神经精神疾病的神经外科治疗。

Neurosurgical treatment of neuropsychiatric illness.

作者信息

Marino Júnior R, Cosgrove G R

出版信息

Psychiatr Clin North Am. 1997 Dec;20(4):933-43. doi: 10.1016/s0193-953x(05)70353-1.

Abstract

Neurosurgical treatment of neuropsychiatric illness has evolved considerably since its inception in 1935. The most common psychiatric indications for the procedure, including obsessive-compulsive disorder and major depression, are conceptualized as disorders involving the basal ganglia and limbic system. In this article, the various operations and their contemporary applications are discussed. Neurosurgical treatment represents a viable option in appropriate candidates suffering from severe and otherwise treatment-refractory neuropsychiatric diseases.

摘要

自1935年神经外科治疗神经精神疾病问世以来，其发展颇为显著。该手术最常见的精神科适应症，包括强迫症和重度抑郁症，被概念化为涉及基底神经节和边缘系统的疾病。本文将讨论各种手术及其当代应用。对于患有严重且其他治疗方法难治的神经精神疾病的合适患者，神经外科治疗是一种可行的选择。