Deep brain stimulation (DBS) is a neurosurgical procedure involving the placement of a

medical device called a neurostimulator (sometimes referred to as a brain pacemaker),

which sends electrical impulses, through implanted electrodes, to specific targets in the
brain (brain nuclei) for the treatment of movement and some neurocognitive disorders,
including Parkinson’s disease and epilepsy.
• Deep brain stimulation (DBS) is used to manage some of the
symptoms of Parkinson’s disease that cannot be adequately
controlled with medications. Deep brain stimulation (DBS) is
recommended for people who have Parkinson’s disease with motor
fluctuations and tremor inadequately controlled by medication, or to
those who are intolerant to medication, as long as they do not have
severe neuropsychiatric problems. Four areas of the brain have been
treated with neural stimulators in Parkinson’s disease. These are the
globus pallidus internus, thalamus, subthalamic nucleus and the
pedunculopontine nucleus. However, most DBS surgeries in routine
practice target either the globus pallidus internus, or the subthalamic
nucleus. Generally DBS is associated with 30–60% improvement in
motor score evaluations.[2]