In this episode, Marwan Hariz shares insight about why imaging is both the past and the future for deep brain stimulation, how its role of being the “court jester” or “stereotaxy police” emerged and why critical discussions are important for our field.

References we talked about in the episode

• Hariz, M., 2017. My 25 Stimulating Years with DBS in Parkinson’s Disease. J Parkinsons Dis 7, S33–S41.
• Marwan mentions the German word “Sieb” which means sieve in English – referring to microelectrodes unnecessarily puncturing the brain
• Cyron, D., 2016. Mental Side Effects of Deep Brain Stimulation (DBS) for Movement Disorders: The Futility of Denial. Front Integr Neurosci 10, 1722.

Transforming a chronic disease to a disease of emergency medicine

• Hariz, M., 2016. Once STN DBS, Always STN DBS?-Clinical, Ethical, and Financial Reflections on Deep Brain Stimulation for Parkinson’s Disease. Movement Disorders Clinical Practice 3, 285–287.

Cg25 lesion in the Laitinen time

• Huotarinen, A., Kivisaari, R., Hariz, M., 2018. Laitinen’s Subgenual Cingulotomy: Anatomical Location and Case Report. Stereotact Funct Neurosurg 96, 342–346.

Impulse generator battery discussion

• Hariz, M., 2019. Battery obsolescence, industry profit and deep brain stimulation. Acta Neurochir (Wien) 161, 2047–2048.
• Kiss, Z.H.T., Hariz, M., 2019. “New and improved” DBS batteries? Brain Stimul 12, 833–834.
• Poster MDS Nice: Karl Marx, Rosa Luxemburg, and Deep Brain Stimulation: is there a connection?

Earlystim discussion

• Hariz, M.I., Johansson, F., 2001. Hardware failure in parkinsonian patients with chronic subthalamic nucleus stimulation is a medical emergency. Mov. Disord. 16, 166–168.

Ethical considerations & Pearls in the Literature

• Presentation: Some Pearls from the literature
• Presentation: Some Pearls – Seven cranial nerves go to the eye
• Presentation: More Pearls – Separating Hope from Hype

Colleagues mentioned in the episode include

• Lauri Laitinen (Marwan’s mentor, Neurosurgeon in Umeå)
• Patric Blomstedt (Neurosurgeon in Umeå)
• Alim-Louis Benabid (Neurosurgeon in Grenoble)
• Pierre Pollak (Neurologist in Grenoble)
• Patricia Limousin (Neurologist in London)
• Günther Deuschl (Neurologist in Kiel)
• Andres Lozano (Neurosurgeon in Toronto)
• Helen Mayberg (Neurologist in NYC)
• Paul Krack (Neurologist in Bern)
• Hans Speelman (Neurologist in Amsterdam)
• Jan van Manen (Neurologist in Groningen)
• Rick Schuurman (Neurosurgeon in Amsterdam)
• Mahlon DeLong (Neurologist in Atlanta)
• Ernest A. Spiegel (Neurologist in Philadelphia)
• Henry T. Wycis (Neurosurgeon in Philadelphia)
• Jerrold Vitek (Neurosurgeon in Minneapolis)
• Donatus Cyron (Neurosurgeon in Karlsruhe)
• José Obeso (Neurologist in Pamplona)
• Kenichiro Sugita (Neurosurgeon in Matsumoto)
• Denise Albe-Fessard (Electrohysiologist in Paris)
• Gerard Guiot (Neurosurgeon in Paris)
• Ludvic Zrinzo (Neurosurgeon in London)
• Harith Akram (Neurosurgeon in London)