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Deep Brain Stimulation Telemedicine for Psychiatric Patients during the COVID-19 Pandemic
Brain Stimulation ( IF 7.7 ) Pub Date : 2020-09-01 , DOI: 10.1016/j.brs.2020.06.011 Chencheng Zhang 1 , Kaiwen Zhu 1 , Dianyou Li 1 , Valerie Voon 2 , Bomin Sun 1
Brain Stimulation ( IF 7.7 ) Pub Date : 2020-09-01 , DOI: 10.1016/j.brs.2020.06.011 Chencheng Zhang 1 , Kaiwen Zhu 1 , Dianyou Li 1 , Valerie Voon 2 , Bomin Sun 1
Affiliation
We read with great interest the recent paper by Caulfield and George [1], in which they discuss how at-home neurotherapeutics, including self-administered repetitive transcranial magnetic stimulation and transcranial direct current stimulation, could assist to manage some of the potential mental health problems, particularly depression, caused by self-isolation during the COVID-19 pandemic. We concur with their view, but the authors did not discuss another neurotherapeutic technique that could be translated into a home setting, namely deep brain stimulation (DBS). Here, we briefly describe our experiences with the application of DBS telemedicine to maintain the delivery of DBS treatment and care to psychiatric patients who needed to remain at home during the COVID-19 outbreak and lockdown of the city of Wuhan (from 23rd January to 8th April 2020). DBS is an implantable neurosurgical treatment that has been approved for the management of intractable obsessivecompulsive disorder (OCD) in many countries since 2009 [2]. Over the past three decades, the clinical utility of DBS has also been explored for other treatment-resistant psychiatric disorders, including major depressive disorder (MDD) [3], Tourette’s syndrome [4], anorexia nervosa [5], and substance use disorders [6]. Usually, carefully selected patients receive DBS surgery at a specialized center and are advised to attend regular face-to-face clinical follow-ups and personalized DBS parameter (e.g., stimulation frequency, pulse width or voltage) adjustments at a DBS outpatient clinic to achieve the optimal DBS therapeutic effects. In China, new DBS systems incorporating information communication technology have been developed and utilized to deliver DBS treatment and care to patients with movement disorders at home [7]. The use of DBS telemedicine enables clinicians not only to remotely make therapeutic DBS parameter adjustments and battery checks, but also to offer medical consults and psychological support while patients are within their own home setting, regardless of whether they live in urban or rural areas.
更新日期：2020-09-01
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