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Deep brain stimulation for Tourette syndrome: target selection.

Ashwin Viswanathan1, Joohi Jimenez-Shahed, José Fidel Baizabal Carvallo

  • 1Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA. ashwinv@bcm.edu

Stereotactic and Functional Neurosurgery
|June 16, 2012
PubMed
Summary

Deep brain stimulation (DBS) offers a surgical option for severe Tourette syndrome (TS) tics. Further research is needed to determine the optimal surgical target for DBS in TS patients.

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Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Tourette syndrome (TS) involves motor and phonic tics, often with behavioral comorbidities.
  • Surgical intervention, specifically deep brain stimulation (DBS), is considered for severe, intractable cases.

Purpose of the Study:

  • To review surgical techniques, stimulation parameters, and outcomes of DBS for Tourette syndrome.
  • To critically evaluate potential surgical targets for DBS in TS.

Main Methods:

  • A comprehensive literature search was conducted using PubMed.
  • Keywords included 'Tourette' and 'Stimulation' as MeSH headings.

Main Results:

  • Since 1999, fewer than 100 patients with TS have been reported to undergo DBS.
  • Various targets have been explored, including thalamic, pallidal, and accumbens regions.

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Conclusions:

  • The optimal DBS target for Tourette syndrome remains undetermined.
  • Multicenter, randomized trials and a deeper understanding of TS neurobiology are essential.