Citation

Christmas D, Morrison C, Eljamel MS, Matthews K. Adv. Psychiatr. Treat. 2004; 10(3): 189-198.

Copyright

(Copyright © 2004, Royal College of Psychiatrists)

DOI

10.1192/apt.10.3.189

PMID

unavailable

Abstract

The authors reveiw contemporary indications for neurosurgical interventions in the management of chronic and refractory mental disorder, the procedures involved, their efficacy and known adverse effects. These data are presented within the cortex of a brief historical overview of the use of neurosurgery for mental disorder. In addition to a consideration of neurosurgical procedures that rely on the creation of putative therapeutic lesions, we also review two novel, non-destructive neurosurgical electrostimulation treatments that may represent viable alternatives to conventional ablative neurosurgery: vagus nerve stimulation and deep brain stimulation.

Language: en

Keywords

human; violence; suicide; bipolar disorder; insomnia; United Kingdom; depression; treatment outcome; review; mental disease; questionnaire; clinical practice; headache; treatment indication; anxiety disorder; health survey; seizure; neurosurgery; weight gain; frontal lobe; surgical technique; obsessive compulsive disorder; intermethod comparison; brain region; treatment contraindication; brain depth stimulation; memory disorder; capsulotomy; caudate nucleus; electrostimulation therapy; limbic cortex; orbital cortex; stereotaxic surgery