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Review

Deep brain stimulation in the treatment of neurological and psychiatric disease

Pages 465-478 | Published online: 10 Jan 2014

References

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  • ••Seminal paper describing deep brain stimulation (DBS) results in patients with tremor.
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  • ••Randomized, prospective comparison ofDBS to radiofrequency ablation in ventralis interrnedius (VEVI). Out of 33 DBS patients, 30 and 27 of 34 lesion patients had abolition of their tremor.
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  • •Contrary to the model of depolarization blockade, stimulating STN increased the firing rate of target globus pallidus intema (GPi) neurons but regularized their firing pattern. Consistent with activation of efferent fibers.
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  • •Long-term benefits were less than expected from thalamic DBS for essential tremor.
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  • •One of the few studies showing cognitive sequelae to STN DBS, perhaps related to an older patient cohort.
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  • •Similarly striking DBS — related uncontrollable laughter elicited by principal investigator's prominent facial feature.
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  • •Mood effects of DBS were not predicted by premorbid affective dysfunction or other predictors.
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