Deep Brain Stimulation

David Pootrakul, MD, practices at Banner Boswell Medical Center.

Deep Brain Stimulation Video - Full Transcription

Text:     This video is designed to provide accurate and authoritative information in regard to the subject matter covered. It is not intended to provide professional medical advice or any other professional service. If medical or other professional assistance is required, the services of a competent professional should be sought. Banner Health ©

Audio:  Opening Theme Music

Text:     Banner Health Presents: Ask The Expert
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Image: David Pootrakul, MD, speaks on-camera.

Text: Deep Brain Stimulation - Dr. David Pootrakul, Neurosurgeon
Banner Boswell Medical Center

Audio: “I’m Dr. David Pootrakul, a neurosurgeon at Banner Boswell Medical Center. Deep brain stimulation, or DBS…”

Text: DBS: Neurological procedure for the treatment of Parkinson’s disease and other movement disorders

Audio: “…is a neurological procedure for the treatment of Parkinson’s disease and other movement disorders.”

Text: DBS: An option only when all medication options have been exhausted

Audio: “DBS is considered an option only when all the medication options have been exhausted.”

Text: DBS: Certain medications may help patients suffering from Parkinson’s disease

Audio: “Certain medications may help patients suffering from Parkinson’s disease…”

Text: DBS: Medications may lose effectiveness after three to five years, and symptoms return

Audio: “…but after three to five years, many patients no longer respond to the medications and symptoms return. Medication regimens for Parkinson’s disease can have varying side effects…”

Text: Medication Side Effects: Nausea, Low blood pressure, Dyskinesia (involuntary, jerky movements of the arms, legs, and head)

Audio: “…like nausea, low blood pressure, and dyskinesia, which causes involuntary and often jerky movements of the arms, legs, and head.”

Image: A team of neurology specialists prepare for DBS procedure. Close-up view of hands in surgical gloves setting coordinates of the stereotactic frame. Adjusting frame on patient’s head.

Audio: “When the side effects and ineffectiveness of the medication outweigh the benefits, surgery may be the only viable option for advanced Parkinson’s disease.”

Image: Electrode implant procedure. Scanned image of the central part of the brain where electrode is implanted.

Audio: “In DBS, a small electrode is planted into a specific part of the brain known as subthalamic nucleus.”

Image: Close-up of surgeon’s face during surgery. Hand adjusting control knob on neurogenerator.

Audio: “It is then hooked up to a pacemaker-like device called a neurogenerator.”

Image:  Visualization of patient’s brain impulses.

Audio: “This device uses high-frequencies to stimulate a very specific part of the brain to treat the disease.”

Image: Close-up of surgeon at work. Patient in OR during brain procedure.

Audio: “The procedure performed with stereotactic frame image-guidance…”

Image: Two specialists performing neurological procedure.

Audio: “…and is completely computerized to ensure absolute precision.”

Image: David Pootrakul, MD, speaks on-camera.

Text: Deep Brain Stimulation
 
Audio: “Along with Parkinson’s disease, DBS is being used to treat other neurological disorders and certain psychiatric diseases.”

Text: Other uses for DBS: Essential Tremor, Dystonia, Obsessive compulsive disorder, Potential to treat obesity

Audio: “These include essential tremor, dystonia and obsessive compulsive disorder, and potential future use in the treatment of obesity.”

Text: Possible risks of DBS: Infection, Localized stroke, Hemorrhage

Audio: “Possible significant risks of DBS include infection, localized stroke, and hemorrhage.”

Text: Talk to your Neurologist 

Audio:  “So if all of your medication options have been explored, talk to your neurologist about deep brain stimulation.”

Text:     For more health information from Banner Health experts
Please Visit www.BannerHealth.com or call Banner Health’s Physician Referral & Resource Line at 1(800) 230-CARE (2273)

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