{"key":"op_146_ES","page":{"url":"https://kz.bookimed.com/clinics/country=spain/procedure=deep-brain-stimulation/","procedure":{"id":146,"slug":"deep-brain-stimulation","name":"Мидың терең стимуляциясы","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"neurosurgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Испания"},"currency":"USD","data_date":{"status":"missing","reason":"not_collected"}},"pages":{"clinics_url":"https://kz.bookimed.com/clinics/country=spain/procedure=deep-brain-stimulation/","cost_url":"https://kz.bookimed.com/clinics/country=spain/procedure=deep-brain-stimulation/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":92800,"to":{"status":"missing","reason":"not_collected"},"avg":{"value":92824,"method":"median","source":"offers"},"us":{"from":65000,"to":110000},"uk":{"from":42000,"to":56000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Барселона","from":92800},{"city":"Мадрид","from":42500},{"city":"Памплона","from":43500},{"city":"Аліканте","from":28000}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":92824,"max":92824,"median":92824,"count":1}]},"comparison":[{"country_iso":"UA","from":14000,"to":24000},{"country_iso":"FR","from":28000,"to":43000},{"country_iso":"GB","from":42000,"to":56000},{"country_iso":"US","from":65000,"to":110000},{"country_iso":"IL","from":55000,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"TR","from":15000,"to":25900},{"country_iso":"MX","from":32000,"to":45000},{"country_iso":"DE","from":35000,"to":43000},{"country_iso":"CA","from":48000,"to":78000},{"country_iso":"AE","from":38000,"to":52000},{"country_iso":"TH","from":24000,"to":38000},{"country_iso":"PL","from":22000,"to":33000},{"country_iso":"KR","from":35000,"to":41500},{"country_iso":"CZ","from":28000,"to":41000},{"country_iso":"AT","from":38000,"to":54000},{"country_iso":"IT","from":38000,"to":55000},{"country_iso":"CN","from":26500,"to":45000},{"country_iso":"AU","from":52000,"to":72000},{"country_iso":"IN","from":16000,"to":18000},{"country_iso":"MY","from":38000,"to":52000},{"country_iso":"VN","from":28000,"to":45000},{"country_iso":"BR","from":28000,"to":42000},{"country_iso":"AZ","from":22000,"to":31000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":-43,"variant":"<15%"},"package":{"included":["Blood tests","Electrocardiogram (ECG)","Individual chamber"],"excluded":["Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":6,"items":[{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Specialized team with 40+ years in neurosurgery, JCI-accredited facility, and personalized DBS programs with comprehensive diagnostics included.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"5ce7fc4859436a00086a73eb","price":92824,"nights":5,"included":["Electrocardiogram (ECG)","Blood tests","Individual chamber"],"excluded":["Transfer is not included"],"other_services":"🎯 Program Overview This program is designed for patients with Parkinson’s disease or other movement disorders who experience: Tremor Rigidity Motor fluctuations Reduced response to medication It combines advanced neurological diagnostics + Deep Brain Stimulation (DBS), one of the most effective treatments for improving motor control and quality of life. 🔬 Preoperative Diagnostics (Included) 🧠 Neurological Evaluation Consultation with movement disorder specialist Clinical assessment (motor and non-motor symptoms) Medication response evaluation (ON/OFF test) 🧠 Advanced Neuroimaging Brain MRI (high-resolution, DBS protocol) CT scan (for surgical planning) ⚡ Neurophysiological Testing Cognitive and neuropsychological evaluation Electrophysiological studies (if required) 🧪 Laboratory Tests Complete blood test Coagulation profile Biochemistry panel ❤️ Pre-Anesthesia Assessment Electrocardiogram (ECG) Chest X-ray Anesthesiologist consultation 🛠 Surgical Procedure Deep Brain Stimulation (DBS) Minimally invasive neurosurgical procedure Implantation of electrodes in specific brain regions (e.g., subthalamic nucleus) Connection to a neurostimulator (implanted device) Real-time precision targeting 👉 Benefits: Significant reduction in tremor and rigidity Improved motor control Reduced medication dependence Adjustable and reversible therapy 🏥 Hospital Stay 7–10 days hospitalization Private room Continuous neurological monitoring Device implantation and initial programming ⚙️ Device Programming & Adjustment Initial DBS programming Optimization sessions for symptom control Personalized stimulation settings ♻️ Postoperative Care During Hospitalization Neurological monitoring Wound care Medication adjustment After Discharge Follow-up consultations Ongoing DBS adjustments Rehabilitation recommendations 📊 Expected Outcomes ✔ Reduction of motor symptoms (tremor, rigidity) ✔ Improved daily functioning ✔ Enhanced quality of life ✔ Decreased reliance on medication 🌍 Why Choose This Program? Highly experienced neurosurgeon (1,100+ DBS procedures) Advanced DBS technology and targeting Multidisciplinary Parkinson’s care team Comprehensive package: diagnosis + surgery + programming Fast-track access for international patients 🧾 Important Notes Not all patients are candidates (selection based