Skip to main content
. 2019 May 13;92(1101):20180942. doi: 10.1259/bjr.20180942

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