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1. Apathy following deep brain stimulation in Parkinson's disease visualized by 7-Tesla MRI subthalamic network analysis

Author

T.J.C. Zoon, V. Mathiopoulou, G. van Rooijen, P. van den Munckhof, D.A.J.P. Denys, P.R. Schuurman, R.M.A. de Bie, and M. Bot

Subjects
Apathy, Deep brain stimulation, Parkinson, Subthalamic nucleus, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

Background: Apathy is reported after subthalamic nucleus deep brain stimulation (STN DBS) and associated with a decreased quality of life in Parkinson's disease (PD) patients. Recent studies hypothesized that the location of active DBS contact point relative to the STN subdivisions (motor, associative and limbic) could be related to an increase of apathy. Methods: 22 PD-patients that underwent STN DBS between January 2019 and February 2020 were divided in an apathy and non-apathy group using the change in the Starkstein Apathy Scale (SAS) after six months of DBS. For both groups the location of DBS electrodes was determined based on 7T MRI subthalamic network analysis, enabling visualization of the subdivisions and their projections relative to the active contact point. MDS-UPDRS III scores were included to evaluate DBS effect. Results: In six patients a post-DBS increase in apathy score was assessed, versus 16 non-apathy patients. Network analysis showed that active contacts in apathy patients were more often positioned in or close to the area within the STN with high density of surrounding projections to associative cortex areas than in non-apathy patients; 63% apathy versus 42% (P = 0.02). The density of surrounding motor projections was lower in the group with increased apathy (18%) than in the group without increased apathy (38%, P = 0.01). Motor UPDRS improvement for the apathy group was 39% and for the non-apathy group 58% (n.s.) Conclusion: This new approach in patient-specific subthalamic 7T MRI network analysis visualized an anatomical connectivity substrate for apathy in DBS, with active electrode contacts predominantly in the associative STN.

Published
2023
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2. Efficacy and quality of life after 6–9 years of deep brain stimulation for depression

Author

Isidoor O. Bergfeld, Pieter Ooms, Anja Lok, Lara de Rue, Pieter Vissers, Dirk de Knijff, Ferdinand Horst, Guus Beute, Pepijn van den Munckhof, P. Richard Schuurman, and Damiaan Denys

Subjects
Deep brain stimulation, Treatment-resistant depression, Quality of life, Treatment outcome, Major depression, Clinical trial, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

Background: Given the invasiveness of deep brain stimulation (DBS), the effect should prove to be stable over the long-term and translate into an improvement of quality of life (QOL). Objective: To study the effectiveness and QOL up to nine years after the DBS surgery. Methods: We treated 25 adult patients with major depression with DBS of the ventral anterior limb of the internal capsule (vALIC). We followed them up naturalistically for 6–9 years after surgery (mean: 7.7 [SD:1.5] years), including a randomized crossover phase after the first year comparing sham with active DBS. Symptom severity was quantified using the Hamilton Depression Scale with response defined as a ≥50% decrease of the score compared to baseline. Quality of life was measured using the WHOQOL-BREF, assessing 5 domains (general, physical, psychological, social, environmental). Results: Intention-to-treat response rates remained mostly stable from Year 3 to last follow-up (Year 3, 5 and 6: 40%; Year 4: 36%; Last observation: 44%). General, physical, psychological (all P

Published
2022
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3. Corrigendum to 'Structural and functional correlates of deep brain stimulation-induced apathy in Parkinson's disease'

Author

Lennard I. Boon, Wouter V. Potters, Thomas J.C. Zoon, Odile A. van den Heuvel, Naomi Prent, Rob M.A. de Bie, Maarten Bot, P. Richard Schuurman, Pepijn van den Munckhof, Gert J. Geurtsen, Arjan Hillebrand, Cornelis J. Stam, Anne-Fleur van Rootselaar, and Henk W. Berendse

Subjects
Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Published
2022
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4. Deep brain stimulation of the medial forebrain bundle in treatment-resistant depression: Preliminary results showing shift and sustained antidepressant effects

Author

Gosse Jacobus Johannes Mol, Nora Runia, Roel J.T. Mocking, Dirk de Knijff, Pepijn van den Munckhof, Maarten Bot, Hilko Ardon, Dieuwertje A. de Waardt, Geert-Jan M. Rutten, P. Rick Schuurman, Damiaan A.J.P. Denys, and IsidoorO. Bergfeld

Subjects
Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Published
2023
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18. Deep brain stimulation of the medial forebrain bundle in treatment-resistant depression: Preliminary results showing shift and sustained antidepressant effects

