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Title: Establishing First Deep Brain Stimulation Center In United Arab Emirates: Challenges And Initial Experience
e-poster Number: INSIM117
Category: Neurosurgery
Author Name: Tanmoy Kumar Maiti
Institute: CCAD
Co-Author Name: Shivam Mittal, Florian Roser
Abstract :
Introduction
Movement disorders are an increasing source of disability. Unfortunately, it is under recognized and under treated globally. Deep brain stimulation surgery is a well established modality of management for advanced Parkinson's disease, essential tremor, and dystonia. Establishing a new center of deep brain stimulation, nationally or internationally, has its own challenges. We discuss our challenges and experience.
Methods
We did a literature survey on available data for DBS in middle east and United Arab Emirates (UAE). Subsequently, we analyze the possible challenges that should be anticipated with possible solutions
Results
There is not much literature available about incidence and prevalence of movement disorders in UAE. The incidence of Parkinson's disease among younger population is higher. Establishing a strong team of fellowship trained movement disorder specialist neurologist and functional neurosurgeon is possibly the first step. Maintaining registry, regular multi disciplinary meeting and involving neuropsychologist is next. Educating public awareness and general practitioners and using social media sensibly is important. First few cases have to be carefully picked. Establishing imaging and navigation protocol is important. Educating operation room nurses and technicians is a key step. Programming is possibly most important but neglected step of success and quality time has to be dedicated for programming. Using several check points (micro electrode recording, use of O arm, intra op testing) are important. We have performed twenty lead insertion and fifty five implantable pulse generators replacement in past two years with reasonable success.
Conclusion
Establishing a new deep brain stimulation center has novel challenges.
