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Aleid A, Aleid M, Alehaiwi G, Alharbi H, Alhuthayli A, Al Rebih ZM, Alhumaidi N, Albashrawi W, Bazarah RS, Alharbi A, Alhejji AH, Aldawood HA, AlHumud O, Alkathem JA, Almalki S. Advancements in the Clinical Outcomes of Functional Neurosurgery With Deep Brain Stimulation for Movement Disorders: A Literature Review. Cureus 2023; 15:e40350. [PMID: 37456406 PMCID: PMC10339274 DOI: 10.7759/cureus.40350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2023] [Indexed: 07/18/2023] Open
Abstract
This literature review explores recent advancements in deep brain stimulation (DBS) surgery for movement disorders. It highlights notable improvements, including closed-loop stimulation techniques, optogenetics, and improved surgical targeting. Positive clinical outcomes with low complication rates and improved motor symptoms are consistently reported. The review emphasizes the importance of minimizing risks through meticulous surgical practices and discusses potential complications associated with DBS surgery. Future prospects focus on enhancing technology, refining surgical techniques, and conducting further research. Closed-loop stimulation optimizes DBS efficacy by tailoring stimulation parameters to individual patient needs. Optogenetics offers precise modulation of neural activity with light-sensitive proteins, enabling more targeted treatments. Cybersecurity measures are essential due to the integration of wireless and digital technologies in DBS systems. DBS surgery has significantly improved the management of movement disorders with its safety and effectiveness. Ongoing research in closed-loop stimulation, optogenetics, and cybersecurity is expected to further enhance DBS technology and outcomes, benefiting patients with treatment-resistant movement disorders.
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Affiliation(s)
- Abdulsalam Aleid
- Department of Neurosurgery, King Faisal University, Al Ahsa, SAU
| | - Masowma Aleid
- Department of Neurosurgery, Medical College, King Faisal University, Al Ahsa, SAU
| | - Ghadeer Alehaiwi
- Department of Biological Sciences, Umm-Al Qura University, Mecca, SAU
| | - Hajar Alharbi
- Department of Pediatric Surgery, Gdańsk Medical University, Gdańsk, POL
| | - Abdulaziz Alhuthayli
- Department of Pharmaceutical Care, General Network for Healthcare Providers Hospital, Kharj, SAU
| | - Zainb M Al Rebih
- Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU
- Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam, SAU
| | | | - Wihad Albashrawi
- Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU
- Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam, SAU
| | | | - Anas Alharbi
- College of Medicine, Imam Muhammad Ibn Saud Islamic University (IMSIU), Riyadh, SAU
| | - Ahmed H Alhejji
- Department of Surgery, College of Veterinary Medicine, Al Ahsa, SAU
| | - Hassan A Aldawood
- Neurosurgery, College of Medicine, Imam Abdurrahman Bin Faisal University, Dammam, SAU
| | - Osama AlHumud
- Department of Medicine, King Faisal University, Al Ahsa, SAU
- Department of Surgery, King Faisal University, Al Ahsa, SAU
| | - Jafar A Alkathem
- Department of Internal Medicine, King Faisal University, Al Ahsa, SAU
| | - Sami Almalki
- Department of Neurosurgery, King Faisal University, Al Ahsa, SAU
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Lehman RM, Augustine JR. Evolution and Rebirth of Functional Stereotaxy in the Subthalamus. World Neurosurg 2013; 80:521-33. [DOI: 10.1016/j.wneu.2012.03.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2011] [Revised: 03/19/2012] [Accepted: 03/27/2012] [Indexed: 11/26/2022]
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Cheng CY, Hsing MT, Chen YH, Wu SL, Sy HN, Chen CM, Yang YJ, Lee MC. Deep brain stimulation for Parkinson's disease using frameless technology. Br J Neurosurg 2013; 28:383-6. [DOI: 10.3109/02688697.2013.848838] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Anderson D, Kartha N. Deep Brain Stimulation in Nonparkinsonian Movement Disorders and Emerging Technologies, Targets, and Therapeutic Promises in Deep Brain Stimulation. Neurol Clin 2013; 31:809-26. [DOI: 10.1016/j.ncl.2013.03.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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