ABSTRACT

The development of deep brain stimulation as a surgical technique has been a cul-

mination of several technologies that have evolved over a period of many centu-

ries. The union of these technologies has occurred through the persistence of

dozens of motivated researchers whose contributions have brought the field to

where it stands today. This required more than the development of the stimulating

electrode-there needed to be a surgical target and an ability to precisely localize

that target. Furthermore, advancement in this technique required progressive

improvement in our understanding of the functional anatomy of subcortical struc-

tures relative to their roles in motor functions. We review the historical develop-

ment of the surgical targets for movement disorders, the advances in stereotactic

localization, and the application of electrical stimulation to these targets.