Telemedical Deep Brain Stimulation: Merits and Limitations

Zhang, Chencheng; Zhang, Yingying; Zhan, Siyan; Li, Dianyou; Jin, Haiyan; Denys, Damiaan; Sun, Bomin

doi:10.1159/000491603

Cited by 21 publications

(20 citation statements)

References 9 publications

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“…Both SceneRay and PINS promote web-based, remote, wireless DBS programming systems in which patients may have their DBS settings adjusted at home by a clinician remotely located in a hospital or clinic. While the advantages of remote programming capabilities include increased access to neurologists and reduced travel costs for patients, the programming sessions tend to be lengthier and susceptible to network instability and communication errors [ 59 ].…”

Section: Update On Devicesmentioning

confidence: 99%

Update on Current Technologies for Deep Brain Stimulation in Parkinson’s Disease

Paff

Loh

Sarica

et al. 2020

JMD

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Deep brain stimulation (DBS) is becoming increasingly central in the treatment of patients with Parkinson’s disease and other movement disorders. Recent developments in DBS lead and implantable pulse generator design provide increased flexibility for programming, potentially improving the therapeutic benefit of stimulation. Directional DBS leads may increase the therapeutic window of stimulation by providing a means of avoiding current spread to structures that might give rise to stimulation-related side effects. Similarly, control of current to individual contacts on a DBS lead allows for shaping of the electric field produced between multiple active contacts. The following review aims to describe the recent developments in DBS system technology and the features of each commercially available DBS system. The advantages of each system are reviewed, and general considerations for choosing the most appropriate system are discussed.

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Section: Update On Devicesmentioning

confidence: 99%

Update on Current Technologies for Deep Brain Stimulation in Parkinson’s Disease

Paff

Loh

Sarica

et al. 2020

JMD

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“…Digital health solutions have shown great promise in health care, including neurological care. Acute stroke management in hospitals without a specialized team has been achieved by means of tele-stroke solutions, bringing the expertise of specialized centers to suburban areas and rural communities (1). Likewise, simple videocalling technologies that are now almost ubiquitous in every smart phone have been used to diagnose and treat patients with Parkinson's disease and other neurological disorders (2,3).…”

Section: Introductionmentioning

confidence: 99%

The Need for Digital Health Solutions in Deep Brain Stimulation for Parkinson’s Disease in the Time of COVID-19 and Beyond

Rammo

Gostkowski

Rasmussen

et al. 2021

Neuromodulation: Technology at the Neural Interface

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Objectives Deep brain stimulation (DBS) is a well‐established therapy for the management of patients with advanced Parkinson's disease and other movement disorders. Patients implanted with DBS require life‐long management of the medical device as well as medications. Patients are often challenged to frequently visit the specialized DBS centers and such challenges are aggravated depending on geography, socioeconomic factors, and support systems. We discuss the need for digital health solutions to overcome these barriers to better and safely take care of patients, especially in the current COVID‐19 pandemic. Materials and Methods A review of the literature was conducted for technology and logistics necessary in forming a digital health program. Results Digital health encounters can take place in both a synchronous and asynchronous manner. Factors involving patients include cognitive capacity, physical safety, physical capacity, connectivity, and technological security. Physician factors include examining the patient, system diagnostics, and adjusting stimulation or medications. Technology is focused on bridging the gap between patient and physician through integrating the DBS lead, implantable pulse generator (IPG), programmer, novel devices/applications to grade motor function, and teleconference modalities. Conclusions For patients with Parkinson's disease, digital health has the potential to drastically change the landscape after DBS surgery. Furthermore, technology is fundamental in connectivity, diagnostic evaluation, and security in order to create stable and useful patient‐focused care.

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“…The definition of response varies, but it is frequently set as a decrease by 50% in depressive symptoms assessed using HDRS and MADRS. 105 Even though the former has different versions and numbers of items (i.e. HDRS-17, -21, -24, and -28), the exact scale is not always mentioned in the studies.…”

Section: Discussionmentioning

confidence: 99%

Deep Brain Stimulation for the Treatment of Resistant Depression: Systematic Review of the Literature

2019

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Depression is the leading cause of disability worldwide, and it is related to high suicide rates. Furthermore, a great number of patients do not respond to any of the available treatments. Deep brain stimulation (DBS), a versatile technology with expanding indications, is considered a potential treatment for resistant depression. However, in over 10 years of clinical research, its efficacy has not been completely proven. Although new trials using DBS for treatment-resistant depression keep emerging, two of the three Level I evidence-based studies recently conducted have not provided conclusive data. Methodological limitations and major biases have compromised the obtention of clearer results. In this systematic review of the literature, we intend to critically assess the clinical trials performed in this field.

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Telemedical Deep Brain Stimulation: Merits and Limitations

Cited by 21 publications

References 9 publications

Update on Current Technologies for Deep Brain Stimulation in Parkinson’s Disease

Update on Current Technologies for Deep Brain Stimulation in Parkinson’s Disease

The Need for Digital Health Solutions in Deep Brain Stimulation for Parkinson’s Disease in the Time of COVID-19 and Beyond

Deep Brain Stimulation for the Treatment of Resistant Depression: Systematic Review of the Literature

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