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Current Neurology and Neuroscience Reports

, Volume 7, Issue 4, pp 278–289 | Cite as

Limbic, associative, and motor territories within the targets for deep brain stimulation: Potential clinical implications

  • Atchar Sudhyadhom
  • Frank J. Bova
  • Kelly D. Foote
  • Christian A. Rosado
  • Lindsey Kirsch-Darrow
  • Michael S. OkunEmail author
Article

Abstract

The use of deep brain stimulation (DBS) has recently been expanding for the treatment of many neurologic disorders such as Parkinson disease, dystonia, essential tremor, Tourette’s syndrome, cluster headache, epilepsy, depression, and obsessive compulsive disorder. The target structures for DBS include specific segregated territories within limbic, associative, or motor regions of very small subnuclei. In this review, we summarize current clinical techniques for DBS, the cognitive/mood/motor outcomes, and the relevant neuroanatomy with respect to functional territories within specific brain targets. Future development of new techniques and technology that may include a more direct visualization of “motor” territories within target structures may prove useful for avoiding side effects that may result from stimulation of associative and limbic regions. Alternatively, newer procedures may choose and specifically target non-motor territories for chronic electrical stimulation.

Keywords

Cluster Headache Essential Tremor Subthalamic Nucleus Zona Incerta Pallidal Stimulation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Medicine Group LLC 2007

Authors and Affiliations

  • Atchar Sudhyadhom
  • Frank J. Bova
  • Kelly D. Foote
  • Christian A. Rosado
  • Lindsey Kirsch-Darrow
  • Michael S. Okun
    • 1
    Email author
  1. 1.Department of NeurologyMcKnight Brain InstituteGainesvilleUSA

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