• Curr Psychiatry Rep · Oct 2004

    Historical Article

    Neurosurgical interventions for neuropsychiatric syndromes.

    • C Alan Anderson and David B Arciniegas.
    • Neurology B-182, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Denver, CO 80262, USA. al.anderson@uchsc.edu
    • Curr Psychiatry Rep. 2004 Oct 1;6(5):355-63.

    AbstractPsychosurgical procedures have been used for the treatment of intractable mental illness for more than 50 years. With improvements in surgical techniques, including new implantable stimulators, advances in functional neuroimaging, and progress in our fundamental understanding of the pathophysiology of mental illness there is a renewed interest in neurosurgical treatment of refractory psychiatric illness. This article will review the history of psychosurgery and recent developments in surgical techniques and implantable devices used in this context. The results of psychosurgery for the treatment of several psychiatric conditions and neuropsychiatric symptoms will be presented, including obsessive-compulsive disorder, Tourette's syndrome, depression, anxiety, aggression, self-injurious behavior, and schizophrenia. Lastly, a perspective on the current and future role of psychosurgery for the treatment of mental illnesses will be discussed.

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