Deep brain stimulation for depression

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Definition

By Mayo Clinic staff

Deep brain stimulation involves implanting electrodes within the part of your brain that affects mood. During deep brain stimulation, electrical impulses transmitted through the electrodes deep within the brain affect brain cells and chemicals to relieve depression. The amount of stimulation delivered by the electrodes is controlled by a pacemaker-like device placed under the skin in your upper chest. A wire that travels under your skin connects the device, called a pulse generator, to the electrodes in your brain.

Although it's approved for other conditions, deep brain stimulation for depression hasn't been approved by the Food and Drug Administration (FDA). It's still being studied as an experimental treatment. Most candidates for deep brain stimulation are participants in clinical trials.

References
  1. Read CN, et al. Psychiatric neurosurgery 2009: Review and perspective. Seminars in Neurology. 2009;29:256.
  2. Larson PS. Deep brain stimulation for psychiatric disorders. Neurotherapeutics: The Journal of the American Society for Experimental NeuroTherapeutics.
  3. Deep brain stimulation. NeuroSurgeryToday.org. http://www.neurosurgerytoday.org/what/patient_e/deep%20brain%20stimulation.asp. Accessed June 15, 2010.
  4. Howland RH. Neurosurgical approaches to therapeutic brain stimulation for treatment-resistant depression. Journal of Psychosocial Nursing. 2008;46:15.
  5. Rabins P, et al. Scientific and ethical issues related to deep brain stimulation for disorders of mood, behavior, and thought. Archives of General Psychiatry. 2009;66:931.
  6. Tye SJ. Disrupting disordered neurocircuitry: Treating refractory psychiatric illness with neuromodulation. Mayo Clinic Proceedings. 2009;84:522.
MY00184 July 29, 2010

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