Neurosurgical Treatments of Depression

Yasin Temel*, Lee Wei Lim

*Corresponding author for this work

Research output: Chapter in Book or Report/Conference proceedingChapterpeer-review

17 Citations (Scopus)

Abstract

The neurosurgical treatment of treatment-resistant depression (TRD) has entered a new era with more and more patients being treated with deep brain stimulation (DBS) via surgically implanted intracerebral electrodes. Although the mechanisms of action of DBS are still not fully understood, preclinical studies are being conducted to elucidate how the treatment might work. DBS in its present form can be considered as a relatively new neurosurgical treatment for TRD. However, the use of neurosurgery in the management of depression has a much longer history particularly with ablative procedures but also vagal nerve stimulation. Here, we provide a review of the clinical neurosurgical treatments for TRD, with a main emphasis on DBS. In addition, we discuss relevant preclinical data that are revealing new information about DBS mechanisms.

Original languageEnglish
Title of host publicationBehavioral Neurobiology of Depression and Its Treatment
EditorsPhilip J. Cowen, Jennifer Y. F. Lau, Trevor Sharp
Pages327-339
Number of pages13
DOIs
Publication statusPublished - 2013
Externally publishedYes

Publication series

NameCurrent Topics in Behavioral Neurosciences
Volume14
ISSN (Print)1866-3370
ISSN (Electronic)1866-3389

Keywords

  • Ablative surgery
  • Deep brain stimulation
  • Neurosurgery
  • Treatment resistant depression
  • Vagal nerve stimulation

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