The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Deep Brain Stimulation for Depression Informed by Intracranial Recordings
Open accessAbstract
The success of deep brain stimulation (DBS) for treating Parkinson's disease has led to its application to several other disorders, including treatment-resistant depression. Results with DBS for treatment-resistant depression have been heterogeneous, with inconsistencies largely driven by incomplete understanding of the brain networks regulating mood, especially on an individual basis. We report results from the first subject treated with DBS for treatment-resistant depression using an approach that incorporates intracranial recordings to personalize understanding of network behavior and its response to stimulation. These recordings enabled calculation of individually optimized DBS stimulation parameters using a novel inverse solution approach. In the ensuing double-blind, randomized phase incorporating these bespoke parameter sets, DBS led to remission of symptoms and dramatic improvement in quality of life. Results from this initial case demonstrate the feasibility of this personalized platform, which may be used to improve surgical neuromodulation for a vast array of neurologic and psychiatric disorders.
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“A case study of combined VC/VS and SCC DBS reports remission until 75 weeks follow-up of combined stimulation and differential response-profiles.”
From Deep brain stimulation for depression. (2022) · cites this paper as [77]
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“SCC stimulation reduced “mental noise” and produced calmness and attention and VC/VS stimulation produced energy and motivation [77].”
From Deep brain stimulation for depression. (2022) · cites this paper as [77]
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Cites
Selective Cortical Undercutting As a Means of Modifying and Studying Frontal Lobe Function in Man
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Resting-state connectivity biomarkers define neurophysiological subtypes of depression
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“sEEG electrodes targeted downstream depression-relevant frontotemporal network regions: bilateral dorsolateral prefrontal cortex (dlPFC), ventrolateral and ventromedial prefrontal cortex (vlPFC, vmPFC), orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), and mesial temporal lobe (MTL) (20, 21).”
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Deep Brain Stimulation of the Ventral Capsule/Ventral Striatum for Treatment-Resistant Depression
Malone, D. A., Dougherty, D. D., Rezai, A. R., Carpenter, L. L., Friehs, G. M., Eskandar, E. N., Rauch, S. L., Rasmussen, S. A., Machado, A. G., Kubu, C. S., et al. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.08.029 · Cited by 897 · cited 3×
“To fully investigate the distinct contributions of these networks, we targeted the DBS leads to two previously studied regions, the subcallosal cingulate (SCC) (2, 3) and the ventral capsule/ventral striatum (VC/VS) (4, 5).”
Precision psychiatry: a neural circuit taxonomy for depression and anxiety
Williams, L. M. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00579-9 · Cited by 641 · cited 5×
“Stereo-EEG recording contacts (white) sample regions within depression-relevant frontotemporal networks, including dlPFC and dmPFC (blue), dACC (green), vmPFC (yellow), OFC (pink), and MTL (red).”
InfluentialHoltzheimer, P. E., Husain, M. M., Lisanby, S. H., Taylor, S. F., Whitworth, L. A., McClintock, S., Slavin, K. V., Berman, J., McKhann, G. M., Patil, P. G., et al. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30371-1 · Cited by 577 · cited 1×
“Previous open-label studies of DBS for TRD have demonstrated encouraging results (2-5), but two recent pivotal trials were aborted after interim analyses raised concern for futility (6, 7).”
Dougherty, D. D., Rezai, A. R., Carpenter, L. L., Howland, R. H., Bhati, M. T., O’Reardon, J. P., Eskandar, E. N., Baltuch, G. H., Machado, A. D., Kondziolka, D., et al. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2014.11.023 · Cited by 558 · cited 2×
“stimulation injected energy and motivation (5, 7, 14, 16, 22).”
Riva-Posse, P., Choi, K. S., Holtzheimer, P. E., Crowell, A. L., Garlow, S. J., Rajendra, J. K., McIntyre, C. C., Gross, R. E., & Mayberg, H. S. (2018) · Molecular Psychiatry · doi:10.1038/mp.2017.59 · Cited by 441 · cited 14×
“Network-Minded Implant Surgery The initial surgery consisted of intracranially implanting 4 DBS leads (bilateral SCC and VC/VS) and 10 sEEG electrodes (Supplementary Information).”
