Intraoperative Stimulation Mapping, Beta-Band Closed Loops, and the Economics of Adaptive Deep Brain Stimulation: Why Parkinson's Neuromodulation Finally Got Smart and Still Cannot Scale

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Intraoperative Stimulation Mapping, Beta-Band Closed Loops, and the Economics of Adaptive Deep Brain Stimulation: Why Parkinson's Neuromodulation Finally Got Smart and Still Cannot Scale

Sep 23, 2026

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A viral brain surgery video shocked the internet this year. Surgeons paused a Parkinson’s tremor in real time. Comments went wild. The technique is from the 1990s. What actually changed in 2025 is something far less visible and far more consequential.

In February 2025, the FDA approved the first closed-loop deep brain stimulation system for Parkinson’s. …

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