Functional Neurosurgery for Psychiatric Disease.
- Author:
Yoon HA
1
;
Chan Hyung KIM
;
Jong Hee CHANG
;
Yong Gou PARK
;
Sang Sup CHUNG
;
Jin Woo CHANG
Author Information
1. Department of Neurosurgery, Institute for Brain Research, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Psychosurgery;
Cingulotomy;
Subcaudate tractotomy;
Anterior capsulotomy;
Limbic leukotomy;
Vagus nerve stimulation;
Deep brain stimulation
- MeSH:
Brain;
Chronic Disease;
Deep Brain Stimulation;
Humans;
Neurosurgery*;
Patient Selection;
Psychosurgery;
Vagus Nerve Stimulation
- From:Korean Journal of Psychopharmacology
2003;14(2):99-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite a long and controversial history, psychosurgery has persisted as a modern treatment option for some severe, medically intractable psychiatric disorders. The empirical basis of psychosurgery is weak because of the lack of well-designed investigations. Several carefully conducted studies in which independent evaluation has been made, however, show convincingly that highly selective stereotactic operations on the brain can benefit some carefully selected, chronically ill psychiatric patients with a low rate of unwanted side effects. The goal of this article is to review the current state of psychosurgery. In this review, the definition of psychosurgery, patient selection criteria, and anatomical and physiological rationales for anterior cingulotomy, subcaudate tractotomy, anterior capsulotomy, limbic leukotomy, vagus nerve stimulation and deep brain stimulation are discussed.