on evaluation) Device cost is included in most packages but may vary Long-term follow-up is essential for optimal results"}]},{"id":278,"name":"Quironsalud Madrid","city":"Madrid","rating":3.8,"reviews_count":6,"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":310,"name":"HOSPITAL UNIVERSITARIO HM MADRID","city":"Madrid","rating":4.7,"reviews_count":17,"accreditations":["European Foundation for Quality Management","TÜV AG Сompany Research & Investing Certificate","World's Best Hospitals 2021 by Newsweek"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":339,"name":"Clinica Universidad de Navarra (Navarra Hospital)","city":"Pamplona","rating":4.7,"reviews_count":7,"accreditations":["Joint Commission International","European Society for Medical Oncology","World's Best Hospitals 2020 by Newsweek","World's Best Hospitals 2021 by Newsweek","World's Best Smart Hospitals 2021 by Newsweek","World's Best Hospitals 2022 by Newsweek","World's Best Smart Hospitals 2023 by Newsweek"],"rank":5,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":422,"name":"Hospital HM Nou Delfos","city":"Barcelona","rating":4.6,"reviews_count":5,"accreditations":["European Foundation for Quality Management","Certification according to DIN EN ISO 9001 by TÜV NORD CERT"],"rank":6,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":11,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":98,"slug":"barcelona","name":"Барселона","clinics_count":1,"price_from":92800,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":346,"slug":"madrid","name":"Мадрид","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":42500,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":366,"slug":"pamplona","name":"Памплона","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":43500,"profile":{"status":"missing","reason":"not_collected"}},{"id":441,"slug":"alicante","name":"Аліканте","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":28000,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":5,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"5ce7fc4859436a00086a73eb","clinic_id":78,"clinic_listed":true,"price":92824,"nights":5,"transfer":true,"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Electrocardiogram (ECG)","Blood tests","Individual chamber"],"excluded":["Transfer is not included"],"other_services":"🎯 Program Overview This program is designed for patients with Parkinson’s disease or other movement disorders who experience: Tremor Rigidity Motor fluctuations Reduced response to medication It combines advanced neurological diagnostics + Deep Brain Stimulation (DBS), one of the most effective treatments for improving motor control and quality of life. 🔬 Preoperative Diagnostics (Included) 🧠 Neurological Evaluation Consultation with movement disorder specialist Clinical assessment (motor and non-motor symptoms) Medication response evaluation (ON/OFF test) 🧠 Advanced Neuroimaging Brain MRI (high-resolution, DBS protocol) CT scan (for surgical planning) ⚡ Neurophysiological Testing Cognitive and neuropsychological evaluation Electrophysiological studies (if required) 🧪 Laboratory Tests Complete blood test Coagulation profile Biochemistry panel ❤️ Pre-Anesthesia Assessment Electrocardiogram (ECG) Chest X-ray Anesthesiologist consultation 🛠 Surgical Procedure Deep Brain Stimulation (DBS) Minimally invasive neurosurgical procedure Implantation of electrodes in specific brain regions (e.g., subthalamic nucleus) Connection to a neurostimulator (implanted device) Real-time precision targeting 👉 Benefits: Significant reduction in tremor and rigidity Improved motor control Reduced medication dependence Adjustable and reversible therapy 🏥 Hospital Stay 7–10 days hospitalization Private room Continuous neurological monitoring Device implantation and initial programming ⚙️ Device Programming & Adjustment Initial DBS programming Optimization sessions for symptom control Personalized stimulation settings ♻️ Postoperative Care During Hospitalization Neurological monitoring Wound care Medication adjustment After Discharge Follow-up consultations Ongoing DBS adjustments Rehabilitation recommendations 📊 Expected Outcomes ✔ Reduction of motor symptoms (tremor, rigidity) ✔ Improved daily functioning ✔ Enhanced quality of life ✔ Decreased reliance on medication 🌍 Why Choose This Program? Highly experienced neurosurgeon (1,100+ DBS procedures) Advanced DBS technology and targeting Multidisciplinary Parkinson’s care team Comprehensive package: diagnosis + surgery + programming Fast-track access for international patients 🧾 Important Notes Not all patients are candidates (selection based on evaluation) Device cost is included in most packages but may vary Long-term follow-up is essential for optimal results","is_package":true}],"packages":[{"id":"5ce7fc4859436a00086a73eb","clinic_id":78,"clinic_listed":true,"price":92824,"nights":5,"transfer":true,"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Electrocardiogram (ECG)","Blood tests","Individual chamber"],"excluded":["Transfer is not included"],"other_services":"🎯 Program Overview This program is designed for patients with Parkinson’s disease or other movement disorders who experience: Tremor Rigidity Motor fluctuations Reduced response to medication It combines advanced neurological diagnostics + Deep Brain Stimulation (DBS), one of the most effective treatments for improving motor control and quality of life. 