印度精神外科的初始阶段：来自迈索尔政府精神病院的回顾性数据综述
The Initial Epoch of Psychosurgery in India: A Retrospective Data Review from Mysore Government Mental Hospital.
作者信息
Ghani Sarah, Dahale Ajit Bhalchandra, Basavarajappa Chethan, Jain Sanjeev, Murthy Pratima
机构信息
Dept. of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Joint first authors.
出版信息
Indian J Psychol Med. 2023 Nov;45(6):580-584. doi: 10.1177/02537176231154811. Epub 2023 Mar 3.
BACKGROUND
In the early 20 century, psychosurgery had gained worldwide popularity for treating mentally ill persons, especially in western countries. We attempt to chronicle its journey in the Mysore Government Mental Hospital (MGMH), now the National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru.
METHODS
Archived case records and registers of patients admitted from 1939 to 1947 were reviewed to identify those who had undergone psychosurgery. Case records of the identified patients were assessed for clinical information, including the details of psychosurgery.
RESULTS
Among the patients, 107 had undergone psychosurgery, primarily leucotomy. Schizophrenia (51.5%) was the most common diagnosis in them, and 33.7% of all patients were reported to have improved. Yet, inconsistencies were found about the presence and degree of improvement. Possible side effects were not consistently documented.
CONCLUSION
Psychosurgery was adopted at the MGMH very soon following its introduction in the western world. However, ambiguity about its benefits and risks was noted in the current study.
背景
在20世纪早期，精神外科手术在全球范围内受到欢迎，用于治疗精神疾病患者，尤其是在西方国家。我们试图记录其在迈索尔政府精神病院（现班加罗尔国家心理健康和神经科学研究所，NIMHANS）的发展历程。
方法
回顾1939年至1947年收治患者的存档病例记录和登记簿，以确定那些接受过精神外科手术的患者。对确诊患者的病例记录进行临床信息评估，包括精神外科手术的详细情况。
结果
在这些患者中，107人接受了精神外科手术，主要是白质切断术。精神分裂症（51.5%）是他们最常见的诊断，据报告所有患者中有33.7%病情有所改善。然而，在改善的存在和程度方面存在不一致之处。可能的副作用没有得到一致记录。
结论
精神外科手术在西方世界引入后不久就在MGMH被采用。然而，本研究中注意到其益处和风险存在模糊性。
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