2019
DOI: 10.1038/s41467-019-09557-4
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Deep brain stimulation of the internal capsule enhances human cognitive control and prefrontal cortex function

Abstract: Deep brain stimulation (DBS) is a circuit-oriented treatment for mental disorders. Unfortunately, even well-conducted psychiatric DBS clinical trials have yielded inconsistent symptom relief, in part because DBS’ mechanism(s) of action are unclear. One clue to those mechanisms may lie in the efficacy of ventral internal capsule/ventral striatum (VCVS) DBS in both major depression (MDD) and obsessive-compulsive disorder (OCD). MDD and OCD both involve deficits in cognitive control. Cognitive control depends on … Show more

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Cited by 118 publications
(120 citation statements)
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References 70 publications
(113 reference statements)
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“…We examined neuronal responses collected from 16 human subjects (dACC: n=7 patients, dlPFC: n=9 patients, see Methods ) performing the multi-source interference task (MSIT; Figure 1A-B ). This task and its close variants have been widely used to study conflict in humans in studies using both mass action measures and intracranial electrophysiology (Sheth et al, 2012; Smith et al, 2019; Widge et al, 2019a). These data were recorded in human dACC and dlPFC ( Figure 1C ).…”
Section: Resultsmentioning
confidence: 99%
“…We examined neuronal responses collected from 16 human subjects (dACC: n=7 patients, dlPFC: n=9 patients, see Methods ) performing the multi-source interference task (MSIT; Figure 1A-B ). This task and its close variants have been widely used to study conflict in humans in studies using both mass action measures and intracranial electrophysiology (Sheth et al, 2012; Smith et al, 2019; Widge et al, 2019a). These data were recorded in human dACC and dlPFC ( Figure 1C ).…”
Section: Resultsmentioning
confidence: 99%
“…This is compatible with the presence of inhibitory deficits in psychiatric conditions, such as major depression and schizophrenia, involving dopaminergic dysregulations in the limbic-prefrontal (mesocortical) projection (Patel et al, 2010 ; Grace, 2012 ; Belujon and Grace, 2017 ). Brain stimulation (Dubreuil-Vall et al, 2019 ; Widge et al, 2019b ) of control circuits can indeed restore both clinical symptoms and cognitive deficits in clinical populations.…”
Section: Focal and Distributed Patterns Of Neural Synchrony In Behavimentioning
confidence: 99%
“…Taking into account the translational validity of helplessness, our findings add to growing evidence that successful treatments for depression are associated with enhanced frontal theta in humans. Increased prefrontal theta predicts response to placebo (Leuchter et al, 2002) and deep brain stimulation (Broadway et al, 2012;Widge et al, 2019).…”
Section: Theta Impairment and Helplessnessmentioning
confidence: 99%