Download - Dbs for depression
![Page 1: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/1.jpg)
Dr. Paresh Doshi
Director of Neurosurgery
Director Stereotactic and Functional Neurosurgery Dept.
Jaslok Hospital and Research Centre
Mumbai
DEEP BRAIN STIMULATION (DBS) FOR TREATMENT RESISTANT DEPRESSION (TRD)
DR. PARESH DOSHI
![Page 2: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/2.jpg)
Dr. Paresh Doshi
FIRST CASE IN ASIAN- AUSTRALIAN CONTINENTS
Click icon to add picture
![Page 3: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/3.jpg)
Dr. Paresh Doshi
• History of Psychiatric disorders surgery
MGH lesional experience
Also include other indication being OCD 25 publications and 130 cases
From where do claim this, world ns paper of mayberg
Papers published in IJP
Click icon to add picture
![Page 4: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/4.jpg)
Dr. Paresh Doshi
DEEP BRAIN STIMULATON
Click icon to add picture
![Page 5: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/5.jpg)
Dr. Paresh Doshi
ABOUT FUNCTIONAL NEUROSURGERY DEPT
• Started in 1998
• Offers treatment for Parkinson’s disease, movement disorders, epilepsy, pain, spasticity and psychiatric disorders
• Pioneer in performing several surgeries for the first time in India
• Largest experience of Deep brain stimulation (>250) in India
• Member of board of directors on Asian and the World societies for functional neurosurgery.
Click icon to add picture
![Page 6: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/6.jpg)
Dr. Paresh Doshi
WHAT IS SUBGENUAL CINGULATE GYRUS (SCCG)
• Located in the frontal lobe
• At the base of the brain
• Close to the midline
Click icon to add picture
Brain Target
![Page 7: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/7.jpg)
Dr. Paresh Doshi
WHY SCCG
Click icon to add picture
Inc activity in depression
![Page 8: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/8.jpg)
Dr. Paresh Doshi
MAY 2009- PSYCHOSURGERY CONSENSUS GROUP MEETING
![Page 9: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/9.jpg)
Dr. Paresh Doshi
GUIDELINES
• OCD and Depressionas the only confirmed indication
• Accept published inclusion and exclusion criteria for pt. selection
• Selection to be done with a 100% consensus of one neurosurgeon and two psychiatrists
• Selected case to be further reviewed and confirmed by independent neurologist, neurosurgeon and psychiatrist
Click icon to add picture
Doshi PK, Indian J Psych, 2009
![Page 10: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/10.jpg)
Dr. Paresh Doshi
WSSFN PSYCHIATRIC FORUM MEETING-SHANGHAI 2011
![Page 11: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/11.jpg)
Dr. Paresh Doshi
LONG TERM RESULTS
• 62% -1yr
• 42% -2yrs
• 75% -3yrs
Click icon to add picture
Kennedy HS, Lozano et al. Am J Psychiatry 2011; 168:502–510
![Page 12: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/12.jpg)
Dr. Paresh Doshi
BEN’S JOURNEY
Click icon to add picture
23rd September, 2013
![Page 13: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/13.jpg)
Dr. Paresh Doshi
DAY 1
Click icon to add picture
![Page 14: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/14.jpg)
Dr. Paresh Doshi
DAY 2
• Picture of consensus group with names tagged
Click icon to add picture
![Page 15: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/15.jpg)
Dr. Paresh Doshi
DAY 3 : FRAME FIXATION
Click icon to add picture
![Page 16: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/16.jpg)
Dr. Paresh Doshi
DAY 3: PLANNING
Click icon to add picture
![Page 17: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/17.jpg)
Dr. Paresh Doshi
DAY 3: SURGICAL SETUP
Click icon to add picture
![Page 18: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/18.jpg)
Dr. Paresh Doshi
DAY3: INTRAOPERATIVE ASSESSMENT
Click icon to add picture
![Page 19: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/19.jpg)
Dr. Paresh Doshi
Click icon to add picture
![Page 20: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/20.jpg)
Dr. Paresh Doshi
DAY 3: FINAL REWARD, BEN SMILING!!!
Click icon to add picture
![Page 21: Dbs for depression](https://reader035.vdocument.in/reader035/viewer/2022062404/5549138ab4c90553458bf849/html5/thumbnails/21.jpg)
Dr. Paresh Doshi
THANK YOU
Click icon to add picture