Author

Johannes Mol, Gosse Jacobus, primary, Runia, Nora, additional, Mocking, Roel J.T., additional, de Knijff, Dirk, additional, van den Munckhof, Pepijn, additional, Bot, Maarten, additional, Ardon, Hilko, additional, de Waardt, Dieuwertje A., additional, Rutten, Geert-Jan M., additional, Schuurman, P. Rick, additional, Denys, Damiaan A.J.P., additional, and Bergfeld, IsidoorO., additional

Published
2023
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20. Corrigendum to “Structural and functional correlates of deep brain stimulation-induced apathy in Parkinson's disease”

Author

Boon, Lennard I., primary, Potters, Wouter V., additional, Zoon, Thomas J.C., additional, van den Heuvel, Odile A., additional, Prent, Naomi, additional, de Bie, Rob M.A., additional, Bot, Maarten, additional, Schuurman, P. Richard, additional, van den Munckhof, Pepijn, additional, Geurtsen, Gert J., additional, Hillebrand, Arjan, additional, Stam, Cornelis J., additional, Rootselaar, Anne-Fleur van, additional, and Berendse, Henk W., additional

Published
2022
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24. Deep brain stimulation of the medial forebrain bundle in depression

Author

Gosse Mol, Damiaan Denys, Nora Runia, Dirk De Knijff, Isidoor O. Bergfeld, Luka C. Liebrand, Geert-Jan Rutten, Anja Lok, Rick Schuurman, and Guido van Wingen

Subjects
Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, medicine, Neurosciences. Biological psychiatry. Neuropsychiatry, Neurology (clinical), Medial forebrain bundle, business, Neuroscience, Depression (differential diagnoses), RC321-571
Published
2021

25. Concurrent Intracranial and Extracranial Electrophysiological Recordings in Humans: relevance for deep brain stimulation in psychiatric disorders

Author

P.R. Schuurman, P. de Koning, Melisse N. Bais, M. Figee, P. van den Munckhof, Nadine Eijsker, Isidoor O. Bergfeld, Rajat M. Thomas, D. Denys, and Egill Axfjord Fridgeirsson

Subjects
Electrophysiology, Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, medicine, Relevance (information retrieval), Neurosciences. Biological psychiatry. Neuropsychiatry, Neurology (clinical), business, Neuroscience, RC321-571
Published
2021

26. Predicting long term outcomes of deep brain stimulation in obsessive compulsive disorder, depression, and anorexia nervosa

Author

Marloes S. Oudijn, Pepijn van den Munckhof, Martijn Figee, Rick Schuurman, Damiaan Denys, Roel J. T. Mocking, Ilse Graat, Annemarie van Elburg, and Isidoor O. Bergfeld

Subjects
medicine.medical_specialty, Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, Neurosciences. Biological psychiatry. Neuropsychiatry, Anorexia nervosa (differential diagnoses), Obsessive compulsive, medicine, Long term outcomes, Neurology (clinical), Psychiatry, business, Depression (differential diagnoses), RC321-571
Published
2021

33. Surgical decision making for deep brain stimulation should not be based on aggregated normative data mining

Author

Ludvic Zrinzo, Volker A. Coenen, P. Rick Schuurman, Peter C. Reinacher, Thomas E. Schlaepfer, Juergen Voges, Balint Varkuti, Marwan Hariz, Albert J. Fenoy, Patric Blomstedt, Neurosurgery, and ANS - Neurodegeneration

Subjects
Obsessive-Compulsive Disorder, Deep brain stimulation, data aggregation, medicine.medical_treatment, Deep Brain Stimulation, Clinical Decision-Making, Biophysics, DBS, lcsh:RC321-571, medicine, Data Mining, Humans, Medial forebrain bundle, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, business.industry, General Neuroscience, Medial Forebrain Bundle, normative data, Neurosurgeons, Diffusion Tensor Imaging, preprint publishing, Normative, Neurology (clinical), business, Neuroscience, Diffusion MRI
Published
2019

34. Cost-effectiveness of deep brain stimulation versus treatment as usual for obsessive-compulsive disorder

Author

Pepijn van den Munckhof, P. Richard Schuurman, Matthijs Blankers, Pieter Ooms, Martijn Figee, Isidoor O. Bergfeld, Damiaan Denys, Netherlands Institute for Neuroscience (NIN), Other departments, Amsterdam Neuroscience - Compulsivity, Impulsivity & Attention, Adult Psychiatry, Graduate School, and Neurosurgery

