DBS Specialist and MRgFUS Treatment for Patients from Nagpur Prof. Dr. Paresh Doshi, Jaslok Hospital Mumbai

When a patient from Nagpur walks into my clinic — having tried every medication, sometimes having already had surgery elsewhere — my first responsibility is to understand their story completely and give them an honest answer. Not to offer a procedure. DBS is not for everyone. But when it is the right answer, and when it is done with the right infrastructure, it can give someone their life back.” — Prof. Dr. Paresh K. Doshi

If you or a family member in Nagpur is living with Parkinson’s disease, Essential Tremor, Dystonia, OCD, or another movement disorder — and you are considering Deep Brain Stimulation (DBS) or MRgFUS (Focused Ultrasound) treatment — this page is written for you.

Many patients from Nagpur and Maharashtra choose to travel to Jaslok Hospital, Mumbai for evaluation and treatment under Prof. Dr. Paresh K. Doshi. The reason is specific: the SUSY stereotactic system, QSM neuroimaging, and a 750+ DBS programme spanning 28 years do not exist at any other clinical programme in India.

Nagpur is central India’s commercial capital and referral hub for Vidarbha, Madhya Pradesh, and Chhattisgarh. DBS surgery at the level of the SUSY stereotactic system and QSM neuroimaging is not available locally.

 DBS Specialist for Patients from Nagpur  The Questions That Matter

When searching for a DBS specialist for patients from Nagpur, the questions that matter are not about titles or certificates. They are about verifiable facts:

  • How many DBS surgeries has this surgeon personally performed, at a single centre, under their own care?
  • Does the hospital own its stereotactic equipment or is it brought in by the device company for each case?
  • Is QSM neuroimaging used for deep brain target visualisation — or standard MRI?
  • Is there a genuine multidisciplinary team — or a surgeon and a referring neurologist?
  • What is the programme’s personalised DBS approach — or is a single protocol applied to all patients?

Prof. Dr. Doshi’s answers: 750+ DBS surgeries personally performed at a single centre since 1998. SUSY stereotactic system — only programme in India. QSM neuroimaging — only clinical programme in India. Seven-specialist multidisciplinary team. Personalised DBS approach with 15 days of pre-surgical preparation per patient.

Infrastructure Not Available Anywhere Else in Asia — Why This Matters

The precision of DBS and MRgFUS depends on the quality of the surgical infrastructure as much as on the surgeon’s skill. At Jaslok Hospital, Prof. Dr. Doshi’s programme offers three capabilities unavailable at any other clinical centre in India — or in Asia:

  • SUSY Stereotactic System — Only Programme in India: The SUSY (Surgical Utility System) is the latest generation stereotactic surgical platform, providing sub-millimetre targeting accuracy. This is the system used at the world’s leading DBS centres. No other hospital in India currently offers SUSY to clinical patients.
  • QSM Neuroimaging — Only Clinical Programme in India: Quantitative Susceptibility Mapping (QSM) is a research-grade MRI technique that visualises deep brain structures — the subthalamic nucleus, globus pallidus, thalamus — with a resolution and contrast that standard MRI cannot achieve. Normally available only at academic research centres in Europe and North America. Jaslok is the only programme in India offering QSM neuroimaging to clinical DBS patients.
  • Two Complete Stereotactic Equipment Sets — Only in India: Jaslok maintains two full stereotactic setups simultaneously. No surgical delays due to equipment. Full intraoperative backup capability.
  • 750+ DBS Surgeries — India’s Largest Single-Surgeon Programme: Dr. Doshi has performed over 750 DBS procedures personally at Jaslok since 1998. Accumulated at a single centre, by a single surgeon, over 28 years. The most longitudinal DBS experience in India.

 

Prof. Dr. Paresh K. Doshi The Surgeon Who Started DBS in India

Prof. Dr. Paresh K. Doshi is not simply experienced in DBS. He is the surgeon who introduced DBS to India in 1998 — and has maintained the country’s most active and continuously evolving programme for 28 years.

  • 1998 — India’s first DBS surgery: Performed at Jaslok Hospital when most Indian neurosurgeons had not yet seen the procedure.
  • Training at the source: National Hospital for Neurology and Neurosurgery, Queen Square, London, and under Prof. Alim-Louis Benabid in Grenoble, France — the neurosurgeon who first developed DBS.
  • Published researcher: Publications in Movement Disorders Clinical Practice, Stereotactic and Functional Neurosurgery, and Neuromodulation. Ongoing research in personalised DBS programming optimisation and QSM-based targeting.
  • Personalised DBS: Dr. Doshi pioneered the concept of personalised DBS in India — selecting the DBS system, surgical target, and programming strategy individually for each patient’s disease profile, rather than applying a single protocol uniformly. This approach involves 15 days of pre-surgical preparation including 3 days of inpatient assessment.
  • International leadership: Organising Chairman, 15th AASSFN World Congress, Mumbai, May 2027. Faculty at WSSFN, INS, and leading international functional neurosurgery meetings.
  • 300+ revision cases: Less than 1.5% required electrode replacement. The remainder improved through advanced reprogramming.

