Elsevier

Biological Psychiatry

Volume 22, Issue 7, July 1987, Pages 807-819
Biological Psychiatry

Treatment of psychiatric illness by stereotactic cingulotomy

https://doi.org/10.1016/0006-3223(87)90080-1Get rights and content

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.

References (17)

  • HT Ballantine

    Neurosurgery for behavioral disorders

  • HT Ballantine et al.

    Stereotactic anterior cingulotomy for neuropsychiatrie illness and intractable pain

    J Neurosurg

    (1967)
  • HT Ballantine et al.

    Frontal cingulotomy for mood disturbance

  • HT Ballantine et al.

    Cingulotomy for psychiatric illness: Report of 13 years experience

  • AJ Bouckoms

    Psychosurgery

  • S Corkin et al.

    Subjective estimates of chronic pain before and after psychosurgery or treatment in a pain unit

  • S Corkin et al.

    Safety and efficacy of cingulotomy for pain and psychiatric disorder

  • JD Earp

    Position paper. Psychosurgery. The position of the Canadian Psychiatric Association

    Can J Psychiatry

    (1979)
There are more references available in the full text version of this article.

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