Deep Brain Stimulation - Black Dog Institute

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DBS-Scientific Scientific and Ethical Issues: Consensus Statement • Support for continuing research • Currently an investigational therapy • Need for Comparative trials including vs ablation • Perform only at expert centres • Interdisciplinary team is essential • Limited at this stage to adults • Extensive pre surgical assessment is essential • Expand measures into Quality of life and function • Standardize Consent process • No evidence to question ability of patients to consent • Funding for 5-10 year follow up required Rabins et al Arch Gen Psych 2009
Future of Neuromodulation Therapies • Enhancing patient care • Reducing marginalization of neuromodulation and surgical interventions • Reinforces the link between Psychiatry and Neurosciences • Building interdisciplinary collaborations • Changing public perceptions of Psychiatry • Challenge to identify optimal endophenotypes
Page 1 and 2: Deep Brain Stimulation A (Cautious)
Page 3 and 4: Rationale for Neurostimulation Ther
Page 5 and 6: Subcallosal Cingulate Gyrus Volume
Page 8 and 9: DBS Effect on Cerebral Blood Flow B
Page 10 and 11: •Pre-surgery - 11: Medication Sta
Page 12 and 13: Neuroanatomical Targets for DBS-TRD

Deep Brain Stimulation - Black Dog Institute

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