Neurosurgery for psychiatric disorders

Andrea L. Malizia History

Assessment mfoLsMrgery Indications

MaiordeEressiye disorder Bipolar affectiye, „disorder Obsessive-compulsive, disorder AD.x.ie.$Yiid!s.o,rd,e.r§ Lega'and, ethical, considerations

Outcome

Personality, andlllsocial, functioning Neuropsychology

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Imaging Ne,urOchemi.ca! Chapter, References

Neurosurgery for psychiatric disorders is now rarely performed. The term psychosurgery, which described these therapeutic interventions in the past, has become less favoured because of its association with previously crude operative techniques, and because it artificially separates these procedures from similar forms of neurosurgery carried out for other brain disorders such as epilepsy and Parkinson's disease. Currently, there are four stereotactic procedures carried out in centres that either publish research or audit their work. In these centres, operative procedures are performed only after a stringent assessment of the refractoriness to other forms of treatment and with verification of free consent by the patients. While the need for such treatment should decrease with the use of more effective therapeutic strategies, the existence of selected centres of expertise should continue for those patients who are failed by other reasonable treatments. These centres should take responsibility for the scientific evaluation of these treatments.

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