🔬 Preoperative Diagnostics (Included) 🧠 Neurological Evaluation Consultation with movement disorder specialist Clinical assessment (motor and non-motor symptoms) Medication response evaluation (ON/OFF test) 🧠 Advanced Neuroimaging Brain MRI (high-resolution, DBS protocol) CT scan (for surgical planning) ⚡ Neurophysiological Testing Cognitive and neuropsychological evaluation Electrophysiological studies (if required) 🧪 Laboratory Tests Complete blood test Coagulation profile Biochemistry panel ❤️ Pre-Anesthesia Assessment Electrocardiogram (ECG) Chest X-ray Anesthesiologist consultation 🛠 Surgical Procedure Deep Brain Stimulation (DBS) Minimally invasive neurosurgical procedure Implantation of electrodes in specific brain regions (e.g., subthalamic nucleus) Connection to a neurostimulator (implanted device) Real-time precision targeting 👉 Benefits: Significant reduction in tremor and rigidity Improved motor control Reduced medication dependence Adjustable and reversible therapy 🏥 Hospital Stay 7–10 days hospitalization Private room Continuous neurological monitoring Device implantation and initial programming ⚙️ Device Programming & Adjustment Initial DBS programming Optimization sessions for symptom control Personalized stimulation settings ♻️ Postoperative Care During Hospitalization Neurological monitoring Wound care Medication adjustment After Discharge Follow-up consultations Ongoing DBS adjustments Rehabilitation recommendations 📊 Expected Outcomes ✔ Reduction of motor symptoms (tremor, rigidity) ✔ Improved daily functioning ✔ Enhanced quality of life ✔ Decreased reliance on medication 🌍 Why Choose This Program? Highly experienced neurosurgeon (1,100+ DBS procedures) Advanced DBS technology and targeting Multidisciplinary Parkinson’s care team Comprehensive package: diagnosis + surgery + programming Fast-track access for international patients 🧾 Important Notes Not all patients are candidates (selection based on evaluation) Device cost is included in most packages but may vary Long-term follow-up is essential for optimal results","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Parkinson's disease with motor fluctuations or dyskinesia despite medication","Medication-refractory tremor (essential tremor or Parkinson's tremor)","Dystonia refractory to medical therapy","Refractory epilepsy (anterior thalamic target)","Severe refractory obsessive-compulsive disorder"],"contraindications":["Significant dementia or severe cognitive impairment","Active uncontrolled psychiatric illness (e.g., severe depression or psychosis)","Poor levodopa response in Parkinson's disease (relative)","Atypical parkinsonism (e.g., MSA, PSP) with expected poor benefit","Bleeding disorders or anticoagulation that cannot be safely managed","Active infection","Unacceptable anesthetic or medical risk due to severe comorbidity","Brain MRI abnormalities making trajectory unsafe (relative)"],"operation_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Standard bilateral lead implantation with generator placement; longer with awake testing."},"anesthesia":["local","local_sedation","general"],"sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one implantation admission for leads and generator; some centers stage the generator placement separately."},"stages":[{"code":"lead_implantation","label":"Stereotactic electrode (lead) implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery."}},{"code":"generator_implantation","label":"Implantable pulse generator placement (same day or staged)","after":{"min":0,"max":14,"unit":"days","qualifier":"Often same day; occasionally staged within about two weeks."}}],"qualifier":"Standard bilateral DBS; programming visits are follow-up, not counted as treatment sessions."},"hospital_nights":{"value":5,"source":"offers","parsed_details":{"min":1,"max":3,"unit":"nights","qualifier":"Standard bilateral DBS implantation; short inpatient stay with postoperative monitoring and imaging."}},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to usual daily activities after standard implantation; programming continues for months."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Hospital stay 1–3 nights; fly after first wound check, once pneumocephalus resolves. Sutures out at 10–14 days."},"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Office-type work after standard bilateral DBS lead and pulse generator implantation; depends on job demands, symptoms and device programming."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous activity and head/neck strain; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to optimized stimulation programming and medication adjustment; varies by condition and target."