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“To fully investigate the distinct contributions of these networks, we targeted the DBS leads to two previously studied regions, the subcallosal cingulate (SCC) (2, 3) and the ventral capsule/ventral striatum (VC/VS) (4, 5).”
Cited by
Sorted by citations
Cingulate dynamics track depression recovery with deep brain stimulation
Alagapan, S., Choi, K. S., Heisig, S., Riva‐Posse, P., Crowell, A. L., Tiruvadi, V., Obatusin, M., Veerakumar, A., Waters, A. C., Gross, R. E., et al. (2023) · Nature · doi:10.1038/s41586-023-06541-3 · Cited by 278
Deep brain stimulation for depression.
Figee, M., Riva-Posse, P., Choi, K. S., Bederson, L., Mayberg, H. S., & Kopell, B. H. (2022) · Neurotherapeutics · doi:10.1007/s13311-022-01270-3 · Cited by 175
New and emerging approaches to treat psychiatric disorders
Scangos, K. W., State, M. W., Miller, A. H., Baker, J. T., & Williams, L. M. (2023) · Nature Medicine · doi:10.1038/s41591-022-02197-0 · Cited by 164
Bio-inspired electronics: Soft, biohybrid, and “living” neural interfaces
Boufidis, D., Garg, R., Angelopoulos, E., Cullen, D. K., & Vitale, F. (2025) · Nature Communications · doi:10.1038/s41467-025-57016-0 · Cited by 183
“…20 , responsive neurostimulation 21,22 , speech decoding 23 – 25 , and motor recovery following spinal cord injury 26 , closed-loop sensory-motor interfaces for prosthetic control 27,28 , as well as deep brain stimulation (DBS) for Parkinson ’ s Disease 29,30 and neuropsychiatric conditions 14,31 .”
Topalovic, U., Barclay, S., Ling, C., Alzuhair, A., Yu, W., Hokhikyan, V., Chandrakumar, H., Rozgic, D., Jiang, W., Basir-Kazeruni, S., et al. (2023) · Nature Neuroscience · doi:10.1038/s41593-023-01260-4 · Cited by 99
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Metadata
- Authors
- Sheth, S. A., Bijanki, K. R., Metzger, B., Allawala, A., Pirtle, V., Adkinson, J. A., Myers, J., Mathura, R. K., Oswalt, D., Tsolaki, E., Xiao, J., Noecker, A., Strutt, A. M., Cohn, J. F., McIntyre, C. C., Mathew, S. J., Borton, D., Goodman, W., & Pouratian, N.
- Affiliations
- Baylor College of Medicine (US)
- Brown University (US)
- University of California, Los Angeles (US)
- Case Western Reserve University (US)
- University of Pittsburgh (US)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Sheth, Sameer A.
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-08
- Volume
- 92
- Issue
- 3
- Pages
- 246-251
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC9124238
- OpenAlex
- W3215550599
- Cited by
- 158
- References
- 28
- Citations by year
- 2026: 26 · 2025: 32 · 2024: 51 · 2023: 39 · 2022: 10
- FWCI
- 11.96
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Biological Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- Robert and Janice Mcnair Foundation
- Dana Foundation
- Medtronic
- National Institutes of Health (K01 MH116364, UH3 NS103549, R01 MH114854, R21 NS104953, R01 MH106700, R01 NS105690, UH3 NS100549)
- Sage Therapeutics
- Topics
- Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Keywords
- deep brain stimulation, treatment-resistant depression, intracranial recordings, personalized neuromodulation, inverse solution, stimulation parameter optimization, depression remission
- MeSH terms
- Depression, Double-Blind Method, Humans, Parkinson Disease, Quality of Life, Deep Brain Stimulation, Depressive Disorder, Treatment-Resistant
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