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From psychosurgery to neuromodulation: Deep brain stimulation for intractable Tourette syndrome
Journal article   Peer reviewed

From psychosurgery to neuromodulation: Deep brain stimulation for intractable Tourette syndrome

Irene Neuner, Klaus Podoll, Hildegard Janouschek, Tanja M Michel, Abigail J Sheldrick and Frank Schneider
The world journal of biological psychiatry, Vol.10(4_2), pp.366-376
2009
DOI: 10.1080/15622970802513317
PMID: 19005877

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Abstract

Tourette syndrome is a neuropsychiatric disorder characterized by motor and vocal tics. It is often associated with depression, obsessive-compulsive symptoms, self-injurious behaviour and attention deficit-hyperactivity disorder (ADHD). In intractable patients, neuromodulation using deep brain stimulation (DBS) has widely replaced psychosurgery. Three different key structures are defined for DBS, the medial portion of the thalamus, the globus pallidus internus and the anterior limb of the internal capsule/nucleus accumbens. This is a comprehensive overview on the effect of DBS on motor and non-motor symptoms using different case series and two larger studies.

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