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

  • Kenneth Barrett (a1)
Summary

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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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Kenneth Barrett (kenbarrett80@yahoo.com)
Footnotes
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Declaration of interest

None.

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

  • Kenneth Barrett (a1)
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