Question 1

What is Parkinson's Treatment and DBS Surgery?

Accepted Answer

Parkinson's disease treatment aims to control symptoms, maintain mobility and independence, reduce complications and improve quality of life. Treatment may include: Parkinson's medicines, Physiotherapy, Occupational therapy, Speech and swallowing therapy, Exercise and rehabilitation, Dietary and lifestyle support, Management of sleep and non-motor symptoms, Advanced medication delivery, Deep Brain Stimulation in selected patients. What is Deep Brain Stimulation?. Deep Brain Stimulation, commonly called DBS, is a neurosurgical treatment in which thin electrodes are placed in specific areas of the brain involved in movement control. The electrodes are connected to an implanted pulse generator through extension wires. The pulse generator sends electrical stimulation to the targeted brain region. The DBS system generally consists of: Brain electrodes, Extension leads, An implanted pulse generator, An external programming device used by the medical team. DBS does not remove the underlying Parkinson's disease. Instead, it can help control selected movement symptoms. In appropriately selected patients, DBS may help with: Tremor, Rigidity, Slowness of movement, Motor fluctuations, "Off" periods, Medication-related dyskinesia. The response varies between patients. DBS generally does not reliably treat every Parkinson's symptom, particularly some non-motor symptoms.

Question 2

How much does Parkinson's Treatment and DBS Surgery cost in Bangladesh compared with India?

Accepted Answer

The cost of Parkinson's treatment varies according to whether the patient requires routine neurological care, advanced medication management, DBS evaluation, DBS surgery, the type of DBS system and postoperative programming. The total DBS cost can depend on: Type of DBS device, Number of electrodes, Surgical technique, Hospitalisation, Neurosurgical fees, Neurologist and movement-disorder specialist fees, Anaesthesia, Brain imaging, Neurophysiological testing, Programming sessions, Battery or pulse-generator type, Postoperative follow-up, Complications. For planning purposes, this guide uses: US$1 ≈ BDT 122, US$1 ≈ INR 96. Parkinson's Neurology Evaluation & Treatment Planning - BDT 50,000–120,000 / US$410–985 - INR 25,000–70,000 / US$260–730 - Approx. 20%–35%; Advanced Parkinson's / Movement-Disorder Assessment - BDT 80,000–180,000 / US$655–1,475 - INR 40,000–100,000 / US$415–1,040 - Approx. 20%–35%; DBS Eligibility Evaluation - BDT US$1,230–2,870 150,000–350,000 / US$1,230–2,870 - INR 80,000–200,000 / US$835–2,085 - Approx. 15%–30%. BDT 2,500,000– INR 1,500,000–DBS Surgery with Standard Approx. 4,500,000 / US$20,490– 2,800,000 / US$15,625–System 15%–30% 36,885 29,170; DBS Surgery with INR 2,000,000–BDT 3,500,000– Approx. Advanced / Rechargeable 3,500,000 / US$20,835–5,500,000 / US$28,690– 10%–25% System 36,460 45,080; DBS Programming & Initial INR 25,000–80,000 / Approx. BDT 50,000–150,000 / Follow-Up US$260–835 15%–30% US$410–1,230; DBS Generator / Battery BDT 600,000– INR 350,000–700,000 / Approx. Replacement 1,200,000 / US$4,920– US$3,645–7,290 15%–30% 9,835; Advanced Parkinson's INR 20,000–80,000 / Approx. BDT 40,000–150,000 / Medication Management US$210–835 15%–30% US$330–1,230. Potential savings are indicative planning ranges and are not guaranteed. Actual costs can vary according to the DBS device, battery type, surgical complexity, hospital, specialist fees, investigations, room category, programming requirements and complications. Patients should ask whether the quotation includes: Neurologist consultation, Movement-disorder specialist assessment, Neurosurgical consultation, DBS eligibility evaluation, Brain imaging, Neuropsychological assessment, Medication-response testing, Surgical planning, DBS electrodes, Pulse generator, Extension leads, Anaesthesia, Operating-room charges, Hospital room, ICU charges, Initial programming, Postoperative consultation, Device programming, Follow-up visits, Battery or generator-related costs. Patients should obtain a detailed written quotation and clarify whether the quoted amount includes the complete DBS system and postoperative programming.

Question 3

Which Indian cities can Bangladeshi patients consider for Parkinson's Treatment and DBS Surgery?

