With the successful clinical application of deep brain electrical stimulation for Parkinson’s patients, more and more Parkinson’s patients have received deep brain electrical stimulation (DBS), due to the long application time of the stimulator, but Parkinson’s disease will continue to change due to numerous factors, resulting in many post-operative patients will encounter some problems of program control, the following are some of the questions to answer.
1.When to start the program control
It is usually started 1 month after the surgery, in order to exclude the “micro-destructive effect” caused by the mechanical destruction of the nucleus by electrode implantation;
2.What preparation is needed before the procedure
A. Make an appointment for the patient to come to the hospital for the procedure in the morning if possible, and stop taking anti-Parkinsonian drugs the night before or longer;
B. Check the patient’s surgical wound before the procedure;
C. Perform the initial procedure according to the patient’s surgical target and main symptoms (tremor, gait disturbance, etc.);
D. Check and record the resistance value of the device during the first program control;
E. The programmed control should start from the side with heavy disease, and then the side with light disease;
2.How long is the program control cycle
Excluding the first start-up failure requires repeated debugging, the general cycle in 6-12 months, depending on the progress of Parkinson’s disease speed.
3.When is program control needed
A, 10-15 days after drug reduction, the symptoms worsen;
B.I feel that the symptoms are aggravated, and the open period is shortened;
C.Adding other uncomfortable symptoms and can be relieved during the opening period of medication;
D.Suddenly the symptoms are aggravated and the self-switch is not effective;
E.Magnetic resonance examination must be performed;
4.Important factors for disease control other than program control
Although deep brain electrical stimulation can effectively control the symptoms of Parkinson’s patients and improve their quality of life, there are many factors other than surgery and program control that are equally important for controlling the disease.
A. Stable emotional psychology;
B. Smooth symptomatic medication;
C. Reasonable expected goals;
D. Continuous rehabilitation exercises;