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A History of Deep Brain Stimulation

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Rethinking the Clinical Gaze

Part of the book series: Health, Technology and Society ((HTE))

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Abstract

The chapter provides a historical account of the development and dissemination of the DBS technique, and some important background on the regulatory and reimbursement climate as it relates to DBS in the UK, Europe, and the USA. The chapter serves two purposes. First, it illustrates how the innovation of DBS has been shaped by numerous actors, particularly commercial actors and regulatory bodies. Second, by doing this, the chapter shows how such actors have come to shape the current context of the clinical team that serves as the case study for this book; a context which presents both challenges and affordances for DBS implementation within paediatric neurology.

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Notes

  1. 1.

    A description of the source material for this historical account is provided as appended in ‘Notes’ on page 217.

  2. 2.

    Much of the following content of this chapter has been published in an earlier form: Gardner, J. (Gardner 2013), A history of deep brain stimulation: Technology innovation & the role of clinical assessment tools. Social Studies of Science. 43(5): 707–728.

  3. 3.

    Up until the 1970s, brain images were produced using pneumoencephalography; an uncomfortable procedure in which cerebral spinal fluid is drained from around the brain, so that it would produce contrasts that could be visually rendered via X-ray.

  4. 4.

    The total cost of DBS for paediatric dystonia is around £80,000 per patient over ten years. Approximately, £35 000 of this covers hardware and surgical costs, and the remainder covers pre- and post-surgical assessments. The cost of adults is around £5000 less over ten years. This is because adults undergo less rigorous, and thus cheaper, regime of assessments (Yianni et al. 2005; Medical Services Advisory Committee 2008).

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  1. School of Social Sciences, Monash University, Melbourne, Australia

    John Gardner

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Gardner, J. (2017). A History of Deep Brain Stimulation. In: Rethinking the Clinical Gaze. Health, Technology and Society. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-53270-7_3

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  • DOI: https://doi.org/10.1007/978-3-319-53270-7_3

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