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Obsessive-Compulsive Disorder (OCD)
DBS Therapy for OCD targets precise areas of the brain linked to obsessive-compulsive disorder.
DBS uses a surgically implanted medical device, similar to a cardiac pacemaker, to deliver carefully controlled electrical stimulation. The stimulation is sent to a precisely targeted structure within the brain, the anterior limb of the internal capsule (AIC).
DBS treats the symptoms of OCD. It is not a cure, and some symptoms may remain even with the treatment. If stimulation is discontinued, the symptoms will likely return.
The DBS system is implanted inside the body and includes the following components.
These electrical pulses are delivered through the extension and lead to the targeted areas in the brain. Your clinician can adjust the pulses wirelessly to check or change the neurostimulator settings.
Once the neurostimulator has been activated following surgery, it can be programmed by your clinician to find the level of stimulation that maximises benefits while minimising side effects. The clinician uses a programming device to make non-invasive adjustments to the neurostimulator. It may take several months to find the right level of stimulation.
Depending on the system and your therapy needs, you may have a controller that will allow you to turn the system on and off, adjust the stimulation, and check the battery.
How long the neurostimulator's battery lasts depends on the settings. Before the battery runs out, the neurostimulator can be replaced in a surgical procedure that does not require an overnight stay in the hospital. Leads and extensions don’t typically need to be replaced.
Indications: The Medtronic Reclaim™ DBS Therapy is indicated for bilateral stimulation of the anterior limb of the internal capsule, AIC, as an adjunct to medications and as an alternative to anterior capsulotomy for treatment of chronic, severe, treatment-resistant obsessive compulsive disorder (OCD) inadult patients who have failed at least three selective serotonin reuptake inhibitors (SSRIs).
Reclaim DBS Therapy for OCD is available in a very limited number of centres. Only a specialised multidisciplinary group of physicians can determine whether this therapy is right for the patient.
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.