Whatexpectations are in Deep brain stimulation
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Deep brain stimulation (DBS) holds various expectations in the field of neurostimulation. Patients undergoing DBS for conditions like Parkinson's disease and treatment-resistant depression anticipate outcomes such as decreased dependence, improved quality of life, and a sense of accomplishment . However, the decision-making process for DBS is influenced by desperation and hopelessness, challenging the informed consent procedure . Patients may experience unexpected cognitive, emotional, and physical effects post-DBS, leading to a perception of DBS as a "roller coaster ride" with fluctuating mood states . Additionally, newer DBS systems offer enhanced features that may raise patient expectations regarding further clinical improvement through additional programming, compared to established systems . These diverse expectations highlight the complexity and evolving nature of DBS interventions.
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| Papers (5) | Insight |
|---|---|
Open access•Dissertation 01 Jan 2015 | Expectations in Deep Brain Stimulation (DBS) for depression include technological advancements, brain region selection, patient selection, personality changes, and quality of life considerations. |
| Patients receiving newer DBS systems have higher expectations for further clinical improvement through additional programming compared to those with established systems, potentially leading to increased satisfaction but also frustrations. | |
01 Aug 2020 2 Citations | Patients undergoing Deep Brain Stimulation (DBS) for Parkinson's disease expect decreased dependence, a sense of accomplishment, and an improved quality of life, as highlighted in the study. |
| Deep brain stimulation (DBS) aims to alleviate symptoms and reduce medication dependency, enhancing patients' quality of life by targeting specific brain areas for various movement disorders. | |
6 Citations | Patients and caregivers undergoing Deep Brain Stimulation for Treatment-Resistant Depression had expectations of improved quality of life, but experienced unexpected cognitive, emotional, and physical changes post-stimulation. |
Related Questions
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What is deep brain stimulation?5 answersDeep brain stimulation (DBS) is a therapeutic technique that involves delivering electrical current to specific brain structures using an implanted electrode. DBS has been effective in reducing symptoms of Parkinson's disease, essential tremor, dystonia, Tourette syndrome, obsessive-compulsive disorder, and depression. It is used as an alternative to permanent neuroablative procedures and involves placing an electrode into the identified area of the brain and delivering electrical pulses. DBS has been shown to have clinical efficacy in various neurological and psychiatric indications, including Parkinson's disease, dystonia, refractory tremor, epilepsy, and certain pain syndromes. It is a surgical treatment option for disabling symptoms of neurologic diseases such as Parkinson's disease, essential tremor, dystonia, obsessive-compulsive disorder, Tourette syndrome, neuropathic pain, and depression. The precise mechanisms of action for DBS are still uncertain, but it has provided remarkable therapeutic benefits and can help to provide insights into brain function.
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What are the effects of transcranial direct current stimulation (tDCS) on neuronal functions?5 answersTranscranial direct current stimulation (tDCS) has been studied for its effects on neuronal functions. Research has shown that tDCS can alter brain reactivity to cues associated with chronic substance use. It has also been found to modulate the levels of pro-inflammatory cytokines, which are associated with pain and various pathologies. In individuals with schizophrenia, tDCS has been shown to enhance local cortical plasticity and improve motor learning, with effects on both learning and connectivity in visuomotor regions. Additionally, tDCS has been investigated for its effects on reducing drug craving and increasing cognitive functions in methamphetamine addicts, with significant improvements in cognitive inhibition observed. These findings suggest that tDCS has the potential to modulate neural responses, alter cytokine levels, enhance motor learning, and improve cognitive functions.
What are the potential future directions for deep brain stimulation technology?3 answersPotential future directions for deep brain stimulation (DBS) technology include advancements in closed-loop systems, new targets for neuropsychiatric conditions, and improvements in hardware and software. Closed-loop DBS systems, which analyze neural biomarkers and adjust stimulation in real-time, offer personalized and energy-efficient treatment. DBS is being investigated for other neuropsychiatric conditions such as dementia, depression, pain, Tourette syndrome, and epilepsy, with new targets being explored to improve symptoms. Advances in hardware, such as directional leads and sensing electrodes, allow for more precise stimulation and feedback from local field potentials. Software developments have simplified programming algorithms and introduced remote management and imaging tools for DBS planning and targeting. Surgical accuracy has improved with guidance techniques and robotic-assisted surgery. These advancements in closed-loop systems, new targets, hardware, software, and surgical techniques are expected to enhance the efficacy and tolerability of DBS in the future.
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