},"result_longevity":"Benefit is typically long-lasting but symptoms of the underlying disease may progress; implantable pulse generators need replacement every few years (non-rechargeable) or about 10-15 years (rechargeable), depending on device and settings.","main_risks":["Intracranial hemorrhage","Infection of the device or wound","Hardware complications (lead migration, fracture, skin erosion)","Speech, swallowing or balance problems related to stimulation","Mood or cognitive changes","Seizure","Stimulation-related side effects (paresthesia, muscle contraction)"],"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Major events only: symptomatic hemorrhage, infection needing antibiotics or hardware removal, lasting neurological or hardware deficit. Minor events excluded."},"revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for lead repositioning, hardware fracture or erosion, or infection within about 1–5 years. Battery replacement excluded."},"success":{"metric":"Improvement in motor scores (UPDRS-III, off-medication) after subthalamic or pallidal DBS in Parkinson's disease","value":45,"horizon":"1 year","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small scalp incision(s) or burr-hole scars largely hidden by hair, plus a chest or abdominal incision for the pulse generator and possible palpable hardware under the skin.","pain":"Brain tissue itself is not pain-sensitive; scalp and neck/chest incision discomfort is mild to moderate and usually controlled with simple analgesics over several days.","preparation":["Multidisciplinary evaluation (neurology, neurosurgery, neuropsychology, psychiatry)","Brain MRI for target planning","Medication response assessment (e.g., on/off testing in Parkinson's disease)","Routine preoperative blood tests and medical fitness check","Review of medications and anticoagulants with the care team","Fasting before surgery","Head hair clipping or shaving on the day of surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, postoperative imaging, mobilization and pain control.","restrictions":["No driving","Keep incisions dry"]},{"phase":"Early recovery (weeks 1-4)","description":"Wound healing; stimulation often not yet activated; microlesion effect may temporarily improve symptoms.","restrictions":["Avoid heavy lifting and straining","Avoid vigorous head/neck movements","Avoid manipulating the device"]},{"phase":"Programming phase (months 1-6)","description":"Device activation and stepwise stimulation and medication optimization over multiple visits.","restrictions":["Follow device and MRI safety precautions","Avoid strenuous activity until cleared"]},{"phase":"Long-term","description":"Periodic follow-up and eventual battery replacement.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound inspection and suture/staple removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":42,"unit":"days","qualifier":"Typical initial device activation and programming after lesion effect settles."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":180,"unit":"days","qualifier":"Repeated programming and medication adjustment visits."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team your questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment before you go ahead","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated, so you know who follows you up","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden or persistent severe headache","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Severe headache that happens suddenly or won’t go away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the incision sites","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Bleeding from your incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden vision changes or double vision","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Sudden changes in your vision, such as seeing double, blurred vision or loss of vision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Redness, swelling or warmth around incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Redness, swelling or unusual warmth — which are signs of infection —around your incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Fever of 101 F or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees F (38.3 degrees C) or higher.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Tells the home nurse when stitches and steri-strips should come out","document":"letter for practice nurse","source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/movement-disorders-service/movement-disorders-patient-information/discharge-hospital-following-deep-brain-stimulation-surgery","host":"nbt.nhs.uk","quote":"You will be given a letter for your Practice Nurse advising when your stitches and steri-strips should be removed.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T6","text":"Identifies the implanted stimulator for any clinician, scan, or procedure at home","document":"device identification card","source":{"url":"https://stanfordhealthcare.org/medical-treatments/d/deep-brain-stimulation/risks.html","host":"stanfordhealthcare.org","quote":"You will receive an identification card from the company that manufactures the deep brain stimulator to carry with you at all times.