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In their paper, Baas et al. (2014), take the rather unique opportunity to conduct a human fear conditioning experiment in subjects with stimulation electrodes in the nucleus accumbens and internal capsule. Here, we argue that it might be premature to draw the strong conclusion that deep brain stimulation (DBS) does not impact contextual anxiety. We will elaborate on two aspects of the study that were not thoroughly discussed in the original paper, but that might help explain why no effects were found. Firstly, we will focus on the neuroanatomy and, secondly, on the behavioral procedure.

Can electrical stimulation of the human bed nucleus of the stria terminalis reduce contextual anxiety? An unanswered question