Accepted Answer

Delhi / NCR - Movement-disorder neurology, neurosurgery, DBS evaluation, implantation and programming; Gurugram - Neurology, neurosurgery, movement-disorder assessment and advanced Parkinson's care; Noida - Neurology, neurosurgery, Parkinson's management and selected DBS services; Mumbai - Advanced neurology, movement-disorder care and DBS surgery; Chennai - Neurology, neurosurgery, movement-disorder management and DBS; Bengaluru - Movement-disorder neurology, functional neurosurgery and DBS; Hyderabad - Neurology, neurosurgery, Parkinson's management and DBS; Kolkata - Neurology, neurosurgery and Parkinson's treatment; Ahmedabad - Neurological evaluation, movement-disorder care and selected DBS services; Pune - Neurology, neurosurgery and Parkinson's management; Kochi - Neurology, neurosurgery and advanced neurological treatment; Thiruvananthapuram - Neurology, neurosurgery and movement-disorder services; Goa - Neurological consultation and selected specialist services; Nagpur - Neurology, neurosurgery and Parkinson's treatment services. Bangladeshi patients should select a centre based on the availability of a movement-disorder specialist, functional neurosurgeon, DBS programming service and the ability to provide long-term follow-up.

Question 4

Which hospitals in India can Bangladeshi patients consider for Parkinson's Treatment and DBS Surgery?

Accepted Answer

The following hospitals are part of the established Indian hospital reference list. Patients should confirm the availability of Parkinson's and DBS services for their particular case before travelling. Delhi: Fortis Escorts Heart Institute, New Delhi, BLK-Max Super Speciality Hospital, New Delhi, Max Super Speciality Hospital, Saket, Indraprastha Apollo Hospitals, New Delhi, Sir Ganga Ram Hospital, Max Super Speciality Hospital, Patparganj, Manipal Hospital, Dwarka, Fortis Hospital, Vasant Kunj, Institute of Brain and Spine Hospital, Dharamshila Narayana Hospital, Indian Spinal Injuries Centre, AIIMS New Delhi. Chennai: MGM Healthcare, MIOT International, Apollo Hospitals, Greams Road, Sri Ramachandra Medical Centre, SIMS Hospital, Kauvery Hospital, Gleneagles HealthCity Chennai, Vijaya Hospital, Apollo Speciality Hospitals, Rela Hospital. Mumbai: Bombay Hospital & Medical Research Centre, Lilavati Hospital & Research Centre, Jaslok Hospital & Research Centre, Gleneagles Hospital, Mumbai, Nanavati Max Super Speciality Hospital, Kokilaben Dhirubhai Ambani Hospital, P. D. Hinduja Hospital & Medical Research Centre, Sir H. N. Reliance Foundation Hospital, Wockhardt Hospitals, Mumbai, Apollo Hospitals, Mumbai. Bengaluru: Manipal Hospital, Old Airport Road, Manipal Hospital, Whitefield, Manipal Hospital, Yeshwanthpur, Apollo Hospitals, Bengaluru, Fortis Hospital, Bannerghatta Road, Aster CMI Hospital, Sakra World Hospital, Narayana Health City, Sagar Hospitals, Kauvery Hospital, Bengaluru. Hyderabad: KIMS Hospitals, Yashoda Hospitals, Apollo Health City, CARE Hospitals, Continental Hospitals, Gleneagles Hospitals, Hyderabad, Sunshine Hospitals, Star Hospitals. Gurugram: Fortis Memorial Research Institute (FMRI), Medanta – The Medicity, Artemis Hospital, Max Hospital, Gurugram, CK Birla Hospital, Gurugram, Manipal Hospital, Gurugram, Paras Health, Narayana Superspeciality Hospital. Noida: Fortis Hospital, Noida, Jaypee Hospital, Max Super Speciality Hospital, Noida, Yatharth Hospital, Kailash Hospital, Metro Hospital & Heart Institute, Metro Center for Neurosciences. Kolkata: Apollo Multispeciality Hospitals, AMRI Hospitals, Fortis Hospital, Anandapur, Manipal Hospitals, Salt Lake, Medica Superspecialty Hospital, Narayana Superspeciality Hospital, Ruby General Hospital. Pune: Ruby Hall Clinic, Jehangir Hospital, Deenanath Mangeshkar Hospital, Sahyadri Super Speciality Hospital, Aditya Birla Memorial Hospital, Manipal Hospital, Kharadi, Medicover Hospital, Pune. Ahmedabad: Apollo Hospitals, Ahmedabad, Zydus Hospitals, Sterling Hospitals, Shalby Hospitals, HCG Hospitals, SAL Hospital, CIMS Hospital. Kochi: Aster Medcity, Amrita Hospital, VPS Lakeshore Hospital, Rajagiri Hospital, Aster MIMS, Lisie Hospital, Renai Medicity. Thiruvananthapuram: KIMSHEALTH Hospital, Ananthapuri Hospitals and Research Institute, SUT Hospital, SP Medifort Hospital, PRS Hospital, GG Hospital. Goa: Manipal Hospital, Goa, Healthway Hospital, Manipal Hospitals, Dona Paula, Goa Medical College and Hospital, Apollo Victor Hospital. Nagpur: Wockhardt Hospitals, Nagpur, Alexis Multispeciality Hospital, CARE Hospitals, Nagpur, Kingsway Hospitals, Lata Mangeshkar Hospital.

