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 article

3 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

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Deep Brain Stimulation
Brain
Brain Diseases
Therapeutic Uses
Neurosciences
Direction compound
Nervous System Diseases
Psychiatry
Technology
Therapeutics

Cite this

Lozano, A. M., Lipsman, N., Bergman, H., Brown, P., Chabardes, S., Chang, J. W., ... Krauss, J. K. (2019). Deep brain stimulation: current challenges and future directions. Nature Reviews Neurology, 15(3), 148-160. https://doi.org/10.1038/s41582-018-0128-2
Lozano, Andres M. ; Lipsman, Nir ; Bergman, Hagai ; Brown, Peter ; Chabardes, Stephan ; Chang, Jin Woo ; Matthews, Keith ; McIntyre, Cameron C. ; Schlaepfer, Thomas E. ; Schulder, Michael ; Temel, Yasin ; Volkmann, Jens ; Krauss, Joachim K. / Deep brain stimulation : current challenges and future directions. In: Nature Reviews Neurology. 2019 ; Vol. 15, No. 3. pp. 148-160.
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Lozano, AM, Lipsman, N, Bergman, H, Brown, P, Chabardes, S, Chang, JW, Matthews, K, McIntyre, CC, Schlaepfer, TE, Schulder, M, Temel, Y, Volkmann, J & Krauss, JK 2019, 'Deep brain stimulation: current challenges and future directions' Nature Reviews Neurology, vol. 15, no. 3, pp. 148-160. https://doi.org/10.1038/s41582-018-0128-2

Deep brain stimulation : current challenges and future directions. / Lozano, Andres M. (Lead / Corresponding author); Lipsman, Nir; Bergman, Hagai; Brown, Peter; Chabardes, Stephan; Chang, Jin Woo; Matthews, Keith; McIntyre, Cameron C.; Schlaepfer, Thomas E.; Schulder, Michael; Temel, Yasin; Volkmann, Jens; Krauss, Joachim K.

In: Nature Reviews Neurology, Vol. 15, No. 3, 03.2019, p. 148-160.

Research output: Contribution to journalReview article

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T2 - current challenges and future directions

AU - Lozano, Andres M.

AU - Lipsman, Nir

AU - Bergman, Hagai

AU - Brown, Peter

AU - Chabardes, Stephan

AU - Chang, Jin Woo

AU - Matthews, Keith

AU - McIntyre, Cameron C.

AU - Schlaepfer, Thomas E.

AU - Schulder, Michael

AU - Temel, Yasin

AU - Volkmann, Jens

AU - Krauss, Joachim K.

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Lozano AM, Lipsman N, Bergman H, Brown P, Chabardes S, Chang JW et al. Deep brain stimulation: current challenges and future directions. Nature Reviews Neurology. 2019 Mar;15(3):148-160. https://doi.org/10.1038/s41582-018-0128-2