On surgery counts: Prof. Dr. Doshi’s 750+ figure represents DBS procedures personally performed by him at a single centre over 28 years — not aggregate numbers across multiple hospitals, multiple surgeons, or multiple sites. When comparing DBS surgeon experience, this distinction is clinically significant.

Watch: India’s Pioneer of DBS Surgery Prof. Dr. Paresh Doshi

The following video provides an introduction to Prof. Dr. Paresh Doshi and his approach to personalised DBS — presented by an independent third party, not by the programme itself.

Prof. Dr. Paresh Doshi — Pioneer of DBS Surgery in India. India’s first DBS programme, 1998. 750+ procedures. SUSY stereotactic system. QSM neuroimaging. Personalised DBS approach.

Prof. Dr. Doshi’s Programme at Jaslok Hospital — India’s Premier Teaching Institution

Prof. Dr. Paresh Doshi’s DBS and MRgFUS programme is housed within the Department of Neurosurgery at Jaslok Hospital & Research Centre, 15 Dr G Deshmukh Marg, Pedder Road, Mumbai — one of India’s oldest and most respected medical institutions.

Jaslok Hospital has maintained a teaching and research affiliation with leading international institutions and is the institutional home of India’s first and oldest DBS programme. The hospital’s infrastructure — including dedicated neuroimaging suites, sterile surgical theatres, and critical care facilities — supports the standard of care the DBS programme demands.

Full programme details on the Jaslok Hospital website: 

 Travelling from Nagpur to Jaslok Hospital

Approximately 870 km — 2 hours by flight, overnight by train.

Daily flights from Dr. Babasaheb Ambedkar International Airport, Nagpur to Mumbai take approximately 1.5 to 2 hours. Overnight trains including the Vidarbha Express are popular. The team coordinates appointments to minimise trips.

The team assists patients from Nagpur with:

  • Remote preliminary consultation based on medical records and MRI before travelling
  • Coordinated appointments to minimise the number of trips
  • Accommodation guidance for accompanying family near Jaslok Hospital, Pedder Road
  • WhatsApp communication for follow-up questions between visits
  • Coordination with your local neurologist for post-operative support

A Genuine Multidisciplinary Team – Seven Specialists, Not One

  • Movement Disorder Neurologist: Medication optimisation and post-operative programming guidance
  • Functional Neurosurgeon — Prof. Dr. Paresh Doshi: SUSY stereotactic DBS surgery and MRgFUS; QSM neuroimaging-guided planning; personalised DBS system selection
  • Neuropsychologist: Pre-surgical cognitive assessment — identifies patients at risk of cognitive change after surgery
  • Psychiatrist: OCD cases and psychiatric features of Parkinson’s disease
  • Urologist: Bladder dysfunction — a significantly under-managed non-motor feature of Parkinson’s disease
  • Gastroenterologist: Constipation, dysphagia, and gastrointestinal non-motor symptoms
  • Pain Physician: Chronic pain assessment and management

Also Researching MRgFUS Treatment in Nagpur? — Read This First

Many patients researching treatment for Essential Tremor or Parkinson’s disease encounter MRgFUS (Magnetic Resonance-guided Focused Ultrasound) as an alternative to DBS. At Jaslok Hospital, Prof. Dr. Doshi’s team offers both. This means your evaluation is unbiased — the recommendation is based entirely on what is right for your specific condition and goals.

Patients from Nagpur researching MRgFUS treatment will find that Jaslok Hospital offers both MRgFUS and DBS, with a thorough evaluation of which is right for your condition.

What MRgFUS offers

MRgFUS is non-invasive — no incisions, no implanted hardware. Focused ultrasound energy guided by real-time MRI creates a precise lesion in the thalamus to suppress tremor. For carefully selected patients with Essential Tremor or tremor-dominant Parkinson’s disease, the result can be rapid and significant — often visible during the procedure itself.

Limitations of MRgFUS – essential to understand

  • Permanent and irreversible: MRgFUS creates a permanent brain lesion. Unlike DBS, it cannot be adjusted, switched off, or reversed.
  • Unilateral only: Currently approved for one side of the body. Parkinson’s disease affecting both sides cannot be fully addressed by MRgFUS alone.
  • Tremor only: MRgFUS addresses tremor but not the rigidity, slowness, freezing, or non-motor symptoms of Parkinson’s disease that DBS treats.
  • Skull density restriction: Approximately 30 to 40% of patients are anatomically unsuitable. A CT scan determines suitability before any decision.
  • Long-term evidence: MRgFUS has 5-year tremor data. DBS has 20+ years of worldwide evidence and 28 years of follow-up at Jaslok specifically.

MRgFUS vs DBS — direct comparison

Factor

MRgFUS

DBS

Procedure

Non-invasive. No incision.

Implanted device. Small incision.

