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相似文献

1
Stereotactic amygdaloidotomy for aggressive behaviour.立体定向杏仁核切开术治疗攻击行为
J Neurol Neurosurg Psychiatry. 1974 Apr;37(4):437-44. doi: 10.1136/jnnp.37.4.437.
2
Sterotactic hypothalamotomy in erethic children.易激惹儿童的立体定向下丘脑切开术
Acta Neurochir (Wien). 1974;Suppl 21:185-91. doi: 10.1007/978-3-7091-8355-7_25.
3
Stereotaxic cryoamygdalotomy.立体定向冷冻杏仁核切开术
Int Surg. 1970 May;53(5):329-37.
4
Stereotactic neurosurgery for aggressive behaviour.用于攻击性行为的立体定向神经外科手术。
Med J Aust. 1973 Apr 21;1(16):779-80.
5
Stereotaxic thalamotomy (lamella medialis) in aggressive psychiatric patients.侵袭性精神疾病患者的立体定向丘脑切开术(内侧薄片)
Confin Neurol. 1970;32(2):326-31. doi: 10.1159/000103434.
6
Stereotaxic methods in different forms of epilepsy.不同类型癫痫中的立体定向方法。
Confin Neurol. 1975;37(1-3):232-8. doi: 10.1159/000102745.
7
Epileptic seizures and the stereotaxic amygdalotomy.癫痫发作与立体定向杏仁核切开术
Confin Neurol. 1970;32(2):289-97. doi: 10.1159/000103429.
8
Psychiatric manifestations in temporal lobe epilepsy: a controlled study.颞叶癫痫的精神症状:一项对照研究。
Br J Psychiatry. 1979 Nov;135:411-7. doi: 10.1192/bjp.135.5.411.
9
Surgical treatment of epilepsy. Restoration of personality?癫痫的外科治疗。人格恢复?
Acta Neurochir Suppl (Wien). 1988;44:102-5. doi: 10.1007/978-3-7091-9005-0_21.
10
Stereotaxic ablation of the irritable focus in temporal lobe epilepsy.立体定向毁损颞叶癫痫中的激惹灶。
Confin Neurol. 1970;32(2):316-21. doi: 10.1159/000103432.

引用本文的文献

1
The amygdala as a therapeutic target for aggressive and disruptive behaviors: a systematic review.杏仁核作为攻击性行为和破坏性行为的治疗靶点:一项系统综述。
Braz J Psychiatry. 2024;46:e20243582. doi: 10.47626/1516-4446-2024-3582. Epub 2024 Sep 19.
2
Connectivity in deep brain stimulation for self-injurious behavior: multiple targets for a common network?深部脑刺激治疗自伤行为中的连接性:一个共同网络的多个靶点?
Front Hum Neurosci. 2022 Aug 24;16:958247. doi: 10.3389/fnhum.2022.958247. eCollection 2022.
3
Bilateral Amygdala Radio-Frequency Ablation for Refractory Aggressive Behavior Alters Local Cortical Thickness to a Pattern Found in Non-refractory Patients.双侧杏仁核射频消融治疗难治性攻击行为可使局部皮质厚度改变为非难治性患者的模式。
Front Hum Neurosci. 2021 Jun 9;15:653631. doi: 10.3389/fnhum.2021.653631. eCollection 2021.
4
Amygdala and Hypothalamus: Historical Overview With Focus on Aggression.杏仁核和下丘脑:以攻击性为重点的历史概述。
Neurosurgery. 2019 Jul 1;85(1):11-30. doi: 10.1093/neuros/nyy635.
5
Deep brain stimulation of the basolateral amygdala for treatment-refractory combat post-traumatic stress disorder (PTSD): study protocol for a pilot randomized controlled trial with blinded, staggered onset of stimulation.基底外侧杏仁核的深部脑刺激治疗难治性战斗创伤后应激障碍(PTSD):一项采用盲法、交错刺激起始的试点随机对照试验的研究方案
Trials. 2014 Sep 10;15:356. doi: 10.1186/1745-6215-15-356.
6
Psychosurgery for schizophrenia: history and perspectives.精神外科治疗精神分裂症:历史与展望。
Neuropsychiatr Dis Treat. 2013;9:509-15. doi: 10.2147/NDT.S35823. Epub 2013 Apr 15.
7
The amygdala as a target for behavior surgery.杏仁核作为行为手术的靶点。
Surg Neurol Int. 2012;3(Suppl 1):S40-6. doi: 10.4103/2152-7806.91609. Epub 2012 Jan 14.
8
Neurological control of human sexual behaviour: insights from lesion studies.人类性行为的神经控制:来自损伤研究的见解
J Neurol Neurosurg Psychiatry. 2007 Oct;78(10):1042-9. doi: 10.1136/jnnp.2006.107193. Epub 2006 Dec 22.
9
Ethical considerations of psychosurgery: the unhappy legacy of the pre-frontal lobotomy.精神外科手术的伦理考量:前额叶白质切除术的不幸遗产。
J Med Ethics. 1980 Sep;6(3):149-54. doi: 10.1136/jme.6.3.149.
10
Violence and mental illness.暴力与精神疾病。
Br Med J (Clin Res Ed). 1984 Jul 7;289(6436):2-3. doi: 10.1136/bmj.289.6436.2.

