Neurosurgery for psychiatric disorders

Editorial Neurosurgery for psychiatric disorders

Daring must be an inborn trait. Egas Moniz, the neurolo-gist who extrapolated from the abolition of experimental neurosis in two chimpanzees to the invention of a procedure to ablate pathways of the frontal lobes in mentally ill human beings, had already developed angiog-raphy and spent time in jail for opposition to the Portugese monarchy 1. Such a man could write, in recording the results in ...

Editorial Neurosurgery for psychiatric disorders

TOPIC REVIEW Modern Neurosurgery for Psychiatric Disorders

OBJECTIVE: The evolution, rationale, and results of modern functional neurosurgery to treat psychiatric disorders are documented. The potential benefits of neurosurgical treatment for selected, critically ill, psychiatric patients are considered. METHODS: The history, anatomic features, and evolution of and contemporary indications for the four currently used procedures (cingulotomy, subcaudate...

Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders

BACKGROUND For patients with psychiatric illnesses remaining refractory to 'standard' therapies, neurosurgical procedures may be considered. Guidelines for safe and ethical conduct of such procedures have previously and independently been proposed by various local and regional expert groups. METHODS To expand on these earlier documents, representative members of continental and international ...

Stereotactic neurosurgery for movement disorders.

Stereotactic neurosurgery for the treatment of movement disorders focuses primarily on the treatment of Parkinson's disease (PD), essential tremor (ET), and dystonia. The surgical targets in use are the subthalamic nucleus (STN) and the globus pallidus internus (GPi) for PD, GPi for dystonia, and ventralis intermedius (Vim) nucleus of the thalamus for ET. Following target selection, procedures ...