus, brain pacemaker surgeries do not give as successful results as in Parkinson&#8217;s disease. An exception to this situation is Parkinson&#8217;s patients, who cannot be controlled with medications and complain of tremors in the hands predominate. A s in diagnosis<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Which Parkinson's patients may not be suitable for brain pacemaker treatment?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>For brain pacemaker surgery, the onset of the disease must be at least 4-5 years ago. This is because Parkinson&#8217;s disease can be clinically confused with some other neurological diseases. Brain pacemaker surgery is not recommended in patients who have frequent falls and the drugs they use provide almost no benefit even for a short period of time. Moreover; Especially in patients with advanced fall and balance problems, even an increase in postoperative complaints can be observed. Again, brain pacemaker surgery should not be performed in patients with severe psychiatric depression or in patients with serious mental disorders called psychosis. Since patients with Parkinson&#8217;s disease may experience sadness and anxiety due to a decrease in the quality of life of patients and their limited life, such mild clinical psychiatric conditions do not constitute an obstacle for surgery.&nbsp;However, in the more severe psychiatric problems we have just mentioned, drug treatment should be started first and this surgery should be performed after the psychiatric treatment of the patients is completed. Patients who have had such complaints in the past and have recovered with psychiatric drug treatment should be followed closely after brain pacemaker surgeries. This information should be shared in detail with the patient and their relatives before the surgery.<\\\/p><p>Another obstacle to surgery is patients whose cognitive status is behind compared to their age. Brain pacemaker surgeries should not be performed in patients with dementia findings. In addition, pacemaker surgeries are not suitable for patients with other chronic diseases that are severe and uncontrolled. However, diseases such as hypertension, heart disease or diabetes, which are under control, do not prevent the surgery from being performed.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Is there an age limit for brain pacemaker surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Although there is no legal age limit for brain pacemaker surgery, pacemaker surgery is not recommended for patients over the age of 80. Until 5-10 years ago, this limit was set at the age of 70, and for the recent past at 75 years. If there are no cognitive, psychiatric and severe chronic diseases that will prevent surgery, brain pacemaker surgery can be applied to more advanced patients day by day. However, while this surgery is recommended for patients in the advanced age group, we recommend a more meticulous examination in the preoperative period.\"}},{\"@type\":\"Question\",\"name\":\"How is brain pacemaker surgery decided?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Brain pacemaker surgeries are not applications to be decided by a single physician. In order to understand whether Parkinson&#8217;s patients are suitable for surgery, we hospitalize our patients for a few days in our movement disorders and brain pacemaker center. During this period, we first check whether the patient receives the most appropriate drug treatment by our experienced movement disorder neurologists working in our center. If necessary, we add new drugs. Afterwards, detailed tests are applied by our neurologists to our patients in the medicated and non-medicated periods, that is, in the periods when it is closed and open, to measure the degree of Parkinson&#8217;s disease. According to the results of these tests, we decide whether it is neurologically suitable for surgery. If we find our patients suitable for surgery, they are then subjected to a detailed examination by our psychiatrist. Again, in order to evaluate the dementia or cognitive status of our patients, detailed neuropsychological tests are applied to our patients by our neuropsychologist.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"What should be the expectations from brain pacemaker treatment?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Brain pacemaker treatment is a very effective method in patients who are deemed suitable for this surgery as a result of the tests. Especially for patients with complaints such as tremor, freezing, stiffness and slowness of movement and involuntary movements, the results are satisfactory. First of all, patients are relieved of the limited situation in their daily lives. In patients who spend most of the day inactive, the periods we call the closed period are considerably shortened. This provides patients with a serious freedom in their lives.\\u00a0 In addition, we can reduce the doses of medication they use after surgery. Thus, patients get rid of the known side effects of Parkinson&#8217;s drugs. However, there are a few important issues that patients and their relatives should know. Brain pacemaker treatment is not a treatment that completely stops Parkinson&#8217;s disease. Unfortunately, the disease will continue to progress over the years. However, the best treatment for suitable patients today is the brain pacemaker method. This view is scientific\"}},{\"@type\":\"Question\",\"name\":\"How is brain pacemaker surgery performed?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Brain pacemaker surgeries are a surgical method that is usually performed while patients are awake. There are a couple of important reasons for this. Although neurosurgeons make fine calculations by looking at the brain MRIs of the patients before the surgery, we still prefer the patients to be awake so that the electrodes to be placed in the brain can be sent to the right point. Because the areas we target are points that are located in deep regions of the brain and are a few millimeters in size. If we place the electrodes in a different place by a millimeter or two, it is unlikely that we will get the good result we expect from the brain pacemaker treatment. For this reason, we use the microelectrode recording method, in which we electrophysiologically record a single cell in the brain, in pacemaker surgeries.\\u00a0 Thanks to this technique, we can listen to and record the sound of each cell in the brain and find the brain region where there is abnormal activity in diseases such as Parkinson&#8217;s without any margin of error.\\u00a0Afterwards, we give low-voltage electrical stimulation to the patients during the surgery. In the meantime, we examine the patient by our neurologist and observe the healing effects and possible side effects of the stimulus we give. Our patients also feel the extent to which their complaints improve during the surgery. In fact, we do the surgery together with our patients. However, some of our patients may be uneasy about having surgery while awake and do not want to. In this case, we can perform brain pacemaker applications by putting our patients to sleep, but still using microelectrode recording during surgery.