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### Neurosurgery  A revised consensus statement on DBS in TS appeared recently \citep{25476818}. It provides an important update to the 2006 recommendations \citep{16991144}, guided by almost a decade of generally positive results from an increasingly varied set of patients, though with limited evidence from randomized allocation treatment studies. Several major changes were made in the recommendations. First, the recommendation that DBS patients be 25 years or older has been replaced by a focus on clinical symptoms rather than using a strict age criterion. It was recommended that a local ethics committee be involved in evaluations for patients who are under 18 years of age. The second major modification in the guidelines was that a patient have a caregiver who would be available to accompany the patient to frequent follow-up appointments. In addition, documentation of no active suicidal or homicidal ideation for 6 months prior to surgery was encouraged. The final change in the guidelines was the importance of identifying and addressing issues related to malingering, psychogenic tics, factitious symptoms, embellishment, and personality disorders.  |**Title** | **Comment** |  |:----------|:------------|