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Deep brain stimulation for stroke: Current uses and future directions.

Gavin J B Elias1, Andrew A Namasivayam1, Andres M Lozano1

  • 1Division of Neurosurgery, Department of Surgery, Toronto Western Hospital, Krembil Neuroscience Center, University of Toronto, Toronto, ON M5T 2S8, Canada.

Brain Stimulation
|November 2, 2017
PubMed
Summary
This summary is machine-generated.

Deep brain stimulation (DBS) shows promise for managing post-stroke maladaptive responses like pain and tremor. Further research is needed to confirm its effectiveness in improving motor deficits and enhancing stroke recovery.

Keywords:
Deep brain stimulationMovement disorderNeuroplasticityPainParesisStroke

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Area of Science:

  • Neuroscience
  • Neurology
  • Rehabilitation Medicine

Background:

  • Stroke survivors often face lasting disability and reduced quality of life due to maladaptive responses and neurological deficits.
  • Novel therapeutic strategies are essential to improve stroke recovery outcomes.
  • Electrical brain stimulation, including deep brain stimulation (DBS), is being explored as a potential treatment.

Purpose of the Study:

  • To review the application of DBS in treating post-stroke maladaptive responses such as pain, dystonia, dyskinesias, and tremor.
  • To evaluate the utility of DBS in promoting neural plasticity and recovery from stroke-induced neurological deficits.

Main Methods:

  • A comprehensive literature review was performed.
  • Studies investigating DBS in post-stroke patients were analyzed.
  • The review focused on targeted brain structures and clinical outcomes.

Main Results:

  • DBS has been applied to various brain regions, including the thalamus, basal ganglia, internal capsule, and periventricular grey.
  • Clinical literature indicates a potential role for DBS in managing several post-stroke maladaptive responses.
  • Limited evidence suggests DBS, particularly targeting the internal capsule, may offer benefits for post-stroke paresis.

Conclusions:

  • DBS shows potential for managing certain maladaptive responses following stroke.
  • More research is necessary to determine optimal DBS targets and parameters for treating maladaptive responses.
  • Further investigation is required to establish the efficacy of DBS for improving post-stroke motor deficits and recovery.