Question 5

What types of Parkinson's Treatment and DBS procedures are available?

Accepted Answer

Parkinson's management can involve conventional treatment as well as advanced therapies. Medicines may include: Levodopa-based therapy, Dopamine agonists, MAO-B inhibitors, COMT inhibitors, Amantadine, Other symptom-specific medicines. The exact medication regimen should be determined by a neurologist. Physiotherapy can focus on: Walking, Balance, Strength, Flexibility, Posture, Transfers, Fall prevention. Speech-language therapy may help selected patients with: Speech difficulties, Voice changes, Swallowing problems. 4. Advanced Medication Management. Patients with motor fluctuations may require more specialised medication adjustment. 5. Deep Brain Stimulation. DBS involves implantation of electrodes in selected brain targets. Common DBS targets used for Parkinson's disease include: Subthalamic nucleus (STN), Globus pallidus internus (GPi). The target is selected according to the patient's symptoms, treatment history and specialist assessment. 6. Rechargeable DBS Systems. Some DBS systems use rechargeable implanted pulse generators. The appropriate system depends on clinical requirements, expected energy consumption, device availability and patient preference. 7. Non-Rechargeable DBS Systems. Traditional systems may use a battery that eventually requires replacement. 8. DBS Programming. After implantation, the system needs programming and adjustment. Programming may require several visits because stimulation settings are individualised. 9. Battery / Generator Replacement. When the implanted generator reaches the end of its usable life, replacement may be required.

Question 6

Who may be suitable for Parkinson's Treatment and DBS Surgery?

Accepted Answer

DBS is generally considered only after detailed assessment. Potential DBS candidates may have: Confirmed Parkinson's disease, Significant motor symptoms, Motor fluctuations, Medication-related dyskinesia, Tremor that remains difficult to control, Good response to levodopa for relevant motor symptoms, Symptoms significantly affecting daily life. The treating team may assess: Age, Disease duration, Medication response, Cognitive function, Psychiatric history, Balance and gait, Speech, Swallowing, Other medical conditions, Brain imaging, Ability to attend programming and follow-up. DBS may be less suitable when significant cognitive impairment, uncontrolled psychiatric illness, severe balance problems or other factors make the expected benefit limited or the surgical risk unacceptable. The final decision requires individual assessment.

Question 7

What tests are required before Parkinson's Treatment and DBS Surgery?

Accepted Answer

DBS assessment may involve several investigations. These can include: A movement-disorder specialist evaluates: Tremor, Rigidity, Bradykinesia, Gait, Balance, Motor fluctuations, Dyskinesia, Medication response. Medication Challenge / Levodopa Response Assessment. The medical team may compare symptoms when medication is working and when it is not, where appropriate. MRI may be used to: Evaluate brain anatomy, Exclude other structural conditions, Assist with surgical planning. Cognitive testing may assess: Memory, Attention, Executive function, Processing, Mood, Other cognitive functions. Routine preoperative tests may include: Complete blood count, Kidney function, Liver function, Electrolytes, Blood glucose, Coagulation tests. Additional tests may be required depending on age and medical history. Before surgery, the patient may undergo: ECG, Chest evaluation, Cardiac assessment where required, Anaesthesia consultation. The exact testing protocol varies by patient and treatment centre.

Question 8

What medical records should Bangladeshi patients send before travelling?

