Limbic versus cognitive target for deep brain stimulation in treatment-resistant depression: Accumbens more promising than caudate Bruno Millet, Nematollah.

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Limbic versus cognitive target for deep brain stimulation in treatment-resistant depression: Accumbens more promising than caudate Bruno Millet, Nematollah Jaafari, Mircea Polosan, Nicolas Baup, Bruno Giordana, Claire Haegelen, Stephan Chabardes, Denys Fontaine, Bertrand Devaux, Jérome Yelnik, Philippe Fossati, Bruno Aouizerate, Marie Odile Krebs, Gabriel Robert, Thérèse Jay, Philippe Cornu, Marc Vérin, Sophie Drapier, Dominique Drapier, Paul Sauleau, Julie Peron, Florence Le Jeune, Florian Naudet, Jean Michel Reymann European Neuropsychopharmacology Volume 24, Issue 8, Pages 1229-1239 (August 2014) DOI: 10.1016/j.euroneuro.2014.05.006 Copyright © 2014 Elsevier B.V. and ECNP Terms and Conditions

Figure. 1 Electrode placement (nucleus accumbens and associative territory of the caudate) after readjustment of the Yelnik & Bardinet atlas (Yelnik et al, 2007) on the MRI of each patient. The 3D cursor shows the exact position of each target in the three anatomical planes (transverse, sagittal, and coronal). The mediolateral (ML), dorsoventral (DV) and anteroposterior (AP) coordinates in the coordinate KABP were also calculated for each patient. European Neuropsychopharmacology 2014 24, 1229-1239DOI: (10.1016/j.euroneuro.2014.05.006) Copyright © 2014 Elsevier B.V. and ECNP Terms and Conditions

Figure. 2 2a) Stimulation parameters and 2b) change in HDRS-17 from baseline: individual data shown. Red line: M0 (surgery) Preoperative period and first month with stimulator turned off Accumbens stimulation On Caudate stimulation On Spontaneous interruption of stimulation: stimulation was reactivated as soon as the interruption had been detected. European Neuropsychopharmacology 2014 24, 1229-1239DOI: (10.1016/j.euroneuro.2014.05.006) Copyright © 2014 Elsevier B.V. and ECNP Terms and Conditions