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local","local_sedation","general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Office-type work after standard bilateral DBS lead and pulse generator implantation; depends on job demands, symptoms and device programming."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Major events only: symptomatic hemorrhage, infection needing antibiotics or hardware removal, lasting neurological or hardware deficit. Minor events excluded."},"contraindications":["Significant dementia or severe cognitive impairment","Active uncontrolled psychiatric illness (e.g., severe depression or psychosis)","Poor levodopa response in Parkinson's disease (relative)","Atypical parkinsonism (e.g., MSA, PSP) with expected poor benefit","Bleeding disorders or anticoagulation that cannot be safely managed","Active infection","Unacceptable anesthetic or medical risk due to severe comorbidity","Brain MRI abnormalities making trajectory unsafe (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Standard bilateral DBS implantation; short inpatient stay with postoperative monitoring and imaging."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous activity and head/neck strain; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to optimized stimulation programming and medication adjustment; varies by condition and target."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Hospital stay 1–3 nights; fly after first wound check, once pneumocephalus resolves. Sutures out at 10–14 days."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound inspection and suture/staple removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":42,"unit":"days","qualifier":"Typical initial device activation and programming after lesion effect settles."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":180,"unit":"days","qualifier":"Repeated programming and medication adjustment visits."}}],"indications":["Parkinson's disease with motor fluctuations or dyskinesia despite medication","Medication-refractory tremor (essential tremor or Parkinson's tremor)","Dystonia refractory to medical therapy","Refractory epilepsy (anterior thalamic target)","Severe refractory obsessive-compulsive disorder"],"main_risks":["Intracranial hemorrhage","Infection of the device or wound","Hardware complications (lead migration, fracture, skin erosion)","Speech, swallowing or balance problems related to stimulation","Mood or cognitive changes","Seizure","Stimulation-related side effects (paresthesia, muscle contraction)"],"pain":"Brain tissue itself is not pain-sensitive; scalp and neck/chest incision discomfort is mild to moderate and usually controlled with simple analgesics over several days.","preparation":["Multidisciplinary evaluation (neurology, neurosurgery, neuropsychology, psychiatry)","Brain MRI for target planning","Medication response assessment (e.g., on/off testing in Parkinson's disease)","Routine preoperative blood tests and medical fitness check","Review of medications and anticoagulants with the care team","Fasting before surgery","Head hair clipping or shaving on the day of surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, postoperative imaging, mobilization and pain control.","restrictions":["No driving","Keep incisions dry"]},{"phase":"Early recovery (weeks 1-4)","description":"Wound healing; stimulation often not yet activated; microlesion effect may temporarily improve symptoms.","restrictions":["Avoid heavy lifting and straining","Avoid vigorous head/neck movements","Avoid manipulating the device"]},{"phase":"Programming phase (months 1-6)","description":"Device activation and stepwise stimulation and medication optimization over multiple visits.","restrictions":["Follow device and MRI safety precautions","Avoid strenuous activity until cleared"]},{"phase":"Long-term","description":"Periodic follow-up and eventual battery replacement.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to usual daily activities after standard implantation; programming continues for months."},"result_longevity":"Benefit is typically long-lasting but symptoms of the underlying disease may progress; implantable pulse generators need replacement every few years (non-rechargeable) or about 10-15 years (rechargeable), depending on device and settings.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for lead repositioning, hardware fracture or erosion, or infection within about 1–5 years. Battery replacement excluded."},"scars":"Small scalp incision(s) or burr-hole scars largely hidden by hair, plus a chest or abdominal incision for the pulse generator and possible palpable hardware under the skin.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one implantation admission for leads and generator; some centers stage the generator placement separately."},"stages":[{"code":"lead_implantation","label":"Stereotactic electrode (lead) implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery."}},{"code":"generator_implantation","label":"Implantable pulse generator placement (same day or staged)","after":{"min":0,"max":14,"unit":"days","qualifier":"Often same day; occasionally staged within about two weeks."