Table 2.
Summary of papers on DBS targets in substance and alcohol use disorders
| Ref | Author | Date | Journal | No subs | Target | Primary dx/secondary dx | Prim outcome | Result |
| 84 | Kuhn et al. | 2007 | J Neur Neurosurg Psychiatry | 1 | B.NAc | GAD, MDD/AUD | No change in anxiety | “rapid, drastic ↓ EtOH use” “EtOH free in two mos” Effects at 12 months |
| 94 | Müller et al. | 2009 | Pharmacopsych | 3 | B.NAc | AUD | OCDS, AUQ | ↓ OCD 3/3, ↓ AUQ 3/3, abstinent 1/3, ↓ drinking 2/3, ↓ craving 2/3 |
| 85 | Mantione et al. | 2010 | Neurosurgery | 1 | B.Nac | OCD, NUD, obesity | Weight, smoke, YBOCS | Quit smoking, ↓ weight, ↓YBOCS, ↓ anxiety |
| 89 | Zhou et al. | 2011 | Biol Psych | 1 | B.NAc | Heroin | Urine tox, naloxone challenge | ↓ drug use x 6 years ;↓ cigarettes |
| 88 | Valencia-Alfonso et al. | 2012 | Biol Psych | 1 | B.NAc/ALIC | Heroin | Not stated | 1 × 14 day relapse in 6m of Rx |
| 95 | Voges et al. | 2013 | World Neurosurg | 5 | Nac | AUD | OCDS, Craving, abstinence, LFP | Abstinent 2/5, ↓ craving 5/5 |
| 91 | Kuhn et al. | 2014 | Mol Psych | 2 | NAc | Opioid/amphet, AUD | Craving | ↓ Craving; ↓ heroin; in one patient, transient in anxiety, drug use, mood that responded to IPG replacement |
| 93 | Ge et al. | 2018 | World Neurosurg | 2 | B.NAc/ALIC | Methamphetamine | Urine tox, craving | Abstinent 1/2, No effect 1/2 |
| 90 | Chen et al. | 2019 | Brain Stim | 8 | B.NAc/ALIC | Heroin | Abstinence, craving, Y-BOCS, VAS | 5/8 abstinent 3 years, 2/5 relapse, one lost, ↓craving, I FDG frontal temporal |
ALIC = anterior limb internal capsule, AUD = Alcohol use disorder, AUQ = alcohol urge questionnaire, B. NAc = bilateral nucleus accumbens, BZD = benzodiazepine, GAD = generalized anxiety disorder, IPG = implanted generator, LFP = local field potential, OCD = obsessive-compulsive disorder, OCDS = obsessive-compulsive drinking scale, NUD = nicotine use disorder, YBOCS = Yale-Brown Obsessive compulsive scale