Hinnovic » Dossiers » Nos contenus : "La stimulation cérébrale profonde"

Connaissez-vous la stimulation cérébrale profonde?

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Ce nouveau dossier d’Hinnovic explore une intervention délicate, complexe, coûteuse et invasive : la stimulation cérébrale profonde (SCP). Utilisée pour le traitement des symptômes sévères de certaines maladies neurodégénératives comme la maladie de Parkinson, le tremblement essentiel et la dystonie, et de plus en plus dans le domaine psychiatrique pour traiter certaines conditions telles la […]

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What is deep brain stimulation?

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In this dossier, Hinnovic explores a complex, delicate, expensive and invasive procedure: deep brain stimulation (DBS). Used to treat severe symptoms of neurodegenerative diseases like Parkinson’s disease, essential tremor and dystonia, and increasingly used in psychiatry to treat conditions such as depression and compulsive disorders, deep brain stimulation may improve patient’s quality of life, but […]

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Une intervention complexe avec des effets impressionnants – Un mot de la directrice d’Hinnovic

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La stimulation cérébrale profonde (SCP) est une intervention encore méconnue, mais dont la description ne laisse personne indifférent. Cette intervention frappe l’imaginaire et peut susciter enthousiasme ou méfiance. Pourquoi? Peut-être parce que comme d’autres interventions médicales qui sont impressionnantes sur le plan technologique aussi bien que clinique, la SCP affecte ce que nous voyons en […]

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A Complex Intervention with Striking Results – A Word from the Chair of Hinnovic

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While few of us may be aware of what Deep Brain Stimulation (DBS) is, its description can only strike everyone’s imagination, provoking either enthusiasm or suspicion. Why? Perhaps because like other medical interventions that are technologically as well as clinically impressive, DBS affects what one may see in it.  

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SCP – Les enjeux de la règlementation : entrevue avec Ghislaine Mathieu

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Quelles sont les grandes étapes règlementaires par lesquelles des dispositifs médicaux invasifs tels que la stimulation cérébrale profonde doivent passer avant d’être approuvés par le système de santé canadien? Y a-t-il des faiblesses dans le processus d’approbation de tels dispositifs médicaux et si oui lesquelles? En quoi ce processus diffère-t-il de celui d’autres pays? Quelles […]

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Deep brain stimulation for whom? The challenges of patient selection

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Deep brain stimulation is an approved and effective neurosurgical intervention for motor disorders such as Parkinson’s disorder and essential tremor. It is an experimental procedure for the treatment of a number of psychiatric conditions, namely the treatment of refractory depression. In Parkinson’s disease, DBS alleviates some of the symptoms of the disorders and may improve […]

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How to make vulnerable and often desperate patients understand the risks and benefits of DBS? The challenges of informed consent

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Informed consent is a fundamental requirement of modern medicine. Patients or an authorized proxy should agree to the procedures that will be performed based on a reasonable understanding and appreciation of the risks and benefits the intervention entails. In cases where the disease process itself impacts cognitive function or disturbs mood such as in psychiatric […]

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In an overburdened health care system, who will have access to DBS first? The challenges of resource allocation

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DBS costs tens of thousands of dollars per patient. Though a certain number of studies have shown its cost-effectiveness for Parkinson’s disorders (Bell et al, 2009, 581), it remains a large investment. Regulators, administrators and insurers may feel obliged to restrict the amount of DBS interventions performed, even more so if its use is significantly […]

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How to address one of the paradoxes of DBS: “a distressed mind in a repaired body”? The challenges of personhood and identity

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The effect of DBS on the motor symptoms of essential tremor and Parkinson’s is well established. However, the effect of DBS on cognition and behaviour in motor disorders is less well established. There have been observations of depression and even suicide in patients with Parkinson’s after DBS surgery. These observations are somewhat perplexing since such […]

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