本文引用的文献

1
Stimulation of the amygdaloid nucleus in a schizophrenic patient.
Am J Psychiatry. 1955 May;111(11):862-3. doi: 10.1176/ajp.111.11.862.
2
Stereotaxic amygdalotomy for behavior disorders.
Arch Neurol. 1963 Jul;9:1-16. doi: 10.1001/archneur.1963.00460070011001.
3
Studies in stereoencephalotomy. IX. The variability in the extent and position of the amygdala.
Confin Neurol. 1960;20:26-36.
4
Preliminary report on the amygdaloidectomy on the psychotic patients, with interpretation of oral-emotional manifestation in schizophrenics.精神病患者杏仁核切除术初步报告及对精神分裂症患者言语-情感表现的解读
Folia Psychiatr Neurol Jpn. 1954 Mar;7(4):309-29. doi: 10.1111/j.1440-1819.1954.tb01278.x.
5
Stereotaxic amygdalotomy and basofrontal tractotomy in psychotics with aggressive behaviour.对有攻击行为的精神病患者进行立体定向杏仁核切开术和基底额叶束切断术。
J Neurol Neurosurg Psychiatry. 1970 Dec;33(6):858-63. doi: 10.1136/jnnp.33.6.858.
6
Long range results of stereotaxic amygdalotomy for behavior disorders.立体定向杏仁核切开术治疗行为障碍的远期结果
Confin Neurol. 1966;27(1):168-71. doi: 10.1159/000103950.
7
Stereotaxic amygdalotomy for epilepsy with aggressive behavior.立体定向杏仁核切开术治疗伴有攻击行为的癫痫
JAMA. 1966 Nov 14;198(7):741-5.
8
Treatment of intractable temporal lobe epilepsy by stereotactic amygdala lesions.立体定向杏仁核毁损术治疗难治性颞叶癫痫
Trans Am Neurol Assoc. 1965;90:12-9.
9
Epileptic seizures and the stereotaxic amygdalotomy.癫痫发作与立体定向杏仁核切开术
Confin Neurol. 1970;32(2):289-97. doi: 10.1159/000103429.
10
Stereotaxic amygdalotomy in behavior disorders.行为障碍中的立体定向杏仁核切开术
Confin Neurol. 1970;32(2):367-73. doi: 10.1159/000103439.

立体定向杏仁核切开术治疗攻击行为

Stereotactic amygdaloidotomy for aggressive behaviour.

作者信息

Kiloh L G, Gye R S, Rushworth R G, Bell D S, White R T

出版信息

J Neurol Neurosurg Psychiatry. 1974 Apr;37(4):437-44. doi: 10.1136/jnnp.37.4.437.

DOI:10.1136/jnnp.37.4.437
PMID:4209161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC494676/
Abstract

Amygdaloidotomy was performed bilaterally on 15 and unilaterally on three patients exhibiting severe aggressive or self-mutilating behaviour. Nine subjects (50%) were improved a year after operation; improvement was maintained in seven (39%) for periods ranging from 27 months to nearly six years. Four non-epileptic cases had convulsions during the period of review; one of them has a persistent mild hemiparesis dating from the postoperative period. There was a tendency for epileptics to respond better than non-epileptics and for mentally retarded patients to respond poorly, but none of the differences was statistically significant.

摘要

对15例表现出严重攻击或自残行为的患者双侧进行了杏仁核切开术,对3例患者单侧进行了该手术。9名受试者(50%)术后一年有所改善;7名(39%)患者的改善持续了27个月至近6年不等。在随访期间,4例非癫痫患者出现惊厥;其中1例自术后起持续存在轻度偏瘫。癫痫患者的反应倾向于比非癫痫患者更好,智力迟钝患者的反应较差,但这些差异均无统计学意义。