Stimulating Brains

Andreas Horn

Andreas Horn interviews experts in the field of deep brain stimulation, noninvasive neuromodulation, functional brain imaging and neuroanatomy. Join us on our quest to interact with the human brain and thank you for your interest in science! Andreas Horn, M.D., Ph.D., directs the institute for network stimulation and is a professor for computational neurology at University Cologne.

  1. #80: Michael Okun - The Parkinson's Plan, prevention, care, and the future of Parkinson's disease

    VOR 4 TAGEN

    #80: Michael Okun - The Parkinson's Plan, prevention, care, and the future of Parkinson's disease

    In this episode of Stimulating Brains, I am delighted to welcome back Michael Okun, neurologist, movement-disorders specialist, Adelaide Lackner Distinguished Professor of Neurology at the University of Florida, Director of the Norman Fixel Institute for Neurological Diseases, and National Medical Advisor of the Parkinson's Foundation. Mike was previously on the podcast in episode 25 together with Kelly Foote. This time, we focus on his new book with Ray Dorsey, The Parkinson's Plan: A New Path to Prevention and Treatment. The book argues that Parkinson's disease should not only be treated after diagnosis, but also understood as a public-health challenge that demands prevention, better care models, patient advocacy, and policy. We talk about the PLAN framework: Prevent the disease, Learn why it begins, Amplify the voices of people affected, and Navigate the frontiers of treatment. We discuss environmental risk factors such as pesticides, solvents, dry-cleaning chemicals, air pollution, and paraquat; the idea that "prevention is not a pill, it is policy"; the Parkinson's 25 and the 0-10-100 by 2035 goal. We also talk about what a real care plan should look like for people living with Parkinson's today, including movement-disorder care, rehabilitation, mental health, caregiver support, exercise, speech and swallow therapy, sensors, and access to multidisciplinary teams. Since this is Stimulating Brains, we also return to deep brain stimulation and neuromodulation: where DBS fits into the broader Parkinson's Plan, what circuit-based therapies may still teach us, and how future treatments might connect prevention, biology, devices, genetics, and care.

    1 Std. 44 Min.
  2. #78: Keith Mullett — Medtronic, pain, and the prehistory of modern DBS

    6. MAI

    #78: Keith Mullett — Medtronic, pain, and the prehistory of modern DBS

    In this episode of Stimulating Brains, I speak with Keith R. Mullett, who can uniquely tell a part of the DBS history that is often skipped. We often begin the story of modern DBS in Grenoble around 1987, when Alim-Louis Benabid and colleagues showed that high-frequency VIM stimulation could suppress tremor. Keith reminds us that Medtronic's first DBS system had already been implanted in 1969, not for tremor or Parkinson's disease, but for severe chronic pain. Keith joined Medtronic in May 1972 and spent 37 years there, first in Minneapolis and later at the Bakken Research Center in Maastricht, where he arrived shortly after Frans Gielen. The conversation goes back before the Benabid era, into the period when Medtronic and its physician collaborators built the devices, surgical know-how, clinical relationships, and regulatory experience that later made DBS for movement disorders possible. We discuss Yoshio Hosobuchi and the first pain implants, RF systems with belt-worn transmitters, the transition from cardiac pacing to neurostimulation, the FDA call for data, ITREL, the Bakken Research Center, and the 1992 tremor study: the moment Keith describes as "the rest is history." This episode also connects to our recent conversations with Todd Langevin (episode 46) and Frans Gielen (episode 75). Todd described the internal venturing and business side of DBS after Benabid, while Frans described the engineering, clinical studies, training, imaging, and new indications that followed. Keith, who was Frans' boss, helps us ask what had to exist inside Medtronic before those later teams could build the modern field.

    1 Std. 28 Min.
  3. #74: Ludvic Zrinzo – DBS vs. Lesioning – and how to know you’re right

    25. JAN.

    #74: Ludvic Zrinzo – DBS vs. Lesioning – and how to know you’re right

    In this episode of Stimulating Brains, we sit down with Dr. Ludwig Zrinzo, Professor of Functional Neurosurgery at University College London and Head of the Functional Neurosurgery Unit at Queen Square. Drawing on decades of experience at the forefront of deep brain stimulation, Dr. Zrinzo reflects on the evolution of DBS from awake procedures to image-guided surgery under general anesthesia, emphasizing why precision, verification, and closing the loop are essential for improving patient outcomes. We discuss how his experience shaped a rigorous, data-driven approach to targeting, why imaging quality remains a very critical factor in DBS accuracy, and how systematic post-operative verification transformed clinical practice. Beyond technique, Dr. Zrinzo shares deeply insightful perspectives on patient selection, mentorship, leadership, and the responsibility of building sustainable teams in academic neurosurgery. The conversation also ventures into neuropsychiatric DBS, including OCD, where we examine how stimulation in different targets may have differential effects on behavior, illuminating the brain’s underlying circuitry. Finally, we look into the future of adaptive and closed-loop stimulation, emerging electrode technologies, and the future balance between innovation, scalability, and patient-centered care. Tune in for a thoughtful and wide-ranging conversation on precision, evidence, and humanity in brain stimulation — and on how functional neurosurgery continues to teach us how the brain truly works.

    1 Std. 42 Min.

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Andreas Horn interviews experts in the field of deep brain stimulation, noninvasive neuromodulation, functional brain imaging and neuroanatomy. Join us on our quest to interact with the human brain and thank you for your interest in science! Andreas Horn, M.D., Ph.D., directs the institute for network stimulation and is a professor for computational neurology at University Cologne.

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