PMID- 29388475 OWN - NLM STAT- MEDLINE DCOM- 20190909 LR - 20190909 IS - 1465-3656 (Electronic) IS - 1355-4794 (Linking) VI - 24 IP - 1 DP - 2018 Feb TI - Massive weight loss following deep brain stimulation of the nucleus accumbens in a depressed woman. PG - 49-53 LID - 10.1080/13554794.2018.1431678 [doi] AB - Obese individuals share behavioral characteristics with drug/alcohol addicts as well as obsessive compulsive disease. Deep brain stimulation (DBS) has been used successfully in these disorders, thus warranting an evaluation in obesity. A woman with treatment-resistant depression as well as severe obesity was selected for DBS of the nucleus accumbens (NAcc) bilaterally with depression being the primary and obesity being the secondary target of treatment. Compared to earlier bariatric surgery, the patient showed accelerated weight loss after DBS. Also, depression was significantly reduced. The current case suggests that DBS of the NAcc warrants further evaluation in patients unresponsive to other treatments. FAU - Tronnier, Volker M AU - Tronnier VM AD - a Department of Neurosurgery , University of Lubeck , Lubeck , Germany. FAU - Rasche, Dirk AU - Rasche D AD - a Department of Neurosurgery , University of Lubeck , Lubeck , Germany. FAU - Thorns, Veronika AU - Thorns V AD - b Department of Psychiatry , University of Lubeck , Lubeck , Germany. FAU - Alvarez-Fischer, Daniel AU - Alvarez-Fischer D AD - b Department of Psychiatry , University of Lubeck , Lubeck , Germany. AD - c Institute of Neurogenetics , University of Lubeck , Lubeck , Germany. FAU - Munte, Thomas F AU - Munte TF AUID- ORCID: 0000-0001-9843-2124 AD - d Department of Neurology , University of Lubeck , Lubeck , Germany. AD - e Institute of Psychology II , University of Lubeck , Lubeck , Germany. FAU - Zurowski, Bartosz AU - Zurowski B AD - b Department of Psychiatry , University of Lubeck , Lubeck , Germany. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180201 PL - England TA - Neurocase JT - Neurocase JID - 9511374 SB - IM MH - Adult MH - Body Weight/physiology MH - Deep Brain Stimulation/*adverse effects MH - Depression/diagnostic imaging/psychology/*therapy MH - Female MH - Humans MH - Life Style MH - Magnetic Resonance Imaging MH - Nucleus Accumbens/*physiology MH - Surveys and Questionnaires MH - Weight Loss/*physiology OTO - NOTNLM OT - Deep brain stimulation OT - depression OT - incentive salience OT - nucleus accumbens OT - obesity OT - reward EDAT- 2018/02/02 06:00 MHDA- 2019/09/10 06:00 CRDT- 2018/02/02 06:00 PHST- 2018/02/02 06:00 [pubmed] PHST- 2019/09/10 06:00 [medline] PHST- 2018/02/02 06:00 [entrez] AID - 10.1080/13554794.2018.1431678 [doi] PST - ppublish SO - Neurocase. 2018 Feb;24(1):49-53. doi: 10.1080/13554794.2018.1431678. Epub 2018 Feb 1.