Subjects
Adult, Male, medicine.medical_specialty, Psychotherapist, Deep brain stimulation, Cost effectiveness, medicine.medical_treatment, Cost-Benefit Analysis, Biophysics, Treatment as usual, lcsh:RC321-571, 03 medical and health sciences, 0302 clinical medicine, Willingness to pay, Obsessive compulsive, medicine, Journal Article, Obsessive-compulsive disorder, Humans, Pharmacology (medical), Psychiatry, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Biological Psychiatry, Pharmacology, business.industry, General Neuroscience, Economic evaluation, 030227 psychiatry, Quality-adjusted life year, Cognitive behavioral therapy, Psychiatry and Mental health, Neurology, Physical therapy, Female, Neurology (clinical), Quality-Adjusted Life Years, Psychology, business, Incremental cost-effectiveness ratio, 030217 neurology & neurosurgery
Abstract

Background Deep Brain Stimulation (DBS) is effective for obsessive-compulsive disorder (OCD), but requires expensive medical procedures. To date, no study has examined the cost-effectiveness of DBS for OCD. Objective To perform the first economic evaluation of DBS for therapy refractory OCD. Methods We conducted a 2-year prospective, open cost-effectiveness study, comparing DBS (n = 17) with treatment as usual (TAU) (n = 11), with cost per Quality-Adjusted-Life-Year (QALY) as outcome measure. Apart from the base-case, or primary analysis, we conducted two practice-based scenarios: (1) standard care scenario, without research and innovation costs, and (2) rechargeable scenario, in which we assume the use of a rechargeable battery. Base-case and both scenarios were extrapolated to four years to estimate long-term cost-effectiveness. Results Compared to TAU, DBS provides an additional 0.26 QALY (SD = 0.16). Median cost per QALY gained is estimated at €141,446 for base-case, €115,916 for standard care and €65,394 for the rechargeable scenario. Extending the time-horizon to four years results in a median cost per QALY of €80,313 for base-case, €69,287 for standard care, and turned out to be cost-saving at €4678 per QALY for the rechargeable scenario. Assuming a willingness to pay threshold of €80,000/QALY, DBS, under base-case and standard care had 25% and 35% probability of being more cost-effective than TAU. With the rechargeable scenario and in all scenarios extrapolated to four years, the probability of cost-effectiveness was equal or higher than TAU. Conclusions This study indicates DBS for OCD is cost-effective in the long-term, especially when rechargeable batteries are taken into account.

Published
2017

35. Defining the dorsal STN border using 7.0-Tesla MRI: a comparison to microelectrode recordings and lower field strength MRI

Author

Wouter V. Potters, J. Dilai, P. van den Munckhof, Joke M. Dijk, Matthan W.A. Caan, Maarten Bot, R. de Bie, Vincent J. J. Odekerken, O. Verhagen, and Rick Schuurman

Subjects
Dorsum, Microelectrode, business.industry, General Neuroscience, Biophysics, Medicine, Neurology (clinical), Lower field, business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Biomedical engineering, lcsh:RC321-571
Published
2019

37. Individual white matter bundle trajectories are associated with deep brain stimulation response in obsessive-compulsive disorder

Author

Martijn Figee, Matthan W.A. Caan, G.A. van Wingen, P.R. Schuurman, Damiaan Denys, P. van den Munckhof, Luka C. Liebrand, Spinoza Centre for Neuroimaging, Netherlands Institute for Neuroscience (NIN), ACS - Microcirculation, ANS - Compulsivity, Impulsivity & Attention, ACS - Diabetes & metabolism, Graduate School, AMS - Restoration & Development, Adult Psychiatry, Biomedical Engineering and Physics, ACS - Atherosclerosis & ischemic syndromes, Radiology and Nuclear Medicine, Neurosurgery, APH - Methodology, and APH - Aging & Later Life

Subjects
Adult, Male, Obsessive-Compulsive Disorder, Internal capsule, Deep brain stimulation, medicine.medical_treatment, Deep Brain Stimulation, Biophysics, Stimulation, 050105 experimental psychology, Diffusion MRI, lcsh:RC321-571, White matter, 03 medical and health sciences, 0302 clinical medicine, Internal Capsule, medicine, Humans, 0501 psychology and cognitive sciences, Treatment outcome, Medial forebrain bundle, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, medicine.diagnostic_test, business.industry, General Neuroscience, 05 social sciences, Medial Forebrain Bundle, Magnetic resonance imaging, Middle Aged, White Matter, medicine.anatomical_structure, Female, Neurology (clinical), business, Tractography, Neuroscience, 030217 neurology & neurosurgery
Abstract