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"How does the process work after brain pacemaker surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"After the surgery, we can turn on the battery of our patients from low voltage one day later, or we can leave it for later days depending on the patient&#8217;s condition. In some patients, we can make some small drug dose changes in the first days. We discharge our patients within 5 to 10 days after surgery. We provide discharge training to all our patients by our Parkinson&#8217;s nurse. In addition, we make the necessary suggestions and give them a brochure in which the issues they need to pay attention to are written.\\n\\nPostoperative 1. Moon and 3. We call our patients for check-ups and make medication and battery settings every month. Usually 3. At the end of the month, in most of our patients, we have relatively reduced the drug doses and are able to adjust the battery settings in the most appropriate way.\"}},{\"@type\":\"Question\",\"name\":\"What should patients pay attention to after the brain pacemaker?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>After brain pacemaker surgery, patients tend to gain weight, especially in the first months, due to both the decrease in joint stiffness and the increase in appetite. We try to prevent this problem by providing nutrition education by our dietitian before the surgery and when they come for control. Another problem can be wound inflammation. In order to prevent this situation, we provide meticulous and detailed information to our patients during discharge by our Parkinson&#8217;s nurse. After surgery, some patients may experience some temporary psychiatric complaints. In this case, we recommend that they contact our center. We definitely do not recommend injurious sports such as football, judo, wrestling and boxing. But we also recommend that they do all the sports they want that are not injurious. Again, we tell them not to pass through x-ray machines at airports and similar places and give them a document stating that they carry a brain pacemaker.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Is battery replacement necessary? How long is the battery life?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"In recent years, rechargeable batteries have been used with the developing technology and the battery life has been extended to about 25-30 years. We can say that the average life of the batteries used in the classical system is about 5 years. This period may be longer in some patients and shorter in some patients depending on the electrical stimulation given. When the battery life decreases, there is an increase in the complaints of the patients. Sometimes our patients do not take these complaints seriously and apply to us with an increased number of complaints due to a sudden discharge of the battery. In order to avoid this situation, we recommend that they come for regular check-ups and have measurements showing battery life.\\u00a0 Battery replacement surgery is a relatively simple and short procedure that can be performed with local anesthesia and takes about 15-20 minutes.\"}},{\"@type\":\"Question\",\"name\":\"What does the success of brain pacemaker treatment depend on?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"We can say that the success of brain pacemaker treatment depends on the correct determination of the patient suitable for this surgery by neurologists, the meticulous and error-free performance of the surgery by neurosurgeons, and the placement of electrodes in the right place. Again, we should say that the meticulous and attentive approaches of related branches such as psychiatry, neuropsychology and anesthesia are important factors affecting success. From the quality of the MRI examination taken, postoperative physiotherapy, speech therapy and nutrition training also make very valuable contributions to increasing success. Again, one of the most important parts of this team is the Parkinson&#8217;s nurse who has completed her training in her field, who ensures that all these branches work in a coordinated manner, helps us physicians in the pre- and post-operative follow-up of patients, and ensures the regular operation of the center.\\u00a0 As can be seen, we can say that success depends on a complete teamwork. For this reason, all branches are under one roof, which can do teamwork.\"}},{\"@type\":\"Question\",\"name\":\"What is dystonia?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Dystonia is muscle contractions that occur in a certain area of the body or in a common way, in which movements such as twisting and twisting are seen. It may be genetically inherited, or it may occur due to head trauma, lack of oxygen after psychotic drug use or during childbirth, and many other secondary reasons.\"}},{\"@type\":\"Question\",\"name\":\"Are the results of brain pacemaker surgery in dystonia satisfactory?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The brain pacemaker method has been evaluated by neurology doctors and has been deemed suitable for surgery, especially in patients with genetically inherited dystonia, and gives satisfactory results. Although postoperative recovery is not seen immediately as in Parkinson&#8217;s disease, it becomes more pronounced over time and the improvement increases after a few years.\"}},{\"@type\":\"Question\",\"name\":\"What is essential tremor?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Essential tremor, in other words, benign tremor, is the most common movement disorder. It is a disease that is usually bilateral, most commonly seen in the hands, but may be accompanied by voice and head tremors. Unlike Parkinson&#8217;s disease, it is a tremor that increases in intensity while moving. It usually starts to be seen in middle and advanced ages and increases in severity over time with a slow course.\"}},{\"@type\":\"Question\",\"name\":\"Brain pacemaker applications in essential tremor\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>The first thing patients with such tremor complaints should do is to consult an experienced movement disorder neurologist. Although the primary treatment is drug therapy, the brain pacemaker method gives very satisfactory results in patients whose tremor cannot be controlled with the treatment applied.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Brain pacemaker treatment in Tourette's Syndrome\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Tourette&#8217;s syndrome is a neuropsychiatric disorder called a tic that causes patients to make sudden movements or sounds that they cannot control. Although the treatment is done by psychiatrists, the brain pacemaker method has been used for many years to stop tics in America and Europe in resistant cases. In our country, it is not yet on the reimbursement list by the social security institution. This treatment can be successfully applied to patients who are deemed suitable for brain pacemaker surgery by the physicians working in our hospital.\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"featured_media":26583,"template":"","class_list":["post-13256","tibbi-birim","type-tibbi-birim","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/tibbi-birim\/13256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/tibbi-birim"}],"about":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/types\/tibbi-birim"}],"version-history":[{"count":48,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/tibbi-birim\/13256\/revisions"}],"predecessor-version":[{"id":27418,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/tibbi-birim\/13256\/revisions\/27418"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/media\/26583"}],"wp:attachment":[{"href":"https:\/\/atlasuniversitesihastanesi.com\/en\/wp-json\/wp\/v2\/media?parent=13256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}