Psychiatric neurosurgery in the 21st century: overview and the growth of deep brain stimulation

Ambulatory deep brain stimulation (DBS) became possible in the late 1980s and was initially used to treat people with movement disorders. Trials of DBS in people with treatment-resistant psychiatric disorder began in the late 1990s, initially focusing on obsessive-compulsive disorder, major depressi...

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Veröffentlicht in:BJPsych Bulletin 2017-10, Vol.41 (5), p.281-286
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description Ambulatory deep brain stimulation (DBS) became possible in the late 1980s and was initially used to treat people with movement disorders. Trials of DBS in people with treatment-resistant psychiatric disorder began in the late 1990s, initially focusing on obsessive-compulsive disorder, major depressive disorder and Tourette syndrome. Despite methodological issues, including small participant numbers and lack of consensus over brain targets, DBS is now being trialled in a wide range of psychiatric conditions. There has also been more modest increase in ablative procedures. This paper reviews these developments in the light of contemporary brain science, considers future directions and discusses why the approach has not been adopted more widely within psychiatry.
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source Cambridge Journals Open Access; DOAJ Directory of Open Access Journals; Applied Social Sciences Index & Abstracts (ASSIA); EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects 21st century
Brain
Current Practice
Deep brain stimulation
Depressive personality disorders
Mental depression
Methodological problems
Movement disorders
Neurosurgery
Obsessive compulsive disorder
Psychiatry
Stimulation
Tourette syndrome
title Psychiatric neurosurgery in the 21st century: overview and the growth of deep brain stimulation
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