QUESTIONS ABOUT DBS THERAPY FOR OCD
Here are some common questions. Further queries should be directed to a healthcare professional.
- Does deep brain stimulation (DBS) cure OCD?
- What are the implanted components of the Medtronic DBS system?
- Can other people see the components of the system?
- What is the typical length of hospitalization for tests, procedure, and recovery?
- Does the DBS system make any noise?
- Is it safe to have medical procedures with the system implanted?
- How is the stimulation adjusted?
- What is the history of DBS?
- What is a Humanitarian Use Device?
- What is the cost of Medtronic DBS Therapy for OCD?
- Will my insurance cover DBS?
DOES DEEP BRAIN STIMULATION (DBS) CURE OCD?
There is no cure for obsessive-compulsive disorder at this time. DBS Therapy may treat some of the symptoms of OCD but does not cure the underlying condition. If stimulation is discontinued, symptoms will likely return. If symptoms persist, or if they worsen or change unexpectedly, talk to a health professional.
WHAT IMPLANTED COMPONENTS MAKE UP A DBS SYSTEM?
The DBS system consists of the following implanted components:
- Two leads implanted in the brain
- Two extensions threaded under the skin from the head, down the neck, and into the upper chest
- One or two neurostimulators implanted under the skin below the collarbone and connected to the extensions
Sometimes called a “brain pacemaker,” the neurostimulator produces the electrical signals needed for stimulation. These electrical pulses are delivered through the extension and lead to the targeted areas in the brain. The pulses can be adjusted wirelessly to check or change the neurostimulator settings.
COMPONENTS OF A DBS SYSTEM
Depending on a persons body build, the neurostimulator may be noticeable as a small bulge under the skin. It typically isn't noticeable under clothes. There also may be a slight bump on the top of the head, but it usually isn't visible under hair.
WHAT IS THE TYPICAL LENGTH OF HOSPITALISATION FOR TESTS, PROCEDURE, AND RECOVERY?
Most people spend a couple of days at the hospital. Healing can take several weeks. The HCP may prescribe medication to control any discomfort.
DOES THE DBS SYSTEM MAKE ANY NOISE?
No.
ARE MRI'S ALLOWED?
The DBS system allows access to MRI anywhere on the body with some Medtronic DBS systems under certain conditions — giving the doctor an important tool for diagnosis. Certain DBS Systems will allow an MRI to be conducted anywhere on the body -giving doctors an important tool for diagnosis. However, some DBS systems will not. Some DBS systems
will even be able to remain on during an MRI allowing for the quality of the image to be improved, while others will need to be turned off. Patient should consult their doctor before engaging in any medical treatment or diagnostic test (for example, mammograms, electrocautery, MRI, or heart defibrillation). Electroconvulsive Therapy (ECT), Transcranial Magnetic Stimulation (TMS), and diathermy (deep heat treatment) should not be permitted under any circumstances. Before any MRI appointment read the MRI section of the patient manual
HOW IS THE STIMULATION ADJUSTED?
The doctor will program the stimulation levels wirelessly. The process is a noninvasive way of adjusting stimulation to meet individual symptom control needs.
WHAT DOES A DBS SYSTEM COST?
The total cost varies significantly. Please contact a healthcare provider for an estimate of the costs associated with DBS Therapy.