Harat Marek, Rudaś Marcin
Kliniki Neurochirurgii 10 WSK w Bydgoszczy.
Psychiatr Pol. 2002 Sep-Oct;36(5):793-804.
The surgical treatment of mental disorders--the authors present the neuroanatomical base of stereotactic operations on the limbic system in patients with the mental disorders.
Four main procedures are discussed: anterior cinguotomy, anterior capsulotomy, subcaudate tractotomy, limbic leucotomy.
On the ground of available literature the authors present the results of these operations which are performed with the use of stereotactic equipment guided by MRI and CT. In this article the indications for different surgical procedures are presented and refer mainly to depression, obsessive-compulsive disorder and anxiety. The authors present the principles of qualification and the exclusion criteria of the patients in the countries in which these kinds of operations are performed.
精神障碍的外科治疗——作者介绍了对精神障碍患者进行边缘系统立体定向手术的神经解剖学基础。
讨论了四种主要手术:前扣带回切开术、前囊切开术、尾状核下束切断术、边缘白质切断术。
基于现有文献,作者介绍了这些使用磁共振成像(MRI)和计算机断层扫描(CT)引导的立体定向设备进行的手术结果。本文介绍了不同手术的适应症,主要针对抑郁症、强迫症和焦虑症。作者阐述了开展此类手术国家中患者的入选原则和排除标准。