Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

  • MBBS, MS, MCH (Neurosurgery)
  • Fellowship Sundt & Mayo Clinic, USA
  • HOD & Executive Director - Department of Neurosurgery FMRI
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DR SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Responsive neurostimulation (rns)

RNS Responsive Neurostimulation

responsive neurostimulation (rns)

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    Frequently Asked Questions :

    1. What is Responsive Neurostimulation?

    Responsive Neurostimulation (RNS) is a therapy for drug-resistant epilepsy that involves a device implanted in the skull to monitor and respond to abnormal brain activity.

     

    Patients with drug-resistant epilepsy, who have not found relief from medications or surgery, may be considered candidates for RNS.

     

    Like all surgical procedures, RNS implantation carries risks. However, it is generally considered safe and effective, especially when performed by experienced neurosurgeons.

     

    RNS Responsive Neurostimulation

    About Responsive Neurostimulation (RNS)

    Responsive Neurostimulation (RNS) is an innovative neuromodulation therapy designed to treat drug-resistant epilepsy. It involves the implantation of a device that monitors brain activity and delivers electrical stimulation to prevent seizures before they occur. This cutting-edge technology offers hope to patients who have not responded to traditional treatments, improving their quality of life and reducing seizure frequency.

    Causes of Epilepsy

    Understanding the underlying causes of epilepsy is crucial for effective treatment. Common causes include:

    • Genetic Factors: Inherited conditions that predispose individuals to seizures.
    • Head Injuries: Traumatic brain injuries can trigger epilepsy.
    • Brain Tumors: Abnormal growths in the brain can disrupt normal electrical activity.
    • Infections: Conditions like meningitis or encephalitis can lead to seizure disorders.
    • Developmental Disorders: Conditions such as autism or neurofibromatosis can increase the risk of epilepsy.

    Types of Epilepsy

    Epilepsy can manifest in various forms, and understanding these types is essential for diagnosis and treatment:

    1. Focal Onset Seizures: Originating in a specific area of the brain, these can be simple (without loss of consciousness) or complex (with altered awareness).
    2. Generalized Onset Seizures: Involving both hemispheres of the brain, these include absence seizures and tonic-clonic seizures.
    3. Unknown Onset Seizures: When the onset is unclear, this category includes unclassified seizures.

    Symptoms of Epilepsy

    Symptoms of epilepsy vary depending on the type of seizure and may include:

    • Loss of Consciousness: Common in generalized seizures.
    • Confusion: Postictal confusion may follow a seizure.
    • Uncontrollable Jerking Movements: Seen in tonic-clonic seizures.
    • Aura: A sensory phenomenon that precedes a seizure, often described as a warning sign.
    • Staring Spells: Typically associated with absence seizures.

    Diagnosis of Epilepsy

    Accurate diagnosis is crucial for effective management. The diagnostic process may involve:

    • Medical History Review: Detailed patient history and family history of seizures.
    • Neurological Examination: Assessing reflexes, coordination, and cognitive function.
    • EEG (Electroencephalogram): Monitoring electrical activity in the brain to identify seizure patterns.
    • Imaging Studies: MRI or CT scans to detect structural abnormalities in the brain.

    Treatment Options for Epilepsy

    Responsive Neurostimulation is one of several treatment options available for epilepsy:

    1. Medications: Antiepileptic drugs (AEDs) are the first line of treatment for managing seizures.
    2. Surgery: In cases where medications are ineffective, surgical options may be considered, including resection or disconnection of the seizure focus.
    3. Dietary Therapy: Ketogenic and modified Atkins diets can be effective for some patients.
    4. Responsive Neurostimulation (RNS): For patients with refractory epilepsy, RNS offers a personalized approach by delivering targeted stimulation to prevent seizures.

    Cost of Treatment and Stay in India

    The cost of Responsive Neurostimulation treatment in India varies based on several factors, including the hospital, the complexity of the case, and the duration of stay. Generally, patients can expect to pay:

    • RNS Device Cost: Approximately INR 7,00,000 to INR 10,00,000.
    • Hospital Stay: Ranges from INR 50,000 to INR 1,50,000 for the initial procedure, depending on the facility.
    • Follow-Up Care: Regular follow-ups and adjustments may incur additional costs.
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