Longitudinal neuropsychological outcomes in treatment-resistant depression following bed nucleus of the stria terminalis-area deep brain stimulation: a case review

Neurocase. 2018 Oct-Dec;24(5-6):231-237. doi: 10.1080/13554794.2018.1549680. Epub 2018 Dec 3.

Abstract

Studies have demonstrated the effectiveness of deep brain stimulation (DBS) as a treatment modality for psychiatric conditions. We present a case reviewing the longitudinal neuropsychological performance outcomes following bed nucleus of the stria terminalis-area (BNST) DBS in a patient with treatment-resistant depression (TRD). The cognitive safety of DBS is well documented for various targets, however cognitive outcomes of BNST-area DBS have not been extensively reported for patients with TRD. Neuropsychological assessment was conducted pre- and post-DBS. Twelve months following DBS, augmented general cognitive performance was observed with significant changes in specific domains.

Keywords: Bed nucleus of stria terminalis; deep brain stimulation; neuropsychology; repeatable battery for the assessment of neuropsychological status; treatment resistant depression.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Deep Brain Stimulation / methods*
  • Depressive Disorder, Treatment-Resistant / therapy*
  • Female
  • Humans
  • Longitudinal Studies
  • Neuropsychological Tests
  • Outcome Assessment, Health Care
  • Retrospective Studies
  • Septal Nuclei*