Reversibility

Permanent — NOT reversible

Fully adjustable and reversible

Bilateral treatment

One side only

Both sides possible

Conditions

Tremor only

Parkinson’s, Tremor, Dystonia, OCD, Epilepsy, more

Adjustable over time

No

Yes — programmable for life

Evidence

5-year data

20+ years global; 28 years at Jaslok

Gold standard

Select ET patients

ALL movement disorders

 

DBS and MRgFUS Surgery Cost – For Patients from Nagpur

DBS surgery at Jaslok typically ranges from ₹13 to ₹30 lakhs. MRgFUS ranges from ₹8 to ₹12 lakhs. Travel and accommodation add a modest cost — the team provides guidance on affordable accommodation near Jaslok.

  • DBS device options: Non-rechargeable (lower upfront, battery replacement every 3 to 5 years) or rechargeable (higher upfront, battery lasts 15+ years). Prof. Dr. Doshi advises on which is appropriate for your age and condition.
  • Insurance: Many health insurance policies now cover DBS surgery. Jaslok Hospital’s billing team assists with pre-authorisation documentation.
  • Cost transparency: A detailed written cost estimate is provided before any procedure is scheduled. No surprises after surgery.

The Treatment Journey for Patients from Nagpur

Step 1 — Remote Assessment: Share medical records, MRI reports, and medication history by WhatsApp (+91 99309 90777) or email. The team reviews and advises on how to plan your visit efficiently.

Step 2 — In-Person Evaluation: Comprehensive evaluation including neurological examination, levodopa challenge (Parkinson’s patients), neuropsychological assessment, QSM neuroimaging review. 15-day personalised pre-surgical preparation if surgery is recommended.

Step 3 — Honest Decision: Prof. Dr. Doshi and the multidisciplinary team give you an honest recommendation — DBS, MRgFUS, medication adjustment, or no surgery. No procedure is recommended unless genuinely indicated.

Step 4 — Surgery at Jaslok: DBS performed using SUSY stereotactic system and QSM-guided planning. MRgFUS performed as a day procedure. DBS patients stay 5 to 7 days.

Step 5 — Programming and Follow-up: DBS programming begins 2 to 4 weeks post-operatively. Patients from Nagpur typically visit Jaslok 2 to 3 times in the first year, then annually. Follow-up by WhatsApp between visits.

Frequently Asked Questions

Can patients from Nagpur consult Prof. Dr. Doshi remotely before travelling?

Yes. Share medical records, MRI, and medication list by WhatsApp (+91 99309 90777) or email. The team will review and advise on whether in-person evaluation is recommended and how to plan the visit.

Why do patients from Nagpur and central India travel to Jaslok for DBS?

Central India currently has no centre with the SUSY stereotactic system, QSM neuroimaging, or the 750+ DBS programme experience available at Jaslok. Patients from Nagpur, Amravati, Akola, and across Vidarbha, as well as from Madhya Pradesh and Chhattisgarh, travel to Jaslok for this reason. The flight is approximately 2 hours.

What makes personalised DBS at Jaslok different from other centres?

Prof. Dr. Doshi’s personalised DBS approach involves 15 days of pre-surgical preparation — including 3 days of inpatient assessment — to understand each patient’s specific symptom profile, identify the optimal DBS target and system, and select programming parameters that will serve this patient over the next 10 to 15 years. Most centres apply a standard protocol. The personalised approach is what produces durable outcomes.

What is the difference between DBS and MRgFUS?

DBS is adjustable, reversible, and can treat both sides. MRgFUS creates a permanent brain lesion, treats one side only, and addresses tremor only. DBS is the gold standard for most movement disorders. MRgFUS is a valuable option for a specific subset of patients with Essential Tremor or tremor-dominant Parkinson’s disease. Prof. Dr. Doshi’s team evaluates both options and gives you an unbiased recommendation.

What is the DBS surgery count and how does it compare?

Prof. Dr. Doshi has performed 750+ DBS surgeries personally at Jaslok Hospital since 1998 — procedures personally performed by a single surgeon at a single centre. DBS surgery counts are not regulated in India and can be reported inconsistently — aggregate figures across multiple hospitals, multiple surgeons, or multiple sites can appear to inflate experience significantly. This distinction matters when comparing.

Is DBS or MRgFUS covered by insurance?

Many health insurance policies now cover DBS surgery. MRgFUS coverage varies. Jaslok Hospital’s billing team assists with pre-authorisation documentation. Please share your policy when contacting us.

 Book a Consultation – Patients from Nagpur

Contact the Jaslok DBS team today. Remote consultation is available before you travel from Nagpur.

Contact

Details

Phone / WhatsApp

+91 99309 90777

Email

pdoshi@neurologicalsurgery.in

Hospital

Jaslok Hospital & Research Centre, 15 Dr G Deshmukh Marg, Pedder Road, Mumbai 400026

Programme at Jaslok

jaslokhospital.net/speciality/dbs-surgery-mumbai

Appointment

neurologicalsurgery.in/appointment/