Our expert neurosurgeons specialize in utilizing Deep Brain Stimulation, or DBS, to restore function and quality of life in patients with all types of movement disorders, including Parkinson’s disease. We are the only DBS program in the tri-state area capable of performing all types of DBS implantation surgery, including asleep, frame-based, and frameless DBS. Our state-of-the-art operating room suite offers the accuracy of a powerful 3T MRI. Faulty pathway signals in the parts of the brain that control movement are at the root of many movement disorders. Previous surgical methods (such as ablation) destroyed brain tissue to eliminate the problematic signals. Instead, in DBS, the first procedure involves placing an electrode in the brain. Then, in a second procedure, surgeons connect the electrode to a tiny electrical generator implanted in the chest or abdomen. The generator delivers an electrical current to the area of the brain responsible for the symptoms and blocks them. While DBS is not a cure for movement disorders, it can substantially easesymptoms and decrease the number of necessary medications, limiting side effects and improving quality of life. DBS can also be effective for other conditions, including: Tremor:DBS has proven very effective in controlling and eliminating certain types of tremor. DBS is FDA-approved for the treatment of essential tremor and also helpful for a range of other tremor types. Dystonia:Select patients with severe dystonia have found significant benefit with DBS therapy. Patients with DYT1-positive dystonia have had good responses with this FDA-approved treatment. The effectiveness of DBS varies on the primary or secondary nature of the disease. We thoroughly review each patient to determine the potential benefit. Neuropsychiatric disease:Neurosurgery has long used techniques that destroy brain tissue to treat neuropsychiatric conditions. Today, we are exploring and expanding the use of nondestructive neuron-augmentation for psychiatric disorders, including depression and obsessive-compulsive disorder (OCD). DBS has been helpful for select patients with severe OCD. The use of DBS to treat other neuropsychiatric disorders, such as major depressive disorder and Tourette’s syndrome, is currently being studied, with promising results.

Commonly referred to by one of its brand names, Botox®, Botulinum toxins are widely known as a treatment for wrinkles, but can also help manage dystonia and other movement disorders. Our faculty are skilled in both EMG and non-EMG guided therapies for tremor, spasm, tic disorder, excessive salivation, and hyperhidrosis.