Bilateral anterior capsulotomy for refractory obsessive-compulsive disorders.

Abstract:

:A prospective study on the effects of bilateral anterior capsulotomy in patients with refractory obsessive-compulsive disorder (OCD) is presented. A total of 18 procedures were performed in 15 patients. The mean duration of the OCDs was 18.1 +/- 5.6 years (range 11-26 years). The mean total Yale-Brown Scale (Y-BOCS) score was 29.67 and mean Global Assessment of Functioning was 43.61. The results throughout the follow-up period remained the same as at 1 month postoperatively. The observed mean recovery on the Y-BOCS was 33.2% (p = 0.017). 52.9% of the patients showed a 33% recovery, 29.4% of the cases showed a 50% recovery and 17% showed a 66% recovery. Global Assessment of Functioning recovered by 19% (p = 0.111). No cognitive deficit was disclosed by neuropsychological screening tests. Complications were observed in 3 cases, 1 with transitory hallucinations, 1 with a single epileptic seizure and 1 case who developed a progressive behavior disorder that became permanent. We conclude that bilateral anterior capsulotomy is a safe and effective procedure.

authors

Oliver B,Gascón J,Aparicio A,Ayats E,Rodriguez R,Maestro De León JL,García-Bach M,Soler PA

doi

10.1159/000075110

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

90-5

issue

1-4

eissn

1011-6125

issn

1423-0372

pii

75110

journal_volume

81

pub_type

临床试验,杂志文章
  • Epilepsy: principles of surgical management.

    abstract::In his keynote address, the author reviews early work in the surgical management of the epilepsies and presents a state-of-the-art review of current basic science and clinical indications for and results from corpus callosotomy for the treatment of seizure disorders. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000098621

    authors: Marino R

    更新日期:1994-01-01 00:00:00

  • Anatomical Study of Percutaneous Trigeminal Compressive Balloon Positioning on Merged 3-D Rotational X-Ray and Preprocedural Magnetic Resonance Imaging.

    abstract:BACKGROUND:Percutaneous trigeminal rhizotomy or balloon compression for trigeminal neuralgia carries a potential risk for the brainstem, the carotid artery, and the basilar artery. OBJECTIVE:To detail the relation of critical neural and vascular structures to expanded balloons used for percutaneous compression of the ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489947

    authors: Sandwell S,Montoya S,Towner JE,Markman JD,Schell MC,Bhalla T

    更新日期:2018-01-01 00:00:00

  • Intraoperative use of the Medtronic O-arm for deep brain stimulation procedures.

    abstract::The purpose of this study was to analyze the feasibility and utility of 3D imaging to help lead positioning during a deep brain stimulation (DBS) procedure. A bilateral subthalamic DBS procedure was conducted in 2 patients for idiopathic Parkinson's disease. Subthalamic nucleus targeting was based on preoperative ster...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000280823

    authors: Caire F,Gantois C,Torny F,Ranoux D,Maubon A,Moreau JJ

    更新日期:2010-01-01 00:00:00

  • The depression system: preliminary studies.

    abstract::The learned helplessness paradigm was used to test the notion that lesions of a theatrical depression system in the rat will produce antidepression similar to antidepressive medication. Lateral brain stem lesions were effective in producing antidepression and unilateral lesions were as effective as bilateral lesions. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099928

    authors: Richardson DE,Dempsey CW,Song JH

    更新日期:1997-01-01 00:00:00

  • Using Monte-Carlo-simulated radiation transport to calculate dose distribution in rats before irradiation with Leksell Gamma Knife 4C: technical note.

    abstract:BACKGROUND:Gamma knife surgery (GKS) is used at subnecrotic doses for temporal lobe epilepsy (TLE) treatment. Rat models of TLE have been used to probe the mechanisms underlying GKS. Previous GKS studies on rats have used the Leksell GammaPlan (LGP) treatment planning system to determine the irradiation time to achieve...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000314355

    authors: Marcelin B,Kjäll P,Johansson J,Lundin A,Nordström H,Eriksson M,Bernard C,Régis J

