Deep Brain Stimulation Management 2017-06-01T00:57:55+00:00

Deep Brain Stimulation Management

Deep Brain Stimulation Management

Deep Brain Stimulation is an effective treatment for involuntary movements associated with epilepsy, Parkinson’s disease, tremors, problems with movement and balance, as well as rigidity.

Deep Brain Stimulator Management

Deep brain stimulation is a surgical procedure wherein a hair-thin electrode is implanted in the area of the brain that is particularly responsible for abnormal movement. The electrode is connected to a pulse generator that is implanted just beneath the skin below the collarbone. The generator sends controlled mild electrical pulses through the electrodes to the brain to stimulate and modify the brain’s electrical signals to help stop, reduce or control abnormal movements.

The procedure does not destroy any brain tissue, and stimulation is adjustable and reversible. It can also be stopped anytime by switching off the device that supplies the electrical impulses. New technology allows patients to use a remote control to adjust the level of stimulation needed for better symptom relief and for least amount of side effects.

  • Symptoms are reduced by 40-60%

  • Demonstrable increase in patient’s independence

  • Improved quality of life for patients

Deep brain stimulation may be used to relieve symptoms of Parkinson’s disease, especially essential tremor, when they cannot be controlled with medicine. It is considered safer, more effective and less destructive to brain tissues than other surgical methods. Deep brain stimulation of the thalamus is done to treat both disabling tremor caused by Parkinson’s disease, while stimulation of the subthalamic nucleus and the globus pallidus are done to help control a wider range of symptoms.

Deep brain stimulation may also be used to treat severe tremor related to multiple sclerosis (MS). Deep brain stimulation is usually the last resort after all other treatment options have been tried without any success. People with severe tremor are ideal candidates for deep brain stimulation. Depending on your diagnosis, deep brain stimulation can be performed while you are awake or asleep or sedated.

  • Medications

  • Mental and physical exercises

  • Surgery and deep brain stimulation

  • Assistive devices

Ambulatory Video EEG

Ambulatory Video EEG is monitoring uses advance technology that allows prolonged electroencephalographic (EEG) recording in the home setting. Its ability to record continuously for up to 72 hours increases the chance of recording an ictal event or interictal epileptiform discharges. The video camera monitors physical and subjective symptoms such as seizures, fainting, twitching, twitching, shaking, tingling, and more. This gives further insight in relation to the brain activity captured by the EEG. Our highly-experienced and board-certified neurologists can use the video and EEG information to help determine correlation between the symptoms and brain activity.

Continuous Ambulatory Video EEG recording is a standard of care in establishing an accurate diagnosis in epilepsy. The technicians will attach about 22 electrodes to your scalp using a special adhesive. Each electrode is connected to a wire which eventually connects to a computer system. Your brain emits very weak electrical discharges which the electrodes are able to collect. During various activities, such as a seizure, the electrodes over the active areas receive more electrical stimulation than the other electrodes. Your doctor is able to study this information to help determine the area in the brain responsible for the seizures. These electrodes will remain attached for the entire duration of the study which is typically from 24 hours to 72 hours. General instructions are the same sa above for a routine EEG.

In addition to EEG monitoring, you will be monitored on an audio-video camera. Your image, along with simultaneous EEG recordings, is saved. When you have a seizure, the doctor will be able to review the EEG and see exactly how you responded. This will help determine the location of the seizures, and their severity.

Ambulatory Video EEG is lightweight and tamper proof for both pediatric and adult needs. It has an easy access to event button, which allows patient to mark an occurrence if/when experiencing symptoms or spells.

  • Continuous recording for up to 72 hours

  • Captures physical symptoms or spells, in addition to the EEG recording

  • Flexible and convenient for patients for in-home monitoring

  • Gives patients the ability to mark an occurrence if/when symptoms manifest
  • Allows for overnight monitoring

Meet Our Neurologists


We were impressed by the level of care that the neurology team at San Jose Pacific Neurology Care had provided my husband. Thank you!


Dr. Raj has been my neurologist for many years and he has seen me through epileptic seizures. I’m so grateful and thankful for all the care, support and advice he has given me all these years.


The compassionate care that my wife received from the team at San Jose Pacific Neurology Center helped improved our quality of life. My family will always be grateful to the whole neurology team.


High-Quality Neurology Care in San Jose, CA

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