Lack of clinical response to deep brain stimulation of the medial forebrain bundle in depression
Open accessAbstract
Deep brain stimulation (DBS) is a promising treatment option for severe refractory major depressive disorder (MDD) [1,2]. The most common neural targets for DBS in MDD are the subcallosal cingulate cortex (SCC) and the ventral capsule/ventral striatum (VC/VS) [3–5]. The long-term clinical response after DBS to these targets has been characterized as a gradual improvement in mood, with >40% of patients reaching a responder status by 1 year [3,4].
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In a third case study, two patients with dMRI-guided DBS of the medial forebrain bundle did not reach responder status at any point over the study period of 6 months.
“In a third case study, two patients with dMRI-guided DBS of the MFB did not reach responder status at any point over the study period of 6 months [69].”
From Deep brain stimulation for depression. (2022) · cites this paper as [69]
Non-response was reported in a recent case study of two patients despite following the same tractography-based targeting method.
“Non-response, however, was reported in a recent case study of two patients despite following the same tractography-based targeting method [69].”
From Deep brain stimulation for depression. (2022) · cites this paper as [69]
Cites
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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 · see citing works
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Crowell, A. L., Riva‐Posse, P., Holtzheimer, P. E., Garlow, S. J., Kelley, M. E., Gross, R. E., Denison, L., Quinn, S., & Mayberg, H. S. (2019) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2019.18121427 · Cited by 185 · see citing works
Superolateral medial forebrain bundle deep brain stimulation in major depression: a gateway trial
Coenen, V. A., Bewernick, B. H., Kayser, S., Kilian, H., Boström, J., Greschus, S., Hurlemann, R., Klein, M. E., Spanier, S., Sajonz, B., et al. (2019) · Neuropsychopharmacology · doi:10.1038/s41386-019-0369-9 · Cited by 176 · see citing works
Closing the Loop on Deep Brain Stimulation for Treatment-Resistant Depression
Widge, A. S., Malone, D. A., & Dougherty, D. D. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00175 · Cited by 138 · see citing works
Fenoy, A. J., Schulz, P. E., Selvaraj, S., Burrows, C. L., Zunta-Soares, G., Durkin, K., Zanotti-Fregonara, P., Quevedo, J., & Soares, J. C. (2018) · Translational Psychiatry · doi:10.1038/s41398-018-0160-4 · Cited by 118 · see citing works
Coenen, V. A., Sajonz, B., Reisert, M., Boström, J. P., Bewernick, B. H., Urbach, H., Jenkner, C., Reinacher, P. C., Schlaepfer, T. E., & Mädler, B. (2018) · NeuroImage Clinical · doi:10.1016/j.nicl.2018.08.020 · Cited by 90 · see citing works
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Deep brain stimulation in clinical trials and animal models of depression
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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 · see citing works
The use of tractography-based targeting in deep brain stimulation for psychiatric indications
Davidson, B., Lipsman, N., Meng, Y., Rabin, J. S., Giacobbe, P., & Hamani, C. (2020) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2020.588423 · Cited by 15 · see citing works
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- Authors
- Davidson, B., Giacobbe, P., Mithani, K., Levitt, A., Rabin, J. S., Lipsman, N., & Hamani, C.
- Affiliations
- Sunnybrook Health Science Centre (CA)
- Corresponding author
- Hamani, Clement
- ORCID
- Venue
- Brain stimulation
- Publisher
- Elsevier BV
- Published
- 2020-09
- Volume
- 13
- Issue
- 5
- Pages
- 1268-1270
- ISSN
- 1876-4754 (ISSN-L)
- 1935-861X
- OpenAlex
- W3035092608
- Cited by
- 20
- References
- 10
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 2
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain stimulation (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- deep brain stimulation, medial forebrain bundle, major depressive disorder, treatment-resistant depression, clinical response, ventral capsule/ventral striatum, mood improvement
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