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Abstract
The treatment of 198 psychiatrically disabled patients with Stereotactic cingulotomy
was evaluated prospectively for a mean follow-up of 8.6 years. Patients with major
affective disorders and anxiety disorders fared the best, with a return to normal
functioning in the majority. Patients with obsessive-compulsive disorders, schizophrenia,
and personality disorders improved less predictably, with an uneven improvement in
functioning that required active ongoing psychiatric treatment. Low mortality and
morbidity, a reduction of violent behavior, a possible reduction of suicidal risk,
and a lessening of the intractable suffering of chronic psychiatric illness all indicate
that cingulotomy can be an effective, safe treatment for patients with affective disorders
that are unresponsive to all other forms of therapy.
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References
- Neurosurgery for behavioral disorders.in: Neurosurgery. vol 3. McGraw-Hill, New York1985: 2527-2537
- Stereotactic anterior cingulotomy for neuropsychiatrie illness and intractable pain.J Neurosurg. 1967; 26: 488-495
- Frontal cingulotomy for mood disturbance.in: Second International Conference on Psychosurgery. Charles C Thomas, Copenhagen1972: 221-229
- Cingulotomy for psychiatric illness: Report of 13 years experience.in: Sweet WH Obradore S Martin-Rodriquez JG Neurosurgical Treatment in Psychiatry, Pain and Epilepsy. University Park Press, Baltimore1977: 333-353
- Psychosurgery.in: Textbook of Pain. Churchill Livingstone, London1984: 666-676
- Subjective estimates of chronic pain before and after psychosurgery or treatment in a pain unit.in: Paper presented at the Third World Congress on Pain of the International Association for the Study of Pain, Edinburg, Scotland1981
- Safety and efficacy of cingulotomy for pain and psychiatric disorder.in: Hitchcock ER Ballantine HT Meyerson BA Modern Concepts in Psychiatric Surgery. Elsevier/North Holland, New York1979: 253-272
- Position paper. Psychosurgery. The position of the Canadian Psychiatric Association.Can J Psychiatry. 1979; 24: 353-365
- Anxiety and Emotions: Physiological Basis and Treatment.in: Charles C Thomas, Springfield, IL1980: 229-230
- Anxiety and Emotions: Physiological Basis and Treatment.in: 1980: 243-250
- Repeated acts of self poisoning and self injury.in: Proc R Soc Med. 59. 1966: 89-92
- Prediction of suicide in psychiatric patients.Arch Gen Psychiatry. 1983; 40: 249-257
- Evaluation of the surgical treatment of functional mental illness: Proposal for a prospective controlled trial.in: Sweet WH Obradore S Martin-Rodriguez JG Neurosurgical Treatment in Psychiatry, Pain and Epilepsy. University Park Press, Baltimore1977: 175-188
- Results of orbital undercutting today: A personal series.in: Sweet WH Obrador S Martin-Rodriguez JG Neurosurgical Treatment in Psychiatry, Pain and Epilepsy. University Park Press, Baltimore1977: 189-202
- Bi-frontal stereotactic tractotomy: A follow-up study of its effects on 210 patients.Br J Psychiatry. 1971; 118: 141-152
- Study of cingulotomy in man.in: Sweet WH Obrador S Martin-Rodriguez JG Neurosurgical Treatment in Psychiatry, Pain and Epilepsy. University Park Press, Baltimore1977: 355-362
- Leucotomy in England and Wales 1942–1954.in: Reports on Public Health and Medical Subjects No. 104, Ministry of Health. Her Majesty's Stationery Office, London1961
- Results of lobotomy.J Neuropsychiatry. 1961; 2: 153-157
Article info
Publication history
Received in revised form:
December 1,
1986
Received:
August 29,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.