Doshi Paresh K, Arumugham Shyam S, Bhide Ajit, Vaishya Sandeep, Desai Amit, Singh Om Prakash, Math Suresh B, Gautam Shiv, Satyanarayana Rao T S, Mohandas E, Srinivas Dwarkanath, Avasthi Ajit, Grover Sandeep, Reddy Y C Janardhan
Department of Neurosurgery, Jaslok Hospital and Research Centre, Mumbai, Maharastra, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2019 Jan-Feb;61(1):13-21. doi: 10.4103/psychiatry.IndianJPsychiatry_536_18.
Neurosurgery for psychiatric disorders (NPD) has been practiced for >80 years. However, the interests have waxed and waned, from 1000s of surgeries in 1940-1950s to handful of surgery in 60-80s. This changed with the application of deep brain stimulation surgery, a surgery, considered to be "reversible" there has been a resurgence in interest. The Indian society for stereotactic and functional neurosurgery (ISSFN) and the world society for stereotactic and functional neurosurgery took the note of the past experiences and decided to form the guidelines for NPD. In 2011, an international task force was formed to develop the guidelines, which got published in 2013. In 2018, eminent psychiatrists from India, functional neurosurgeon representing The Neuromodulation Society and ISSFN came-together to deliberate on the current status, need, and legal aspects of NPD. In May 2018, Mental Health Act also came in to force in India, which had laid down the requirements to be fulfilled for NPD. In light of this after taking inputs from all stakeholders and review of the literature, the group has proposed the guidelines for NPD that can help to steer these surgery and its progress in India.
用于精神疾病的神经外科手术（NPD）已经开展了80多年。然而，其受关注程度几经起伏，从20世纪40至50年代的数千例手术，到60至80年代的寥寥几例。随着被认为是“可逆的”深部脑刺激手术的应用，这种情况发生了改变，人们对其兴趣再度兴起。印度立体定向和功能性神经外科学会（ISSFN）以及世界立体定向和功能性神经外科学会注意到过去的经验，并决定制定NPD的指导方针。2011年，成立了一个国际特别工作组来制定指导方针，该方针于2013年发布。2018年，来自印度的知名精神科医生、代表神经调节协会和ISSFN的功能性神经外科医生齐聚一堂，商讨NPD的现状、需求和法律问题。2018年5月，印度的《精神健康法》也开始生效，其中规定了NPD需满足的要求。有了这些背景，在听取了所有利益相关者的意见并对文献进行回顾后，该小组提出了NPD的指导方针，这有助于推动此类手术在印度的开展及其进展。
