Novel applications of deep brain stimulation
Identifieur interne : 001168 ( Main/Exploration ); précédent : 001167; suivant : 001169Novel applications of deep brain stimulation
Auteurs : Tejas Sankar [Canada] ; Travis S. Tierney [Canada] ; Clement Hamani [Canada]Source :
- Surgical Neurology International [ 2229-5097 ] ; 2012.
Abstract
The success of deep brain stimulation (DBS) surgery in treating medically refractory symptoms of some movement disorders has inspired further investigation into a wide variety of other treatment-resistant conditions. These range from disorders of gait, mood, and memory to problems as diverse as obesity, consciousness, and addiction. We review the emerging indications, rationale, and outcomes for some of the most promising new applications of DBS in the treatment of postural instability associated with Parkinson's disease, depression, obsessive–compulsive disorder, obesity, substance abuse, epilepsy, Alzheimer′s-type dementia, and traumatic brain injury. These studies reveal some of the excitement in a field at the edge of a rapidly expanding frontier. Much work still remains to be done on basic mechanism of DBS, optimal target and patient selection, and long-term durability of this technology in treating new indications.
Url:
DOI: 10.4103/2152-7806.91607
PubMed: 22826807
PubMed Central: 3400483
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Novel applications of deep brain stimulation</title><author><name sortKey="Sankar, Tejas" sort="Sankar, Tejas" uniqKey="Sankar T" first="Tejas" last="Sankar">Tejas Sankar</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Tierney, Travis S" sort="Tierney, Travis S" uniqKey="Tierney T" first="Travis S." last="Tierney">Travis S. Tierney</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Hamani, Clement" sort="Hamani, Clement" uniqKey="Hamani C" first="Clement" last="Hamani">Clement Hamani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22826807</idno><idno type="pmc">3400483</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3400483</idno><idno type="RBID">PMC:3400483</idno><idno type="doi">10.4103/2152-7806.91607</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000390</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000390</idno><idno type="wicri:Area/Pmc/Curation">000390</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000390</idno><idno type="wicri:Area/Pmc/Checkpoint">000791</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000791</idno><idno type="wicri:Area/Ncbi/Merge">001206</idno><idno type="wicri:Area/Ncbi/Curation">001206</idno><idno type="wicri:Area/Ncbi/Checkpoint">001206</idno><idno type="wicri:doubleKey">2229-5097:2012:Sankar T:novel:applications:of</idno><idno type="wicri:Area/Main/Merge">001190</idno><idno type="wicri:Area/Main/Curation">001168</idno><idno type="wicri:Area/Main/Exploration">001168</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Novel applications of deep brain stimulation</title><author><name sortKey="Sankar, Tejas" sort="Sankar, Tejas" uniqKey="Sankar T" first="Tejas" last="Sankar">Tejas Sankar</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Tierney, Travis S" sort="Tierney, Travis S" uniqKey="Tierney T" first="Travis S." last="Tierney">Travis S. Tierney</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Hamani, Clement" sort="Hamani, Clement" uniqKey="Hamani C" first="Clement" last="Hamani">Clement Hamani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">Surgical Neurology International</title><idno type="ISSN">2229-5097</idno><idno type="eISSN">2152-7806</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The success of deep brain stimulation (DBS) surgery in treating medically refractory symptoms of some movement disorders has inspired further investigation into a wide variety of other treatment-resistant conditions. These range from disorders of gait, mood, and memory to problems as diverse as obesity, consciousness, and addiction. We review the emerging indications, rationale, and outcomes for some of the most promising new applications of DBS in the treatment of postural instability associated with Parkinson's disease, depression, obsessive–compulsive disorder, obesity, substance abuse, epilepsy, Alzheimer′s-type dementia, and traumatic brain injury. These studies reveal some of the excitement in a field at the edge of a rapidly expanding frontier. Much work still remains to be done on basic mechanism of DBS, optimal target and patient selection, and long-term durability of this technology in treating new indications.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Aarsland, D" uniqKey="Aarsland D">D Aarsland</name></author><author><name sortKey="Marsh, L" uniqKey="Marsh L">L Marsh</name></author><author><name sortKey="Schrag, A" uniqKey="Schrag A">A Schrag</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ackermans, L" uniqKey="Ackermans L">L Ackermans</name></author><author><name sortKey="Duits, A" uniqKey="Duits A">A Duits</name></author><author><name sortKey="Temel, Y" uniqKey="Temel Y">Y Temel</name></author><author><name sortKey="Winogrodzka, A" uniqKey="Winogrodzka A">A Winogrodzka</name></author><author><name sortKey="Peeters, F" uniqKey="Peeters F">F Peeters</name></author><author><name sortKey="Beuls, Ea" uniqKey="Beuls E">EA 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uniqKey="Gill S">S Gill</name></author><author><name sortKey="Varma, T" uniqKey="Varma T">T Varma</name></author><author><name sortKey="Jenkinson, C" uniqKey="Jenkinson C">C Jenkinson</name></author><author><name sortKey="Quinn, N" uniqKey="Quinn N">N Quinn</name></author><author><name sortKey="Mitchell, R" uniqKey="Mitchell R">R Mitchell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wind, Jj" uniqKey="Wind J">JJ Wind</name></author><author><name sortKey="Anderson, De" uniqKey="Anderson D">DE Anderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wright, Gd" uniqKey="Wright G">GD Wright</name></author><author><name sortKey="Mclellan, Dl" uniqKey="Mclellan D">DL McLellan</name></author><author><name sortKey="Brice, Jg" uniqKey="Brice J">JG Brice</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author><author><name sortKey="Katayama, Y" uniqKey="Katayama Y">Y Katayama</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author><author><name sortKey="Kobayashi, K" uniqKey="Kobayashi K">K Kobayashi</name></author><author><name sortKey="Kasai, M" uniqKey="Kasai M">M Kasai</name></author><author><name sortKey="Oshima, H" uniqKey="Oshima H">H Oshima</name></author><author><name sortKey="Fukaya, C" uniqKey="Fukaya C">C Fukaya</name></author><author><name sortKey="Katayama, Y" uniqKey="Katayama Y">Y Katayama</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhou, H" uniqKey="Zhou H">H Zhou</name></author><author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name></author><author><name sortKey="Jiang, J" uniqKey="Jiang J">J Jiang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Sankar, Tejas" sort="Sankar, Tejas" uniqKey="Sankar T" first="Tejas" last="Sankar">Tejas Sankar</name></noRegion><name sortKey="Hamani, Clement" sort="Hamani, Clement" uniqKey="Hamani C" first="Clement" last="Hamani">Clement Hamani</name><name sortKey="Tierney, Travis S" sort="Tierney, Travis S" uniqKey="Tierney T" first="Travis S." last="Tierney">Travis S. 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