Kurlan R, Kersun J, Ballantine H T, Caine E D
Department of Neurology, University of Rochester School of Medicine, New York 14632.
Mov Disord. 1990;5(2):152-5. doi: 10.1002/mds.870050211.
We describe two patients with Gilles de la Tourette's syndrome (TS) and disabling obsessive-compulsive and ritualistic behaviors who underwent bilateral radiofrequency anterior cingulotomy. Both achieved a limited but sustained improvement in behavioral symptoms and overall functional abilities. Our observations indicate involvement of limbic structures in this disorder. The procedure should be considered for patients with TS complicated by resistant obsessive-compulsive disorder.
我们描述了两名患有 Gilles de la Tourette 综合征（TS）且伴有致残性强迫观念及仪式化行为的患者，他们接受了双侧射频前扣带回毁损术。两人在行为症状和整体功能能力方面均取得了有限但持续的改善。我们的观察结果表明边缘系统结构参与了这种疾病。对于合并难治性强迫症的 TS 患者，应考虑采用该手术。
