Identity Theft, Deep Brain Stimulation, and the Primacy of Post-trial Obligations
Hastings Cent Rep. 2024 Jan;54(1):34-41. doi: 10.1002/hast.1567.ABSTRACTPatient narratives from two investigational deep brain stimulation trials for traumatic brain injury and obsessive-compulsive disorder reveal that injury and illness rob individuals of personal identity and that neuromodulation can restore it. The early success of these interventions makes a compelling case for continued post-trial access to these technologies. Given the centrality of personal identity to respect for persons, a failure to provide continued access can be understood to represent a metaphorical identity theft. Such a loss recapitulates th...
Source: The Hastings Center Report - February 23, 2024 Category: Medical Ethics Authors: Joseph J Fins Amanda R Merner Megan S Wright Gabriel L ázaro-Muñoz Source Type: research
Identity Theft, Deep Brain Stimulation, and the Primacy of Post-trial Obligations
Hastings Cent Rep. 2024 Jan;54(1):34-41. doi: 10.1002/hast.1567.ABSTRACTPatient narratives from two investigational deep brain stimulation trials for traumatic brain injury and obsessive-compulsive disorder reveal that injury and illness rob individuals of personal identity and that neuromodulation can restore it. The early success of these interventions makes a compelling case for continued post-trial access to these technologies. Given the centrality of personal identity to respect for persons, a failure to provide continued access can be understood to represent a metaphorical identity theft. Such a loss recapitulates th...
Source: The Hastings Center Report - February 23, 2024 Category: Medical Ethics Authors: Joseph J Fins Amanda R Merner Megan S Wright Gabriel L ázaro-Muñoz Source Type: research
Identity Theft, Deep Brain Stimulation, and the Primacy of Post-trial Obligations
Hastings Cent Rep. 2024 Jan;54(1):34-41. doi: 10.1002/hast.1567.ABSTRACTPatient narratives from two investigational deep brain stimulation trials for traumatic brain injury and obsessive-compulsive disorder reveal that injury and illness rob individuals of personal identity and that neuromodulation can restore it. The early success of these interventions makes a compelling case for continued post-trial access to these technologies. Given the centrality of personal identity to respect for persons, a failure to provide continued access can be understood to represent a metaphorical identity theft. Such a loss recapitulates th...
Source: The Hastings Center Report - February 23, 2024 Category: Medical Ethics Authors: Joseph J Fins Amanda R Merner Megan S Wright Gabriel L ázaro-Muñoz Source Type: research
Brain Temporal-Spectral Functional Variability Reveals Neural Improvements of DBS Treatment for Disorders of Consciousness
Deep brain stimulation (DBS) is establishing itself as a promising treatment for disorders of consciousness (DOC). Measuring consciousness changes is crucial in the optimization of DBS therapy for DOC patients. However, conventional measures use subjective metrics that limit the investigations of treatment-induced neural improvements. The focus of this study is to analyze the regulatory effects of DBS and explain the regulatory mechanism at the brain functional level for DOC patients. Specifically, this paper proposed a dynamic brain temporal-spectral analysis method to quantify DBS-induced brain functional variations in D...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - February 22, 2024 Category: Neuroscience Source Type: research
Management of essential tremor deep brain stimulation-induced side effects
Deep brain stimulation (DBS) is an effective surgical therapy for carefully selected patients with medication refractory essential tremor (ET). The most popular anatomical targets for ET DBS are the ventral intermedius nucleus (VIM) of the thalamus, the caudal zona incerta (cZI) and the posterior subthalamic area (PSA). Despite extensive knowledge in DBS programming for tremor suppression, it is not uncommon to experience stimulation induced side effects related to DBS therapy. Dysarthria, dysphagia, ataxia, and gait impairment are common stimulation induced side effects from modulation of brain tissue that surround the ta...
Source: Frontiers in Human Neuroscience - February 22, 2024 Category: Neuroscience Source Type: research
