Indian musician plays guitar during brain surgery
The first ever Successful Live Brain Circuit Surgery for Guitarist or Musicians Dystonia conducted in India
A wild goose chase for his passion led 37 Year Old Abhishek Prasad, a native of Bihar living in Bangalore to brave a rare nervous issue called GUITARIST OR MUSICIANS DYSTONIA
Abhishek developed this passion for guitar in 2012. He was working then and over a period of time, he was training to be a professional guitarist and decided to quit his job to pursue his passion. As he quotes, Bad luck struck and problem developed in his left hand fingers because of which he found it difficult to move the little finger on the left and gradually, as the issue grew, he had to abandon the use of Guitar because of this disability. He initially ignored it thinking it was due to his extensive practice but later started facing serious issues in the 3/4/5th fingers also due to which he lost the ability to play the guitar.
He tried reaching every specialist across the city to get a solution for his problem. He suffered for 20 months with this problem without any job and unable to continue his passion until the day he was referred to Dr. Sharan Srinivasan, Stereotactic & Functional Neurosurgeon & HOD of Neuroscience, Bhagawan Mahaveer Jain Hospital.
Abhishek was first evaluated by Dr. Sanjiv C.C, a neurologist specialised in Movement Disorders at Bhagwan Mahaveer Jain Hospital, who first confirmed the diagnosis and strategy of treatment after discussing with the neurosurgeon. In all these Abhishek’s, MRI/CT and all blood investigations will be NORMAL! this means that the problem is not shown in any test and is purely a CLINICAL DIAGNOSIS by experts qualified in Movement Disorders & Stereotactic Functional Neurosurgery The name of the surgery is STEREOTACTIC, MRI GUIDED RIGHT Vo THALAMOTOMY (RF LESIONING / ABLATION). THIS IS A BRAIN CIRCUITS SURGERY.
“It is a rare disorder which occurs to 1 % among the musician professionals and if medical management fails (Botulinum toxin and drugs), then surgery is the next option. It is a very delicate surgery and requires monitoring during the operation,” Dr. Sanjiv was quoted as saying
Speaking about the Surgery, Dr. Sharan Srinivasan Said, “Under LA (local Anesthesia) a 14 mm hole was made in the skull and a specialised electrode was passed into the brain. These targets are usually 8-9 centimetres deep inside the brain! Then the doctor stimulated the brain to confirm the right location and also to prevent any possible side effects or complications due to other circuits being targeted / affected. After reconfirming the target location, a RF (radio Frequency) lesion was made using a specialised RF ablation machine. 5-7 lesions were made, each at 60-70 degrees centigrade and for 30-40 seconds. During this entire surgery, Abhishek was fully awake and was playing the guitar since this problem only comes when he tries to play his guitar. Hence this feedback was very important for the doctors to get the exact location of the target to be lesioned. He underwent a MRI guided awake stereotactic right Vo (ventralis oralis) thalamotomy – RF (radio frequency) ablation. He had 100% relief of his symptoms on the operating table!
This is the 8th time such a complex procedure to cure musician’s dystonia had been carried out across the globe and it is for the first ever time in India that a Vo thalamotomy has been done” he was quoted as saying.
Abhishek’s Facebook Page has full of inspirational quotes out of which one reads “Don’t Quit. You are already in Pain. You are already Hurt. Get a reward from it.” Maybe this was what drew him to take up such a big risk for himself. For the first time, in the History of India, this life changing Live Brain Surgery for Guitarist / Musicians Dystonia was performed and here he is, sitting in front of the crowd, strumming his Guitar of Success.
Minimally invasive stereotactic neurosurgery unit inaugurated
TNN | Jan 8, 2017, 08.53PM IST
BANGALORE: The Jain Institute for stereotactic and functional neurosurgery was inaugurated in the city Sunday, making the Bhagwan Mahaveer Jain hospital the first in Karnataka to launch a dedicated institute such as this for minimally invasive stereotactic neurosurgery.
Functional neurosurgery refers to a kind of surgery that improves the functionality and movement of a patient, who is usually dysfunctional due to a neurological disorder.
Essentially, it improves the movements of those suffering from tremors caused by neurological disorders and from dystonia.
The team will be headed by Dr Sharan Srinivas, a senior neurosurgeon who is one of the few neurosurgeons from Karnataka to be trained by Professor Takaomi Taira of Japan, one of the leading authorities in the field and Dr Sanjiv CC, a movement disorder specialist.
“Pacemakers, that can be placed in the brain to control the tremors cost between Rs 7 and Rs 12 lakhs, putting it out of the reach of most Indians. The radio frequency ablation surgery, that I was trained in in Japan, will cost the patient only Rs 1 to Rs 2 lakhs” said Dr Srinivas.
“Only 5-6 centres in India conduct these surgeries in India” said Dr Sanjiv. “Out of a 100 people, 5-10 suffer from tremors caused by Parkinsons disease, dystonia is rarer with 5-10 people out of 1,000 suffering from it”.
The first patient to benefit from the surgery conducted by the institute was a patient of cervical dystonia. For the past 10 years, his neck had been pulling from side to side, tremors, which made it impossible for him to look straight. Eating too was a problem, as he would have to hold his head in place with his right hand and feed himself with his left.
Post-surgery, his tremors have reduced by 60 per cent and he can now look straight ahead while walking. Last week, was also the first time in 10 years that he was able to eat with his right hand.