Deep brain stimulation: current challenges and future directions

Andres M. Lozano (Lead / Corresponding author), Nir Lipsman, Hagai Bergman, Peter Brown, Stephan Chabardes, Jin Woo Chang, Keith Matthews, Cameron C. McIntyre, Thomas E. Schlaepfer, Michael Schulder, Yasin Temel, Jens Volkmann, Joachim K. Krauss

    Research output: Contribution to journalReview articlepeer-review

    854 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)148-160
    Number of pages13
    JournalNature Reviews Neurology
    Volume15
    Issue number3
    Early online date25 Jan 2019
    DOIs
    Publication statusPublished - Mar 2019

    ASJC Scopus subject areas

    • Clinical Neurology
    • Cellular and Molecular Neuroscience

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