Nuances in Neuromodulation for Movement Disorders and Psychiatry-Nuances in Neuromodulation for Movement Disorders and Psychiatry

Video Transcription

Video Summary

The session focused on recent advances and considerations in neuromodulation for movement disorders and psychiatric conditions. Dr. Levin highlighted developments in neuromodulation for movement disorders, emphasizing surgical and hardware updates. Recent MRI advancements allow better targeting for various brain regions, potentially improving treatment outcomes. New battery technologies and remote programming platforms from manufacturers like Abbott and Boston Scientific were also discussed, showcasing improvements in efficiency and patient accessibility. Medtronic's advancements in adaptive DBS, supported by promising preliminary results, were outlined as well.<br /><br />The session also tackled the ethical considerations and future directions of psychiatric neurosurgery. Despite its controversial past, DBS and similar interventions in psychiatric disorders could significantly benefit treatment-resistant patients. The talks underlined stringent ethical standards for ongoing research. Moreover, the potential of individualized targeting using patient-specific connectivity profiles and neurophysiological markers for DBS in conditions like depression was explored.<br /><br />In terms of technique, asleep DBS for essential tremor was found to be non-inferior to awake DBS, presenting it as a viable alternative that could relieve some of the procedural burdens on patients. Closing the session, several short presentations explored specific research topics, including machine learning to predict Parkinson’s symptom severity and the biomarker-driven approach in movement disorders, highlighting the rapid innovations and collaborations shaping the field. Overall, the presentations reflected a robust forward momentum in neuromodulation technologies and their applications, underscoring a dynamic confluence of clinical advances, ethical considerations, and ongoing research efforts.

Keywords

neuromodulation

movement disorders

psychiatric conditions

surgical updates

MRI advancements

adaptive DBS

ethical considerations

psychiatric neurosurgery

individualized targeting

asleep DBS

machine learning

biomarker-driven approach

Parkinson's symptom prediction