Mechanisms of deep brain stimulation

Todd M. Herrington, Jennifer J. Cheng, Emad N. Eskandar

Research output: Contribution to journalReview article

89 Scopus citations

Abstract

Deep brain stimulation (DBS) is widely used for the treatment of movement disorders including Parkinson’s disease, essential tremor, and dystonia and, to a lesser extent, certain treatment-resistant neuropsychiatric disorders including obsessive-compulsive disorder. Rather than a single unifying mechanism, DBS likely acts via several, nonexclusive mechanisms including local and network-wide electrical and neurochemical effects of stimulation, modulation of oscillatory activity, synaptic plasticity, and, potentially, neuroprotection and neurogenesis. These different mechanisms vary in importance depending on the condition being treated and the target being stimulated. Here we review each of these in turn and illustrate how an understanding of these mechanisms is inspiring next-generation approaches to DBS.

Original languageEnglish (US)
Article number5
Pages (from-to)19-38
Number of pages20
JournalJournal of Neurophysiology
Volume115
Issue number1
DOIs
StatePublished - Jan 8 2016
Externally publishedYes

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Keywords

  • Basic science of clinical practice
  • Deep brain stimulation
  • Dystonia
  • Obsessive-compulsive disorder
  • Parkinson’s disease
  • Tremor

ASJC Scopus subject areas

  • Neuroscience(all)
  • Physiology

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