Accepted Answer

Bangladeshi patients should provide as complete a neurological record as possible. Important documents include: Parkinson's diagnosis report, Neurologist consultation notes, Previous movement-disorder evaluations, Current medication list, Previous Parkinson's medicines, Medication doses and timing, History of medication response, History of "on" and "off" periods, Dyskinesia history, Tremor history, Walking and balance assessment, Previous MRI brain, CT brain where available, Neuropsychological assessment if performed, Previous hospital discharge summaries, Previous surgery records, Blood-test reports, ECG reports, Other major medical records. Patients should clearly describe: When symptoms began, When Parkinson's disease was diagnosed, Current symptoms, Current medicines, Medication schedule, Duration of medication benefit, Duration of "off" periods, Presence of dyskinesia, Falls or balance problems, Cognitive or memory concerns, Sleep problems, Speech or swallowing problems, Previous treatment changes, Other medical conditions. A short video showing walking, tremor or other relevant movement symptoms may sometimes help the specialist understand the patient's current condition, although it does not replace clinical examination.

Question 9

How does Parkinson's Treatment and DBS Surgery work?

Accepted Answer

DBS treatment generally follows several stages. Step 1: Movement-Disorder Assessment. A neurologist assesses the diagnosis and determines whether advanced treatment should be considered. The specialist reviews: Current medicines, Dose timing, "On" periods, "Off" periods, Dyskinesia, Tremor, Medication response. The medical team evaluates: Motor symptoms, Cognitive function, Psychiatric status, General health, Surgical risk, Expected benefit. Step 4: Brain Imaging. MRI and other investigations may be used for anatomical assessment and surgical planning. Step 5: Surgical Planning. The neurosurgical team identifies the appropriate target and trajectory for electrode placement. Step 6: Electrode Implantation. Thin DBS electrodes are placed into carefully selected areas of the brain. The procedure may be performed using stereotactic or image-guided techniques. Step 7: Pulse Generator Placement. The implanted electrodes are connected to extension wires that lead to a pulse generator placed under the skin, commonly in the chest area. Step 8: Initial Programming. After implantation, the DBS system is programmed. The stimulation settings are adjusted according to: Symptoms, Side effects, Medication response, Patient tolerance. Step 9: Medication Adjustment. DBS may allow medication doses to be adjusted in some patients, but medicines may still be necessary. Step 10: Long-Term Programming. Several programming sessions may be required to optimise stimulation. The process is not necessarily completed in one appointment.

Question 10

What are the alternatives to Parkinson's Treatment and DBS Surgery?

Accepted Answer

DBS is only one component of advanced Parkinson's management. Alternatives or complementary approaches may include: A neurologist may adjust: Medication type, Dose, Timing, Combination therapy. Physiotherapy. Exercise and physiotherapy can help maintain mobility and reduce complications. Occupational Therapy. Occupational therapy may help patients adapt daily activities and improve independence. Speech and Swallowing Therapy. Therapy may help selected patients with speech and swallowing difficulties. Advanced Medication Delivery. Selected patients may be considered for specialised medication-delivery approaches depending on availability and clinical suitability. Focused Ultrasound. In selected movement-disorder situations, focused ultrasound may be considered for specific symptoms. Suitability depends on the diagnosis, symptom profile and treatment availability. Treatment may also focus on: Sleep, Constipation, Blood-pressure problems, Mood, Nutrition, Pain, Falls, Other non-motor symptoms. DBS should therefore be considered as part of a broader Parkinson's treatment plan rather than as a standalone cure.

Question 11

What should Bangladeshi patients ask before accepting a Parkinson's Treatment or DBS quotation?

Accepted Answer

Patients and families should ask: Is the diagnosis definitely Parkinson's disease?, Is DBS appropriate for this patient?, What symptoms are expected to improve?, Which symptoms may not improve?, Is the patient responding adequately to levodopa?, What DBS target is being recommended?, Why is this target being selected?, Is one or both sides of the brain being treated?, What type of DBS system is being proposed?, Is the system rechargeable or non-rechargeable?, Which components are included in the quotation?, Are the electrodes included?, Is the pulse generator included?, Are extension leads included?, Are programming sessions included?, How many days of hospitalisation are expected?, What are the major surgical risks?, What are the possible stimulation-related side effects?, How many programming sessions may be required?, How long should the patient stay in India after surgery?, When can the patient travel by air?, What medicines will continue after surgery?, When will the first programming appointment take place?, How will programming be managed after returning to Bangladesh?, What happens when the DBS battery reaches the end of its service life?. Patients should request a written quotation and a separate written treatment plan.

Question 12

How long should Bangladeshi patients stay in India for Parkinson's Treatment and DBS Surgery?