}}],"qualifier":"Standard bilateral DBS; programming visits are follow-up, not counted as treatment sessions."},"success":{"metric":"Improvement in motor scores (UPDRS-III, off-medication) after subthalamic or pallidal DBS in Parkinson's disease","value":45,"unit":"percent","horizon":"1 year","population":"Adults with advanced Parkinson's disease and motor fluctuations","evidence_status":"limited"},"techniques":[{"name":"Awake frame-based or frameless DBS with microelectrode recording","suits_whom":"Patients able to cooperate for intraoperative testing; common for Parkinson's disease and tremor.","recovery":"Similar recovery; hospital stay of a few days."},{"name":"Asleep image-guided DBS (intraoperative MRI/CT)","suits_whom":"Patients unable to tolerate awake surgery, such as those with dystonia or severe anxiety.","recovery":"Similar recovery and programming timeline."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Standard bilateral lead implantation with generator placement; longer with awake testing."},"initial_assessment_documents":["Brain MRI images and report","Neurologist report with diagnosis and disease duration","Videos of symptoms ON and OFF medication","Levodopa challenge test results (if available)","Neuropsychological or cognitive assessment (if available)","Current medication list with doses"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"1–2 trips: one of about 10–14 days incl. 1–3 hospital nights; programming can be a second trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team your questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment before you go ahead","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated, so you know who follows you up","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden or persistent severe headache","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Severe headache that happens suddenly or won’t go away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the incision sites","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Bleeding from your incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden vision changes or double vision","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Sudden changes in your vision, such as seeing double, blurred vision or loss of vision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Redness, swelling or warmth around incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Redness, swelling or unusual warmth — which are signs of infection —around your incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Fever of 101 F or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees F (38.3 degrees C) or higher.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Tells the home nurse when stitches and steri-strips should come out","document":"letter for practice nurse","source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/movement-disorders-service/movement-disorders-patient-information/discharge-hospital-following-deep-brain-stimulation-surgery","host":"nbt.nhs.uk","quote":"You will be given a letter for your Practice Nurse advising when your stitches and steri-strips should be removed.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T6","text":"Identifies the implanted stimulator for any clinician, scan, or procedure at home","document":"device identification card","source":{"url":"https://stanfordhealthcare.org/medical-treatments/d/deep-brain-stimulation/risks.html","host":"stanfordhealthcare.org","quote":"You will receive an identification card from the company that manufactures the deep brain stimulator to carry with you at all times.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your symptoms","name":"Levodopa","source":{"url":"https://www.nhs.uk/conditions/parkinsons-disease/treatment/","host":"nhs.uk","quote":"Most people with Parkinson's disease eventually need a medication called levodopa.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"awake-frame-based","name":"Awake frame-based or frameless DBS with microelectrode recording","how_it_works":{"text":"The patient may be woken for testing during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Depending on the reason for surgery, you may be woken up for awake testing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"asleep-image-guided-dbs","name":"Asleep image-guided DBS (intraoperative MRI/CT)","how_it_works":{"text":"A CT scan checks that the leads are placed accurately","source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"They'll also do another CT scan to ensure the lead placement is accurate.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"awake-frame-based","name":"Awake frame-based or frameless DBS with microelectrode recording","how_it_works":{"id":"H1","text":"The patient may be woken for testing during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Depending on the reason for surgery, you may be woken up for awake testing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients able to cooperate for intraoperative testing; common for Parkinson's disease and tremor.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar recovery; hospital stay of a few days."