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Dbs for depression
1. 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
3. 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
5. 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.
6. Dr. Paresh Doshi
WHAT IS SUBGENUAL CINGULATE GYRUS
(SCCG)
• Located in the frontal lobe
• At the base of the brain
• Close to the midline
Brain Target
9. 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
Doshi PK, Indian J Psych, 2009