Evolution of Deep Brain Stimulation: Human Electrometer and Smart Devices Supporting the Next Generation of Therapy
Correction(s) for this article
-
ERRATUM
- Volume 13Issue 4Neuromodulation: Technology at the Neural Interface
- pages: 322-322
- First Published online: October 6, 2010
Kendall H. Lee MD, PhD
Department of Neurosurgery and Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorCharles D. Blaha PhD
Department of Psychology, University of Memphis, Memphis, TN, USA;
Search for more papers by this authorPaul A. Garris PhD
Department of Biological Sciences, Illinois State University, Normal, IL, USA;
Search for more papers by this authorPedram Mohseni PhD
Electrical Engineering and Computer Science Department, Case Western Reserve University, Cleveland, OH, USA;
Search for more papers by this authorApril E. Horne MBA
Division of Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorKevin E. Bennet MBA
Division of Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorFilippo Agnesi MS
Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorJonathan M. Bledsoe MD
Department of Neurosurgery and Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorDeranda B. Lester MS
Department of Psychology, University of Memphis, Memphis, TN, USA;
Search for more papers by this authorChris Kimble MS
Division of Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorHoon-Ki Min MS
Neuroscience Research Institute, Gachon University of Medicine and Science, Incheon, South Korea
Search for more papers by this authorYoung-Bo Kim MD, PhD
Neuroscience Research Institute, Gachon University of Medicine and Science, Incheon, South Korea
Search for more papers by this authorZang-Hee Cho PhD
Neuroscience Research Institute, Gachon University of Medicine and Science, Incheon, South Korea
Search for more papers by this authorKendall H. Lee MD, PhD
Department of Neurosurgery and Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorCharles D. Blaha PhD
Department of Psychology, University of Memphis, Memphis, TN, USA;
Search for more papers by this authorPaul A. Garris PhD
Department of Biological Sciences, Illinois State University, Normal, IL, USA;
Search for more papers by this authorPedram Mohseni PhD
Electrical Engineering and Computer Science Department, Case Western Reserve University, Cleveland, OH, USA;
Search for more papers by this authorApril E. Horne MBA
Division of Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorKevin E. Bennet MBA
Division of Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorFilippo Agnesi MS
Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorJonathan M. Bledsoe MD
Department of Neurosurgery and Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorDeranda B. Lester MS
Department of Psychology, University of Memphis, Memphis, TN, USA;
Search for more papers by this authorChris Kimble MS
Division of Engineering, Mayo Clinic, Rochester, MN, USA;
Search for more papers by this authorHoon-Ki Min MS
Neuroscience Research Institute, Gachon University of Medicine and Science, Incheon, South Korea
Search for more papers by this authorYoung-Bo Kim MD, PhD
Neuroscience Research Institute, Gachon University of Medicine and Science, Incheon, South Korea
Search for more papers by this authorZang-Hee Cho PhD
Neuroscience Research Institute, Gachon University of Medicine and Science, Incheon, South Korea
Search for more papers by this authorABSTRACT
Deep brain stimulation (DBS) provides therapeutic benefit for several neuropathologies, including Parkinson disease (PD), epilepsy, chronic pain, and depression. Despite well-established clinical efficacy, the mechanism of DBS remains poorly understood. In this review, we begin by summarizing the current understanding of the DBS mechanism. Using this knowledge as a framework, we then explore a specific hypothesis regarding DBS of the subthalamic nucleus (STN) for the treatment of PD. This hypothesis states that therapeutic benefit is provided, at least in part, by activation of surviving nigrostriatal dopaminergic neurons, subsequent striatal dopamine release, and resumption of striatal target cell control by dopamine. While highly controversial, we present preliminary data that are consistent with specific predications testing this hypothesis. We additionally propose that developing new technologies (e.g., human electrometer and closed-loop smart devices) for monitoring dopaminergic neurotransmission during STN DBS will further advance this treatment approach.
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