What percentage of depression patients are good candidates for deep brain stimulation (DBS)?

Experimental. DBS of Cingulate Gyrus area 25 of the brain with electrodes has demonstrated positive benefits for some very depressed folks. The treatment is surgery, however, and is still classed as experimental. What constitutes a good candidate varies, but usually includes refractory response to other methods and a reasonable health status to survive surgery. Not enough is yet known for longterm effects.

Related Questions

What percentage of Parkinson's disease patients are good candidates for deep brain stimulation (DBS)?

Parkinson Diseases. DBS is typically reserved for patients with end stage type disease that failing medications. It is not a first line type of therapy. Read more...

Is deep brain stimulation for depression helpful?

For a few pts. People who have this do seem to benefit in the main but this is sort of a last ditch procedure for pts with treatment depressions who have tried mainy other approaches without success. Read more...
Very Likely. Dbs is the surgical placement of electrodes on 2 brain sites, which are then stimulated by electric currents. A small study suggests that dbs might be helpful for 60% of people who get treated with it - which is a good result when you are treating treatment refractory cases. Due to its invasiveness meds, transcranial magnetic stimulation (tms), and ECT should probably be considered beforehand. Read more...

Are any of your doctors involved in studies for deep brain stimulation for depression? I would like to ask them some questions.

Clinicaltrials.gov. This website will steer you to all the approved research going on right now. Dbs sounds promising but only for the most severe & refractory cases. Read more...
What Questions? Are you referring to transcranial magnetic stimulation? If so, there is evidence to support its use for depression. The current evidence is that it is a fairly low risk treatment with reasonable benefit. It is expensive and it requires intensive treatment for several weeks to receive benefit (4-5 treatments a week for about 6 weeks). Read more...

Is deep brain stimulation being used for major depressive disorder? Is it like ect of years past?

No. If you are referring to the practice of magnetic stimulation, then the answer is a strong no. This is a very different type of treatment than ect, and it appears to be much safer. It has been studied extensively for years prior to government approval. Read more...
Some Confusion. Electro convulsive therapy (ect), repetitive transcranial magnetic stimulation (rtms), and deep brain stimulation (dbs), are used in the treatment of major depression. Only ECT and rtms have fda approval. In ECT an electric charge is passed through the brain, in rtms strong magnetic fields are created in areas of the brain, and with dbs implanted electrodes deliver electricity to the brain. Read more...

What is the average age of Parkinson's patients who respond to deep brain stimulation (dbs)?

Actually, . I have met patients who are in their 40's and 50's who have had the procedure. The more we learn, about dbs, and the more cases of parkinson's presenting earlier, suspect we will be utilizing variations of dbs sooner in the disease course. But cannot get success in pts who do not respond to l-dopa. Read more...
Average ages. The average age of diagnosis of PD is about 62. The vast majority of my DBS patients are in their 60s. However, I have operated on patients as young as 38 for early onset PD with great results. A thorough evaluation including a and On/Off evaluation and neuropsych testing is needed to determine candidacy at whatever age. Response to LDOPA is also very important. Read more...

Are patients with Alzheimer's able to consent to deep brain stimulation?

The capacity. To consent to a medical procedure is not based on the diagnosis but is instead based on the individual's level of functioning (or impairment). Read more...
Brain damage. If the patient has been diagnosed with alzheimers then someone has to assess whether the patient is able to give consent - this is usually done by the hospital staff or the surgeon doing the surgery. Read more...
Dementia & DBS. Those patients with Dementia such as Alzheimers can not undergo or consent for Deep Brain Stimulator Surgery. Every patient under Medicare and by physicians are required to undergo Neuropsychological Testing to look for Dementia. Dementia is a contraindication for Deep Brain Stimulation in Parkinson Disease. Read more...

What's the cost range, if you had to guess, of Deep Brain Stimulation surgery for severe OCD patients?

Deep Brain Stimula- tion is approved by most insurance companies for adults with OCD who have failed to show improvement on at least 3 different SSRI's & Cognitive-Behavioral Therapy. It requires prior approval. The out-of-pocket expense varies with the type of coverage you have & the guidelines of your medical insurance company. Read more...

How do I know if I am a candidate for deep brain stimulation?

Tertiary care. It is best to first consult with a neurologist who is a specialist in movement disorders. Subsequently, a neurosurgeon who specializes in 'functional neurosurgery' will make the final determination. Read more...
Great question. However, you are far too young! parkinson's patients gradually deteriorate and develop less response to medications over the years, and develop on/off responses which may totally cripple adl activity. The dbs unit may allow far better function, and reverse most of the problems. It is not curative, but may be dramatic in controlling tremors and variation in function. Read more...
Patient Selection. 1st see a Neurologist with a fellowship in Movement disorders to verify the diagnosis & make sure you do not have a look alike as well as a good candidate. There are self-proclaimed Movement Disorder Specialists. You will then be sent for a Neuropsychology Evaluation. The Movement Disorder Specialist will make the final decision & send you to a Neurosurgeon to be implanted. Read more...

I will be tested for candidate for deep brain stimulation surgery. Is there financial help for this procedure?

Usually. Olivia, you should ask the manager at the specific office where you got tested. There should be different ways of getting financial help. Alternatively a social worker might help finding financial resources. Read more...