Deep brain stimulation: current challenges and future directions

The clinical use of deep brain stimulation (DBS) is among the most important advances in the clinical neurosciences in the past two decades. As a surgical tool, DBS can directly measure pathological brain activity and can deliver adjustable stimulation for therapeutic effect in neurological and psyc...

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Main Authors: Lozano, A, Lipsman, N, Bergman, H, Brown, P, Chabardes, S, Chang, J, Matthews, K, McIntyre, C, Schlaepfer, T, Schulder, M, Temel, Y, Volkmann, J, Krauss, J
Format: Journal article
Language:English
Published: Springer Nature 2019
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author Lozano, A
Lipsman, N
Bergman, H
Brown, P
Chabardes, S
Chang, J
Matthews, K
McIntyre, C
Schlaepfer, T
Schulder, M
Temel, Y
Volkmann, J
Krauss, J
author_facet Lozano, A
Lipsman, N
Bergman, H
Brown, P
Chabardes, S
Chang, J
Matthews, K
McIntyre, C
Schlaepfer, T
Schulder, M
Temel, Y
Volkmann, J
Krauss, J
author_sort Lozano, A
collection OXFORD
description The clinical use of deep brain stimulation (DBS) is among the most important advances in the clinical neurosciences in the past two decades. As a surgical tool, DBS can directly measure pathological brain activity and can deliver adjustable stimulation for therapeutic effect in neurological and psychiatric disorders correlated with dysfunctional circuitry. The development of DBS has opened new opportunities to access and interrogate malfunctioning brain circuits and to test the therapeutic potential of regulating the output of these circuits in a broad range of disorders. Despite the success and rapid adoption of DBS, crucial questions remain, including which brain areas should be targeted and in which patients. This Review considers how DBS has facilitated advances in our understanding of how circuit malfunction can lead to brain disorders and outlines the key unmet challenges and future directions in the DBS field. Determining the next steps in DBS science will help to define the future role of this technology in the development of novel therapeutics for the most challenging disorders affecting the human brain.
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spelling oxford-uuid:d9e9892c-cf7d-49f9-841b-6d58c11ac3852022-03-27T08:59:25ZDeep brain stimulation: current challenges and future directionsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d9e9892c-cf7d-49f9-841b-6d58c11ac385EnglishSymplectic Elements at OxfordSpringer Nature2019Lozano, ALipsman, NBergman, HBrown, PChabardes, SChang, JMatthews, KMcIntyre, CSchlaepfer, TSchulder, MTemel, YVolkmann, JKrauss, JThe clinical use of deep brain stimulation (DBS) is among the most important advances in the clinical neurosciences in the past two decades. As a surgical tool, DBS can directly measure pathological brain activity and can deliver adjustable stimulation for therapeutic effect in neurological and psychiatric disorders correlated with dysfunctional circuitry. The development of DBS has opened new opportunities to access and interrogate malfunctioning brain circuits and to test the therapeutic potential of regulating the output of these circuits in a broad range of disorders. Despite the success and rapid adoption of DBS, crucial questions remain, including which brain areas should be targeted and in which patients. This Review considers how DBS has facilitated advances in our understanding of how circuit malfunction can lead to brain disorders and outlines the key unmet challenges and future directions in the DBS field. Determining the next steps in DBS science will help to define the future role of this technology in the development of novel therapeutics for the most challenging disorders affecting the human brain.
spellingShingle Lozano, A
Lipsman, N
Bergman, H
Brown, P
Chabardes, S
Chang, J
Matthews, K
McIntyre, C
Schlaepfer, T
Schulder, M
Temel, Y
Volkmann, J
Krauss, J
Deep brain stimulation: current challenges and future directions
title Deep brain stimulation: current challenges and future directions
title_full Deep brain stimulation: current challenges and future directions
title_fullStr Deep brain stimulation: current challenges and future directions
title_full_unstemmed Deep brain stimulation: current challenges and future directions
title_short Deep brain stimulation: current challenges and future directions
title_sort deep brain stimulation current challenges and future directions
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