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Related Concept Videos

Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Targeting Neuronal Fiber Tracts for Deep Brain Stimulation Therapy Using Interactive, Patient-Specific Models
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Trends In Deep Brain Stimulation Surgery in The United States.

Derrick Chatad, Michael Melhem, Abigail Abraham Teshome

    Stereotactic and Functional Neurosurgery
    |June 26, 2026
    PubMed
    Summary
    This summary is machine-generated.

    Deep brain stimulation (DBS) trends show an increase in bilateral procedures and microelectrode recording (MER)-negative DBS over time. Regional variations in DBS surgery techniques persist across the USA.

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    Published on: January 6, 2011

    Area of Science:

    • Neurosurgery
    • Neurology
    • Medical Device Technology

    Background:

    • Deep brain stimulation (DBS) procedures exhibit variability in microelectrode recording (MER) use and implantation laterality (unilateral vs. bilateral).
    • Understanding national and regional trends in DBS is crucial for patient care and surgical training.

    Purpose of the Study:

    • To quantify national, regional, and state-level trends in total DBS procedures.
    • To analyze trends in microelectrode recording (MER) utilization during DBS surgery.
    • To assess changes in unilateral versus bilateral electrode implantation in DBS procedures.

    Main Methods:

    • Analysis of the Centers for Medicare and Medicaid Services database from 2013-2023, including 27,846 DBS patients.
    • Extraction of data on MER use, unilateral/bilateral implantation, and procedure location.
    • Statistical analysis using Shapiro-Wilk test, correlation coefficients, ANOVA/Kruskal Wallis, and Benjamini-Hochberg correction.

    Main Results:

    • Total DBS procedures remained stable, but MER-negative DBS increased (r=0.94) while MER-positive DBS decreased (r=-0.75).
    • Bilateral DBS increased significantly (r=0.86), surpassing unilateral procedures by 2021.
    • Regional analysis revealed increased MER-negative DBS across all regions, with the West leading in MER-negative and the South in MER-positive procedures.

    Conclusions:

    • A national trend towards bilateral and MER-negative DBS procedures is evident.
    • While bilateral procedures now exceed unilateral, MER-positive DBS remains more common than MER-negative.
    • Significant regional disparities in DBS surgical approaches highlight the need for tailored strategies.