Accepted Answer

The duration depends on the assessment and procedure. Approximately 3–7 days may be required for: Neurology consultation, Movement-disorder assessment, Imaging, Medication evaluation, Neuropsychological assessment, Surgical planning. DBS Surgery. Hospitalisation after DBS implantation varies according to the patient's condition and the surgical protocol. Patients may need approximately 5–10 days around the surgical period, although the exact duration can be shorter or longer. Programming. DBS programming may require additional visits after surgery. Some centres may initiate programming after an interval following implantation, depending on the device and clinical protocol. Bangladeshi patients should plan for additional days because: Additional investigations may be required, Medication adjustments may take time, Surgery may be rescheduled, Programming may require more than one visit, Postoperative observation may be extended if needed. Patients should avoid booking a non-refundable return flight too close to the expected discharge date.

Question 13

What is recovery like after Parkinson's Treatment and DBS Surgery?

Accepted Answer

Recovery after DBS is gradual. The patient may experience: Surgical-site discomfort, Fatigue, Mild headache, Temporary weakness, Bruising or swelling, Tiredness from hospitalisation. The treating team will monitor the patient for surgical and neurological complications. Patients may need: Wound care, Medication continuation, Activity restrictions, Follow-up, DBS programming, Neurological assessment. DBS Programming. Programming is an important part of DBS treatment. The stimulation settings may need adjustment over multiple appointments. The goal is to find a balance between: Symptom control, Medication requirements, Stimulation-related side effects. Physical Activity. Activity should be increased gradually according to the surgeon's instructions. Patients should avoid activities that could damage the implanted system until the surgical team confirms that normal activity can resume. Medication. DBS does not automatically eliminate Parkinson's medication. Medication changes should be made by the treating neurologist. Long-Term Recovery. The benefit of DBS may become clearer as programming is adjusted. Some patients require several programming sessions before the most useful settings are established.

Question 14

How can follow-up be managed after returning to Bangladesh?

Accepted Answer

Long-term follow-up is an important part of DBS treatment. Before leaving India, Bangladeshi patients should obtain: Final diagnosis, Surgical report, DBS device information, Device model and serial information where provided, Electrode location information, Initial programming settings, Medication schedule, Discharge summary, Follow-up schedule, Wound-care instructions, Emergency instructions. Programming Follow-Up. Patients should have access to a neurologist or movement-disorder specialist familiar with DBS. Follow-up may involve: Symptom assessment, Device interrogation, Programming adjustments, Medication adjustments, Side-effect assessment, Battery status assessment. DBS Device Information. Patients should keep their device information accessible at all times. This may be useful if they require: MRI, Surgery, Emergency treatment, Device troubleshooting, Battery replacement. Patients should tell healthcare providers that they have an implanted DBS system before undergoing medical procedures or imaging. Patients should seek prompt medical attention for: Fever, Wound redness or discharge, Severe headache, New weakness, Seizure, Sudden neurological deterioration, Severe confusion, Repeated falls, Device-related concerns. Follow-up between India and Bangladesh can be coordinated when clinically appropriate, but the patient should have a clear local follow-up arrangement before leaving India.

Question 15

Should a Bangladeshi patient travel to India for Parkinson's Treatment and DBS Surgery?

Accepted Answer

Bangladeshi patients may consider India for: Parkinson's diagnosis review, Movement-disorder consultation, Second opinions, Advanced Parkinson's medication management, DBS eligibility assessment, DBS surgery, DBS programming, Long-term device management, Parkinson's rehabilitation. However, DBS should not be selected simply because it is an advanced procedure. The key questions are: Is the diagnosis correct?, Are the symptoms significantly affecting daily life?, Is there a meaningful response to Parkinson's medication?, Are motor fluctuations or dyskinesias present?, Is tremor inadequately controlled?, Is the patient's cognitive and psychiatric profile suitable?, Is the surgical risk acceptable?, Can the patient attend postoperative programming?, Is long-term DBS follow-up available after returning to Bangladesh?. A Bangladeshi patient considering DBS should ideally send complete neurological records before travelling. This allows the treating team to determine whether the patient appears suitable for further assessment and whether additional investigations may be required. The final decision should be made after an in-person evaluation by the appropriate movement-disorder and neurosurgical team.

