# Knowledge and practice of deep brain stimulation among pediatric neurology residents in Saudi Arabia

## TL;DR

This study finds that Saudi pediatric neurology residents have limited knowledge and training exposure to deep brain stimulation, suggesting a need for improved education.

## Contribution

The study provides the first assessment of DBS knowledge among Saudi pediatric neurology residents and identifies gaps in training and awareness.

## Key findings

- Most residents were unaware of DBS's pediatric FDA approval and had limited knowledge of its side effects and genetic factors.
- Exposure to DBS-related activities was minimal, with no residents having witnessed a DBS surgery.
- Higher residency years and prior patient referral were associated with better DBS knowledge.

## Abstract

Deep brain stimulation (DBS) is an established neurosurgical intervention for movement disorders, yet awareness among Saudi pediatric neurology residents remains limited. This study assessed the knowledge, attitudes, and perceived barriers to DBS among Saudi pediatric neurology trainees. A cross-sectional survey was conducted among pediatric neurology residents in Saudi Arabia. Participants completed a structured questionnaire assessing their familiarity with DBS indications, procedural knowledge, and training exposure. Descriptive and inferential statistics were applied. A total of 40 pediatric neurology residents participated, with a majority (87.5%) aged 26–30 years and 57.5% being women. While 65% recognized DBS as FDA-approved for adults, only 50% were aware of its pediatric approval. Knowledge of DBS targets was moderate (65%), but awareness of side effects (45%) and genetic factors influencing DBS outcomes (32.5%) was limited. Exposure to DBS-related activities was minimal, with 95% never attending a family discussion, 100% never witnessing a DBS surgery, and 80% never attending a DBS lecture. Higher residency years correlated with better DBS knowledge (P = 0.001), and prior patient referral was associated with higher scores (P = 0.028). Awareness and training in DBS among Saudi pediatric neurology residents are suboptimal. Integrating DBS education into residency curricula may improve competency and clinical decision-making.