How to Turn Off a Deep Brain Stimulator
Deep brain stimulation (DBS) is a surgical procedure that involves the implantation of electrodes into specific areas of the brain to treat various neurological disorders such as Parkinson’s disease, essential tremor, and dystonia. While DBS can significantly improve the quality of life for patients, there may be instances when turning off the stimulator is necessary. This article will guide you through the process of how to turn off a deep brain stimulator.
Understanding the Procedure
Before learning how to turn off a deep brain stimulator, it’s essential to understand the procedure itself. A DBS system consists of an electrode, a lead, and a neurostimulator. The electrode is implanted into the brain, the lead is connected to the electrode, and the neurostimulator is placed under the skin in the upper chest area. The neurostimulator sends electrical impulses to the brain to modulate abnormal neural activity.
Turning Off the Stimulator
To turn off a deep brain stimulator, follow these steps:
1. Locate the neurostimulator: The neurostimulator is usually placed under the skin in the upper chest area. You may need to feel for a small, flat, and round device under your skin to find it.
2. Clean the area: Wash your hands thoroughly and clean the area around the neurostimulator with an alcohol swab to prevent infection.
3. Press the activation button: Most DBS systems have an activation button on the neurostimulator. Press and hold the button for a few seconds to turn off the stimulator. You may hear a “click” sound indicating that the stimulator has been turned off.
4. Verify the stimulator is off: Check the stimulator’s settings or use a remote control device (if available) to confirm that the stimulator is turned off. The device should not be delivering electrical impulses to the brain.
5. Seek medical advice: It’s crucial to consult with your healthcare provider before turning off the stimulator, as they can provide guidance on the appropriate timing and duration of the stimulator’s disconnection.
Risks and Precautions
While turning off a deep brain stimulator is generally a safe process, there are potential risks and precautions to consider:
1. Infection: There is a risk of infection at the site where the neurostimulator is implanted. Keep the area clean and follow your healthcare provider’s instructions for wound care.
2. Device malfunction: There is a possibility that the stimulator may not turn off as intended. If this occurs, seek immediate medical attention.
3. Temporary symptoms: Some patients may experience temporary symptoms such as increased tremors or stiffness when the stimulator is turned off. These symptoms usually resolve once the stimulator is reactivated.
Conclusion
Understanding how to turn off a deep brain stimulator is an important skill for patients and caregivers. By following the steps outlined in this article and consulting with healthcare providers, you can ensure a safe and effective process. Remember, the decision to turn off the stimulator should always be made in collaboration with your healthcare team.