Treatment / Procedure	Bangladesh Estimated Cost	India Estimated Cost	Potential Saving
Parkinson's Neurology Evaluation & Treatment Planning	BDT 50,000–120,000 US$410–985	INR 25,000–70,000 US$260–730	Approx. 20%–35%
Advanced Parkinson's / Movement-Disorder Assessment	BDT 80,000–180,000 US$655–1,475	INR 40,000–100,000 US$415–1,040	Approx. 20%–35%
DBS Eligibility Evaluation	BDT US$1,230–2,870 150,000–350,000 US$1,230–2,870	INR 80,000–200,000 US$835–2,085	Approx. 15%–30%

City	Parkinson's & DBS Treatment Environment
Delhi / NCR	Movement-disorder neurology, neurosurgery, DBS evaluation, implantation and programming
Gurugram	Neurology, neurosurgery, movement-disorder assessment and advanced Parkinson's care
Noida	Neurology, neurosurgery, Parkinson's management and selected DBS services
Mumbai	Advanced neurology, movement-disorder care and DBS surgery
Chennai	Neurology, neurosurgery, movement-disorder management and DBS
Bengaluru	Movement-disorder neurology, functional neurosurgery and DBS
Hyderabad	Neurology, neurosurgery, Parkinson's management and DBS
Kolkata	Neurology, neurosurgery and Parkinson's treatment
Ahmedabad	Neurological evaluation, movement-disorder care and selected DBS services
Pune	Neurology, neurosurgery and Parkinson's management
Kochi	Neurology, neurosurgery and advanced neurological treatment
Thiruvananthapuram	Neurology, neurosurgery and movement-disorder services
Goa	Neurological consultation and selected specialist services
Nagpur	Neurology, neurosurgery and Parkinson's treatment services

15 Frequently Asked Questions : Parkinson’s Treatment and DBS Surgery in India for Bangladeshi Patients

Q1 · What is Parkinson's Treatment and DBS Surgery?

Treatment may include

What is Deep Brain Stimulation?

The DBS system generally consists of

Symptoms that may improve

In appropriately selected patients, DBS may help with

Q2 · How much does Parkinson's Treatment and DBS Surgery cost in Bangladesh compared with India?

The total DBS cost can depend on

For planning purposes, this guide uses

Patients should ask whether the quotation includes

Q3 · Which Indian cities can Bangladeshi patients consider for Parkinson's Treatment and DBS Surgery?

Q4 · Which hospitals in India can Bangladeshi patients consider for Parkinson's Treatment and DBS Surgery?

Delhi Hospitals

Chennai Hospitals

Mumbai Hospitals

Bengaluru Hospitals

Hyderabad Hospitals

Gurugram Hospitals

Noida Hospitals

Kolkata Hospitals

Pune Hospitals

Ahmedabad Hospitals

Kochi Hospitals

Thiruvananthapuram Hospitals

Goa Hospitals

Nagpur Hospitals

Q5 · What types of Parkinson's Treatment and DBS procedures are available?

1. Medication-Based Parkinson's Treatment

Medicines may include

2. Physiotherapy and Rehabilitation

Physiotherapy can focus on

3. Speech and Swallowing Therapy

Speech-language therapy may help selected patients with

4. Advanced Medication Management

5. Deep Brain Stimulation

Common DBS targets used for Parkinson's disease include

6. Rechargeable DBS Systems

7. Non-Rechargeable DBS Systems

8. DBS Programming

9. Battery / Generator Replacement

Q6 · Who may be suitable for Parkinson's Treatment and DBS Surgery?

Potential DBS candidates may have

Important considerations

The treating team may assess

Q7 · What tests are required before Parkinson's Treatment and DBS Surgery?

Neurological Evaluation

A movement-disorder specialist evaluates

Medication Challenge / Levodopa Response Assessment

Brain MRI

MRI may be used to

Neuropsychological Assessment

Cognitive testing may assess

Blood Tests

Routine preoperative tests may include

Anaesthesia Assessment

Before surgery, the patient may undergo

Q8 · What medical records should Bangladeshi patients send before travelling?

Important documents include

Patients should clearly describe

Q9 · How does Parkinson's Treatment and DBS Surgery work?

Step 1: Movement-Disorder Assessment

Step 2: Medication Review

The specialist reviews

Step 3: DBS Eligibility Assessment

The medical team evaluates

Step 4: Brain Imaging

Step 5: Surgical Planning

Step 6: Electrode Implantation

Step 7: Pulse Generator Placement

Step 8: Initial Programming

The stimulation settings are adjusted according to

Step 9: Medication Adjustment

Step 10: Long-Term Programming

Q10 · What are the alternatives to Parkinson's Treatment and DBS Surgery?

Optimised Medication

A neurologist may adjust

Physiotherapy

Occupational Therapy

Speech and Swallowing Therapy