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Dr. Josue M. Avecillas Chasin Sr., MD is a neurosurgeon in Omaha, NE specializing in neurosurgery. He graduated from University of Guayaquil Faculty of Medical Sciences in 2008 and has 16 years of experience. Dr. Josue M. Avecillas Chasin Sr., MD is affiliated with Nebraska Medicine and UNMC PHYSICIANS.
4242 Farnam Street Suite 550
Omaha, NE 68131
Deep Brain Stimulation (DBS)
Deep brain stimulation (DBS) is a procedure performed to help treat neurological conditions such as Parkinson's disease and epilepsy. Electrode leads are surgically implanted in the brain and connected to a device, called a neurostimulator (deep brain stimulator), that is placed underneath the skin (subcutaneously). The deep brain stimulator can send electrical signals through the electrodes to the brain to restore normal rhythms, or it can block electrical signals in specific areas of the brain to restore functioning. Although not a cure, DBS can treat symptoms of movement disorders such as pain and tremor when medication fails to work.
DBS surgery may be completed in one operating session, but it is more commonly performed in two parts. In the first stage of the procedure, the surgeon will map targets in the brain using CT or MRI imaging to determine where to place the electrodes. Then, by drilling holes into the skull, the surgeon will place the electrodes into specific areas in the brain. The holes will be closed, and patients will require 1-2 days to recover in the hospital. After about two weeks, patients will undergo another surgery to have the deep brain stimulator implanted. The stimulator is usually placed under the skin around the collarbone, chest, or abdomen, and it will be connected to the DBS electrodes through a subcutaneous wire. No component of the DBS system will be visible from outside. Following stimulator implantation, patients may need to recover in the hospital for 1-2 days.
Within 2-4 weeks of the operation, doctors will program the stimulator using a wireless device. Patients will work with their doctor to determine the most effective settings for the stimulator during follow-up visits. Patients will be given a handheld device so that they can turn the stimulator on or off and adjust its settings themselves. The stimulator may have a rechargeable battery, in which case patients will be given a charging unit. Stimulator batteries generally need to be replaced in 3-5 years.
Headache
Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:
Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.
Dr. Josue M. Avecillas Chasin Sr., MD graduated from University of Guayaquil Faculty of Medical Sciences in 2008. He completed residency at Neurosurgery,: Universidad de Madrid. He has a state license in Ohio.
Medical School: University of Guayaquil Faculty of Medical Sciences (2008)
Residency: Neurosurgery,: Universidad de Madrid (2015)
Licensed In: Ohio
Dr. Josue M. Avecillas Chasin Sr., MD is associated with these hospitals and organizations:
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Dr. Josue Avecillas Chasin specializes in neurosurgery. His clinical interests include cancer surgery, cancer, and radiation therapy. Dr. Avecillas Chasin is affiliated with Nebraska Medicine. He studied medicine at the University of Guayaquil Faculty of Medical Sciences.