Deep Brain Stimulation for Obsessive-Compulsive Disorder and Depression

被引:27
作者
Sheth, Sameer A. [1 ,2 ,3 ]
Mayberg, Helen S. [4 ,5 ,6 ,7 ]
机构
[1] Baylor Coll Med, Dept Neurosurg, Houston, TX 77030 USA
[2] Baylor Coll Med, Dept Psychiat & Behav Sci, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Neruosci, Houston, TX 77030 USA
[4] Icahn Sch Med, Dept Neurol, New York, NY USA
[5] Icahn Sch Med Mt Sinai, Dept Neurosurg, New York, NY USA
[6] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY USA
[7] Icahn Sch Med Mt Sinai, Dept Neurosci, New York, NY USA
关键词
DBS; psychiatric neurosurgery; depression; OCD; neuromodulation; VENTRAL CAPSULE/VENTRAL STRIATUM; SUBTHALAMIC NUCLEUS STIMULATION; ELECTRICAL-STIMULATION; ANTERIOR CINGULOTOMY; FUNCTIONAL CONNECTIVITY; PARKINSONS-DISEASE; INTERNAL CAPSULES; LESION; CAPSULOTOMY; MULTICENTER;
D O I
10.1146/annurev-neuro-110122-110434
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The field of stereotactic neurosurgery developed more than 70 years ago to address a therapy gap for patients with severe psychiatric disorders. In the decades since, it has matured tremendously, benefiting from advances in clinical and basic sciences. Deep brain stimulation (DBS) for severe, treatment-resistant psychiatric disorders is currently poised to transition from a stage of empiricism to one increasingly rooted in scientific discovery. Current drivers of this transition are advances in neuroimaging, but rapidly emerging ones are neurophysiological-as we understand more about the neural basis of these disorders, we will more successfully be able to use interventions such as invasive stimulation to restore dysfunctional circuits to health. Paralleling this transition is a steady increase in the consistency and quality of outcome data. Here, we focus on obsessive-compulsive disorder and depression, two topics that have received the most attention in terms of trial volume and scientific effort.
引用
收藏
页码:341 / 358
页数:18
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