• World Neurosurg · Feb 2019

    Case Reports

    Deep Brain Stimulation of Nucleus Accumbens for Methamphetamine Addiction: Two Case Reports.

    • Shunnan Ge, Yukun Chen, Nan Li, Liang Qu, Yang Li, Jiangpeng Jing, Xin Wang, Jing Wang, and Xuelian Wang.
    • Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, People's Republic of China.
    • World Neurosurg. 2019 Feb 1; 122: 512-517.

    BackgroundMethamphetamine (MA) addiction is one of the most prevalent socioeconomic and health problems worldwide. In recent years, deep brain stimulation (DBS) has increasingly been used for the treatment of addiction.Case DescriptionThis study reports on 2 MA-dependent patients who received DBS of the nucleus accumbens (NAc). During the approximately 2-year follow-up period, one patient (A) remained abstinent and presented with positive emotional experiences, whereas the other (B) had no significant psychobehavioral changes during stimulation at low-to-moderate voltages and subsequently relapsed. Through coregistration of preoperative magnetic resonance imaging with postoperative computed tomography/magnetic resonance imaging, the DBS electrode of patient A was confirmed to be accurately implanted in the NAc, whereas one side of the electrode of patient B deviated from the target.ConclusionsThese case reports demonstrate that NAc-DBS maybe a possible treatment option for MA addiction.Copyright © 2018 Elsevier Inc. All rights reserved.

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