AUG 09, 2017 8:29 AM PDT

Strumming Along During Brain Surgery

Surgeons very often have music playing in the operating room. Whether it's piped in or from a CD player nearby, music played at a low volume is often soothing to patients and doctors during surgery. A recent operation that took place in Bangalore India, however, had live music on tap and the performer was none other than the patient.

Abhishek Prasad, a guitar player, was undergoing brain surgery for a rare condition called musician's dystonia. It happens when the hand used to play an instrument cramps up so severely that the artist can no longer play. It's often incorrectly identified as a strain of the muscles in the arm or hand, but that isn't the cause. Musician's dystonia is caused by a re-mapping of areas of the brain that receive signals from the hands during play. Normally, in the cortex of the brain, there are distinct regions that control certain functions. In musician's dystonia, these areas become somewhat muddled and are no longer efficiently sending and receiving electrical impulses to the correct muscles. Brain surgery, to burn off the area in the brain that is malfunctioning, can correct it but it's delicate, and surgeons need to know in real time if they are targeting the right areas.

Prasad's surgical team decided to use a local anesthetic and have his guitar in the OR at the ready. When the team was selecting the areas to excise, they asked Prasad to play some songs, evaluating which muscles in his hands were working correctly and adjusting their approach. Prasad told CNN, "It was a magical feeling, completely magical. I wasn't able to play for the past 20 months, and in a few seconds, my fingers were completely released, and I was able to play normally. You have been struggling for 20 months to do something, and just in a few seconds, you are able to do that normally, how would you feel? It was magical; it was heaven."

Dr. Sharan Srinivasan is a neurosurgeon specializing in stereotactic and functional surgery at the Jain Institute of Movement Disorders and Stereotactic Neurosurgery where the surgery was performed. In an interview with the Times of India, he explained, "This is a surgery where the part of the brain triggering abnormal tremors is destroyed by burning. Before the surgery, a special frame was fixed to his head with four screws going deep into the skull following which an MRI was conducted. These MRI images showed three coordinates of the target area in the brain (8-9cm deep, in this case) along with the entry point to the skull and the path to be followed during surgery. Based on these coordinates, a 14mm hole was drilled into the skull under local anesthesia, and a specialized electrode was passed into the brain following which it was stimulated to confirm the right location and prevent complications."

RELATED: Soft Jazz in the Operating Room 

Being awake during certain brain surgeries isn't entirely uncommon, and there have been other patients who have played instruments or sung songs during their procedures. Getting immediate feedback on which parts of the body are being impacted by the surgery avoids unnecessary complications and prevents surgeons from taking more tissue than required. In the video below, there is footage from the OR and an interview with Prasad about his experience, take a look.

Sources: CNN, The Times of India, Dystonia.org 

About the Author
  • I'm a writer living in the Boston area. My interests include cancer research, cardiology and neuroscience. I want to be part of using the Internet and social media to educate professionals and patients in a collaborative environment.
You May Also Like
SEP 02, 2020
Clinical & Molecular DX
Feeling Tired? Scientists Use Brain Scans to Measure Fatigue
SEP 02, 2020
Feeling Tired? Scientists Use Brain Scans to Measure Fatigue
Yawning in the middle of the day is completely normal for people with hectic schedules. How do you know whether it&rsquo ...
AUG 31, 2020
Genetics & Genomics
A Treatment Avenue Opens for a Rare Disorder
AUG 31, 2020
A Treatment Avenue Opens for a Rare Disorder
Krabbe disease or globoid cell leukodystrophy is a rare and deadly disorder that affects about one in every 100,000 infa ...
SEP 15, 2020
Drug Discovery & Development
Turmeric Better than Placebo for Osteoarthritis Pain
SEP 15, 2020
Turmeric Better than Placebo for Osteoarthritis Pain
Researchers from the University of Tasmania in Australia have found that an extract from turmeric is more effective than ...
SEP 11, 2020
Immunology
Study Reveals Tumor Defense Mechanism... And How to Beat It
SEP 11, 2020
Study Reveals Tumor Defense Mechanism... And How to Beat It
  P53 is an infamous process gene at the core of the development of tumors.  When P53  functional, it pau ...
OCT 05, 2020
Drug Discovery & Development
Fecal Transplants Could Restore Cognitive Function in the Elderly
OCT 05, 2020
Fecal Transplants Could Restore Cognitive Function in the Elderly
An international team of researchers has found that fecal transplants could one day be used to restore cognitive functio ...
NOV 09, 2020
Drug Discovery & Development
New Immunotherapy Shows Promise for MS
NOV 09, 2020
New Immunotherapy Shows Promise for MS
Researchers from Thomas Jefferson University in Philadelphia are studying an immunotherapy that has shown early pro ...
Loading Comments...