},{"id":"asleep-image-guided-dbs","name":"Asleep image-guided DBS (intraoperative MRI/CT)","how_it_works":{"id":"H1","text":"A CT scan checks that the leads are placed accurately","source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"They'll also do another CT scan to ensure the lead placement is accurate.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients unable to tolerate awake surgery, such as those with dystonia or severe anxiety.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar recovery and programming timeline."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your symptoms","name":"Levodopa","source":{"url":"https://www.nhs.uk/conditions/parkinsons-disease/treatment/","host":"nhs.uk","quote":"Most people with Parkinson's disease eventually need a medication called levodopa.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","azerbaijan","china","germany","greece","india","israel","italy","japan","republic-of-korea","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.69,"count":535,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Deep brain stimulation (DBS) surgery in Spain typically costs from _op_146_price_from_ to _op_146_price_to_. The total price depends on the surgical technique, implanted hardware brand, and chosen medical hub like Barcelona or Madrid. Patients save approximately _price_percent_discount_% compared to the US, where the average cost is _price_compare_US_average_. Packages usually include the neurosurgical procedure, specialized anesthesia, the pulse generator device, and a multi-day hospital stay.</p>\n\n<ul>\n<li><strong>Surgical location:</strong> Prices in Madrid and Barcelona are often 15-20% higher than in regions like Pamplona.</li>\n<li><strong>Medication treatment for Parkinson's:</strong> _op_456_price_from_ to _op_456_price_to_ for pharmacological protocols before or instead of surgery.</li>\n<li><strong>Device selection:</strong> Premium hardware from international brands like Medtronic or Boston Scientific influences the final quote.</li>\n<li><strong>Surgical approach:</strong> Bilateral procedures addressing both sides of the brain carry a significant premium over unilateral.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing JCI-accredited centers like Centro Médico Teknon or Clinica Universidad de Navarra ensures top-tier safety. At Teknon, packages start around $76,800 and feature Forbes-listed surgeons like Bartolome Oliver. These specialists often perform 200+ procedures annually, providing high-volume expertise at a fixed price. This predictable packaging helps international patients avoid the common 20% markups found in fragmented billing systems.</p>","faq":[{"q":"What is Deep Brain Stimulation (DBS) surgery?","a":"<p>Deep brain stimulation (DBS) is a reversible neurosurgical procedure that treats movement disorders like Parkinson's disease by delivering mild electrical impulses to targeted brain regions. It acts like a brain pacemaker, using implanted electrodes and a pulse generator to mitigate tremors, stiffness, and severe motor symptoms.</p> <ul> <li><strong>Treatment mechanism:</strong> Electrodes deliver pulses that silence brain tissue triggers without destroying any physical neurons.</li> <li><strong>Main components:</strong> Systems include brain-implanted leads, extension wires, and a battery-powered pulse generator.</li> <li><strong>Surgical approaches:</strong> Procedures use awake probing for functional mapping or MRI-guided placement under general anesthesia.</li> <li><strong>Recovery period:</strong> Full therapeutic benefits typically require 3 to 6 months for precise device fine-tuning.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many consider DBS for late-stage Parkinson's, our data shows patients often choose Spanish centers like Centro Médico Teknon for earlier intervention. Specialists like Dr. Bartolome Oliver, who has performed over 1,100 DBS procedures, focus on using microsurgical techniques to reduce medication side effects before disability becomes severe. This high volume often results in more precise lead placement and better motor control outcomes.</p> <p><strong>Patient Consensus:</strong> Many describe the results as life-changing, regaining the ability to walk or hold a glass without pain. Patients emphasize that while it dramatically improves quality of life, it manages motor symptoms rather than stopping disease progression.</p>"},{"q":"Is DBS suitable for everyone with Parkinson's?","a":"<p>Deep brain stimulation is an advanced therapy reserved for patients whose Parkinson's symptoms no longer respond adequately to medication. It is not suitable for everyone. Optimal candidates typically have idiopathic Parkinson's for at least 4 years and maintain good cognitive function without signs of dementia.</p> <ul> <li><strong>Medication response:</strong> Symptoms must improve with levodopa to predict a positive outcome from stimulation.</li> <li><strong>Symptom profile:</strong> The procedure effectively targets tremors and rigidity but often excludes balance or speech issues.