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Remission of Alcohol Dependency Following Deep Brain Stimulation of the Nucleus Accumbens: Valuable Therapeutic Implications?

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Date 2007 Sep 20
PMID 17878197
Citations 90
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Abstract

Chronic consumption of alcohol represents one of the greatest health and socioeconomic problems worldwide. We report on a 54-year-old patient with a severe anxiety disorder and secondary depressive disorder in whom bilateral deep brain stimulation (DBS) of the nucleus accumbens was carried out. Despite the absence of desired improvement in his primary disorder, we observed a remarkable although not primarily intended alleviation of the patient's comorbid alcohol dependency. Our case report demonstrates the extremely effective treatment of alcohol dependency by means of DBS of the nucleus accumbens and may reveal new prospects in overcoming therapy resistance in dependencies in general.

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References
1.
Dodd P, Beckmann A, Davidson M, Wilce P . Glutamate-mediated transmission, alcohol, and alcoholism. Neurochem Int. 2000; 37(5-6):509-33. DOI: 10.1016/s0197-0186(00)00061-9. View

2.
Shumyatsky G, Tsvetkov E, Malleret G, Vronskaya S, Hatton M, Hampton L . Identification of a signaling network in lateral nucleus of amygdala important for inhibiting memory specifically related to learned fear. Cell. 2003; 111(6):905-18. DOI: 10.1016/s0092-8674(02)01116-9. View

3.
Ericson M, Molander A, Lof E, Engel J, Soderpalm B . Ethanol elevates accumbal dopamine levels via indirect activation of ventral tegmental nicotinic acetylcholine receptors. Eur J Pharmacol. 2003; 467(1-3):85-93. DOI: 10.1016/s0014-2999(03)01564-4. View

4.
Bassareo V, De Luca M, Aresu M, Aste A, Ariu T, Di Chiara G . Differential adaptive properties of accumbens shell dopamine responses to ethanol as a drug and as a motivational stimulus. Eur J Neurosci. 2003; 17(7):1465-72. DOI: 10.1046/j.1460-9568.2003.02556.x. View

5.
Sturm V, Lenartz D, Koulousakis A, Treuer H, Herholz K, Klein J . The nucleus accumbens: a target for deep brain stimulation in obsessive-compulsive- and anxiety-disorders. J Chem Neuroanat. 2004; 26(4):293-9. DOI: 10.1016/j.jchemneu.2003.09.003. View