Background The ventral anterior limb of the internal capsule (vALIC) is a target for deep brain stimulation (DBS) in obsessive-compulsive disorder (OCD). Conventional surgical planning is based on anatomical landmarks. Objective/hypothesis: We hypothesized that treatment response depends on the location of the active DBS contacts with respect to individual white matter bundle trajectories. This study thus aimed to elucidate whether vALIC DBS can benefit from bundle-specific targeting. Methods We performed tractography analysis of two fiber bundles, the anterior thalamic radiation (ATR) and the supero-lateral branch of the medial forebrain bundle (MFB), using diffusion-weighted magnetic resonance imaging (DWI) data. Twelve patients (10 females) who had received bilateral vALIC DBS for at least 12 months were included. We related the change in OCD symptom severity on the Yale-Brown obsessive-compulsive scale (Y-BOCS) between baseline and one-year follow-up with the distances from the active contacts to the ATR and MFB. We further analyzed the relation between treatment response and stimulation sites in standard anatomical space. Results We found that active stimulation of the vALIC closer to the MFB than the ATR was associated with better treatment outcome (p = 0.04; r2 = 0.34). In standard space, stimulation sites were largely overlapping between treatment (non)responders, suggesting response is independent of the anatomically defined electrode position. Conclusion These findings suggest that vALIC DBS for OCD may benefit from MFB-specific implantation and highlight the importance of corticolimbic connections in OCD response to DBS. Prospective investigation is necessary to validate the clinical use of MFB targeting.

Published
2018

38. Delusions following deep brain stimulation of the nucleus accumbens

Author

Damiaan Denys, Martijn Figee, Nienke Vulink, Ilse Graat, Isidoor O. Bergfeld, Pelle de Koning, P. Richard Schuurman, Netherlands Institute for Neuroscience (NIN), Adult Psychiatry, Graduate School, Amsterdam Neuroscience - Compulsivity, Impulsivity & Attention, and Neurosurgery

Subjects
Text mining, Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, Medicine, Neurology (clinical), Nucleus accumbens, business, Neuroscience, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, lcsh:RC321-571
Published
2019

39. Deep brain stimulation for Parkinson’s disease: Cognitive outcome three years after surgery and the relation between preoperative cognitive status, functional health and quality of life after surgery

Author

P.R. Schuurman, P. van den Munckhof, Vincent J. J. Odekerken, R. de Haan, R. de Bie, Gert J. Geurtsen, Ben Schmand, and Judith A. Boel

Subjects
medicine.medical_specialty, Deep brain stimulation, Parkinson's disease, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, Cognition, Functional health, medicine.disease, Outcome (game theory), lcsh:RC321-571, Physical medicine and rehabilitation, Quality of life (healthcare), medicine, Cognitive status, Neurology (clinical), business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Published
2019

40. Long-term effects of deep brain stimulation of the ventral anterior limb of the internal capsule for obsessive compulsive disorder

Author

Roel J. T. Mocking, Rick Schuurman, Mariska Mantione, M. Figee, D. Denys, P. de Koning, Ilse Graat, Nienke Vulink, P. van den Munckhof, and Pieter Ooms

Subjects
Internal capsule, Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, Anatomy, lcsh:RC321-571, Term (time), Obsessive compulsive, medicine, Neurology (clinical), business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Published
2019
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48. Which white matter bundles are associated with treatment efficacy in deep brain stimulation of the ventral internal capsule for OCD and MDD?

Author

P. van den Munckhof, Luka C. Liebrand, Matthan W.A. Caan, D. Denys, G.A. van Wingen, and P.R. Schuurman

Subjects
Internal capsule, Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, Anatomy, Treatment efficacy, lcsh:RC321-571, White matter, medicine.anatomical_structure, medicine, Neurology (clinical), business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Published
2017

49. Cogntive functions following Deep Brain Stimulation in depression

Author

Mariska Mantione, Peter Notten, P. van den Munckhof, J. Van Laarhoven, Damiaan Denys, Guus N. Beute, Henricus G. Ruhé, Isidoor O. Bergfeld, Ferdinand Horst, and P.R. Schuurman

Subjects
Deep brain stimulation, business.industry, General Neuroscience, medicine.medical_treatment, Biophysics, medicine, Neurology (clinical), business, Neuroscience, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Depression (differential diagnoses), lcsh:RC321-571
Published
2017

50. Personalized prediction of response to deep brain stimulation in obsessive-compulsive disorder using structural MRI data

Author

P. van den Munckhof, Matthan W.A. Caan, D. Denys, G.A. van Wingen, Eva Tolmeijer, P.R. Schuurman, and Luka C. Liebrand

Subjects
Deep brain stimulation, business.industry, Obsessive compulsive, General Neuroscience, medicine.medical_treatment, Biophysics, Medicine, Neurology (clinical), business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Neuroscience, lcsh:RC321-571
Published
2019
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