Deep Brain Stimulation (DBS) Surgery – Operative Procedures
Image-Guided Stereotactic Localisation
Computer Image-Guided Localisation
The surgical target (Subthalamic Nucleus, STN or Globus Pallidus Interna, GPi) is determined using MRI scanning and computer-aided navigation software.
Macro Stimulation
Macro Stimulation
Intra-operative clinical testing to confirm correct placement of electrode
Micro Electrode Recording
Intra-operative confirmation of location of DBS stimulating electrode
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Lancet Neurology
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Dear Dr. Lee,
My son who is 10 years old is suffering from mild chorioathetoid cerebral palsy after having neonatal jaundice which led to kernicticus. He is suffering from movement disorders and has difficulty in motor controlled activitie but he’s doing well in academics but has problem in lack of concentration for a long time and writing. He has been placed on Parkinson’s disease medication (Levodopa 200mg + Benserazide 50mg) 2 times a day but after taking the medication for a long time of 20 months I realised it is affecting his eating habits, sleeping patterns and he’s becoming more difficult and stubborn. I complained to the doctor but he told me it is safe and he has to continue taking the medication for the rest of his life. I have stopped giving him for the past 2 months and now he is behaving well and his eating and sleeping habits are normalized. Please Dr. I am seeking for second opinion from you. I hope you may offer help and hoping to give me an appointment
Thank you very much.
Zainab Yunusa
Serdang, Selangor
Malaysia
Dear Puan Zainab
Kernicterus can result in a variety of complex movement disorders which may not be possible to completely suppress even with multiple medications. The antiparkinsonism medications are generally safe, but should they be unhelpful, you could discuss alternative treatments with your son’s doctors.
If you need a second opinion, do please contact the staff of M K Lee Neuro Clinic, address as per this website.
Best wishes, Dr M K Lee