</li> <li><strong>Cognitive health:</strong> Candidates must undergo screenings to ensure no significant memory or thinking problems exist.</li> <li><strong>Disease stage:</strong> Patients usually enter the window of eligibility between 5 to 15 years post-diagnosis.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Clinical data shows that surgeon volume is a critical quality indicator in Spain. For instance, Dr. Bartolome Oliver at Centro Médico Teknon has performed over 1,100 procedures. High-volume specialists often utilize advanced microsurgical and non-invasive techniques that can influence long-term stability.</p> <p><strong>Patient Consensus:</strong> While 90% of patients see functional improvement, many emphasize that results aren't instant. Success requires months of fine-tuning the device settings with specialists after the initial surgery.</p>"},{"q":"What are the main benefits of DBS?","a":"<p>Deep brain stimulation provides significant movement control for patients with Parkinson disease, essential tremor, and dystonia. The procedure reduces motor symptoms including tremors and rigidity while extending periods of fluid movement. Many patients achieve long-term symptom stability and increased independence in daily activities.</p> <ul> <li><strong>Symptom reduction:</strong> Patients often experience 90% reduction in hand tremors and significantly decreased stiffness.</li> <li><strong>Medication adjustment:</strong> Successful surgery allows for a 75% reduction in daily medication dosages for many.</li> <li><strong>Enhanced mobility:</strong> Treatment can provide 5 additional hours of good movement daily without involuntary motions.</li> <li><strong>System flexibility:</strong> Surgeons adjust the non-destructive implant over time to optimize individual symptom control.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish neurosurgery centers like Centro Médico Teknon often feature surgeons like Dr. Bartolome Oliver who have performed over 1,100 DBS procedures. This high volume is critical because data shows optimal results depend heavily on precise electrode placement. Choosing a high-volume expert in Spain typically costs _price_percent_discount_% less than the _price_compare_US_average_ US average without sacrificing surgical precision.</p> <p><strong>Patient Consensus:</strong> Many patients report a dramatic transition from using walkers to walking independently within months. While relief is often immediate, they emphasize that final results require 2–3 months of patient device tuning.</p>"},{"q":"What precautions should I take after DBS surgery?","a":"<p>Post-operative care for deep brain stimulation focuses on incision protection, infection prevention, and managing activity levels. Most patients undergo a 5-day hospital stay in Spain. You must avoid heavy lifting and keep incision sites dry for at least 7 to 10 days until staples are removed.</p> <ul> <li><strong>Incision care:</strong> Keep scalp clean and dry until staples are removed in 7–10 days.</li> <li><strong>Physical limits:</strong> Do not lift items heavier than 8–10 pounds for several weeks post-surgery.</li> <li><strong>Wound hygiene:</strong> Avoid ointments or lotions on incisions to prevent slowing the healing process.</li> <li><strong>Device safety:</strong> Deactivate the stimulator during medical scans like MRIs or EKGs using your controller.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Centro Médico Teknon emphasize a staged recovery where device activation happens 2 weeks after lead placement. Patients should prepare for a 6-month window for brain swelling to fully resolve. Significant medication reductions, sometimes by 30%, often occur only after the system is fully programmed.</p> <p><strong>Patient Consensus:</strong> Expect temporary symptom worsening while brain swelling persists. Many patients recommend washing all bedding in hot water before surgery to minimize infection risks at home.</p>"}],"h2":[{"text":"Бұл қалай жұмыс істейді","kind":"content"},{"text":"Испанияда мидың терең стимуляциясының бағасы қанша? Қазір біліңіз","kind":"content"},{"text":"2026 жылы Қараша айындағы Испанияда мидың терең стимуляциясына бойынша эксклюзивті ұсыныстарды жіберіп алмаңыз","kind":"content"},{"text":"Испанияда ең жақсы Мидың терең стимуляциясы клиникаларын ашыңыз: 6 тексерілген опциялар және бағалар","kind":"content"},{"text":"Испанияда мидың терең стимуляциясының процедурасына шолу","kind":"content"},{"text":"Испанияда мидың терең стимуляциясының медициналық бағалауын алыңыз: 11 тәжірибелі дәрігерлер кеңесіңіз","kind":"content"},{"text":"Bookimed науқастарының бейне тарихтары","kind":"content"},{"text":"Bookimed туралы пікірлер: науқастардың нақты тәжірибесімен танысыңыз","kind":"content"},{"text":"Осы контентпен бөлісу","kind":"content"},{"text":"Испанияда мидың терең стимуляциясында туралы білуіңіз қажет барлық ақпарат","kind":"content"},{"text":"Испанияда мидың терең стимуляциясына бойынша ЖҚС","kind":"content"},{"text":"Тегін консультация алу","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"medical.hospital_nights","chosen":"offers","offers":5,"parsed_details":{"min":1,"max":3}}]}