stereotactic head frame to keep it still during the procedure.
Your head will likely be shaved before that happens as pins will be needed to keep the frame in place. The surgeon will then use an imaging test such as a CT or MRI to map your brain and determine where to put the electrodes.
You’ll usually be under general anesthesia while the surgeon makes an incision in your scalp and drills into your skull. However, once the electrodes are in place, they will use medication to wake you up for what is known as awake testing. While you won’t feel any pain, doctors will be able to assess whether or not the electrode placement is correct.
The next stage is chest wall surgery where the doctors will place the pulse generator under the skin and close to the collarbone. The electrical leads will also be connected to the generator, which also contains the batteries.
You’ll be under general anesthesia for this surgery as well. Unlike the first part of the procedure, the doctors won’t test the pulse generator at that point. You’ll need to visit the doctor a few weeks after the procedure to have it programmed. It can take up to six months to find your ideal setting.
After the procedure, you may stay in the hospital for a few days depending on your doctor’s assessment. Once you’re discharged to recuperate at home, your doctor will give you detailed instructions on what to avoid.
Some of the things you may not be able to do until you’re fully recovered include lifting anything heavier than five pounds, intense exercise, and stretching your hands over your head.
As with all surgery, the deep brain stimulation procedure can have complications. Though it’s normal to have a slight headache and some swelling at the incision sites after surgery, you should let your doctor know if the headaches get worse or if you see signs of infection. You should also contact your doctor immediately if you have seizures, confusion, or show signs of a stroke.
Deep brain stimulation isn’t for everyone but you might be a good candidate if you meet all the criteria. Once your MS is causing severe tremors, it’s a good idea to discuss the procedure with your doctor. They’ll be able to give you all the details of the procedure and what your personalized recovery will look like.