    更新日期:2010-01-01 00:00:00

  • Citation measures in stereotactic radiosurgery: publication across a discipline.

    abstract:OBJECTIVE:It is possible to judge the impact of scientific research by the number of citations a publication has received. We identified the most cited works in the field of stereotactic radiosurgery to study the evolution of this field from the perspective of publication. METHODS:A Web of Science search was performed...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000322277

    authors: Kondziolka D

    更新日期:2011-01-01 00:00:00

  • Combined Unilateral Posteroventral Pallidotomy and Ventral Intermediate Nucleus Thalamotomy in Tremor-Dominant Parkinson's Disease versus Posteroventral Pallidotomy Alone: A Prospective Comparative Study.

    abstract:BACKGROUND:The optimum target in surgery for Parkinson's disease (PD) is still controversial, especially in patients with tremor-dominant PD. We aim to compare results in tremor-dominant patients undergoing pallidotomy vs. those undergoing simultaneous posteroventral pallidotomy (PVP) and ventral intermediate nucleus (...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000492229

    authors: Fayed ZY,Radwan H,Aziz M,Eid M,Mansour AH,Nosseir M,Anwer H,Elserry T,Abdel Ghany WA

    更新日期:2018-01-01 00:00:00

  • Microvascular Decompression Alone without Rhizotomy Is an Effective Way of Treating Glossopharyngeal Neuralgia: Clinical Analysis of 46 Cases.

    abstract:BACKGROUND:Microvascular decompression (MVD) has been the right choice for glossopharyngeal neuralgia (GPN) patients. However, whether glossopharyngeal/vagal nerve root rhizotomy should be combined with MVD is still controversial. OBJECTIVE:To evaluate whether glossopharyngeal/vagal nerve root rhizotomy during MVD is ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000505712

    authors: Zheng X,Wei XY,Zhu J,Yuan Y,Ying TT,Li ST

    更新日期:2020-01-01 00:00:00

  • The Origins of Human Functional Stereotaxis: A Reappraisal.

    abstract::In order to shed light on the first application of human functional stereotactic neurosurgery, whether it was in the realm of movement disorders, as has been claimed repeatedly, or in the realm of psychiatry, a review of the original scholarly literature was conducted. Tracking and scrutinising original publications b...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000496157

    authors: Rzesnitzek L,Hariz M,Krauss JK

    更新日期:2019-01-01 00:00:00

  • Surgical therapy of temporal lobe seizures.

    abstract::Resection of epileptogenic lesions and pathological studies were performed in all 35 patients with temporal lobe epilepsy, 20 male and 15 female. Their ages ranged from 6 to 48 years with an average of 22 years. Various examinations including CT scan were carried out without any positive finding. EEG showed spike form...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Liu Z,Tian Z,Kang G,Cheng L,Li S,Chen X,Fin H,Zui S

    更新日期:1992-01-01 00:00:00

  • A target-specific electrode and lead design for internal globus pallidus deep brain stimulation.

    abstract::In nearly all deep brain stimulation (DBS) applications, the same quadripolar electrode design is used for different anatomical targets even if shape and volume differences exist between nuclei. Taking into account the electrode location within the internal globus pallidus (GPi) and the size of the GPi, 2 electrodes w...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000303524

    authors: Vasques X,Cif L,Mennessier G,Coubes P

    更新日期:2010-01-01 00:00:00

  • Improved dexterity after chronic electrical stimulation of the motor cortex for central pain: a special relevance for thalamic syndrome.

    abstract:OBJECTIVES:To demonstrate that motor cortex stimulation (MCS) could improve motor function in patients with neuropathic pain. METHODS:In this prospective clinical study of 38 patients referred for MCS as treatment for their neuropathic pain, we collected any declaration of improvement in motor performance that could b...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000338681

    authors: Nuti C,Vassal F,Mertens P,Lemaire JJ,Magnin M,Peyron R

    更新日期:2012-01-01 00:00:00

  • Volumegraph (overlaid three-dimensional image-guided navigation). Clinical application of augmented reality in neurosurgery.

    abstract:OBJECTIVE:We have developed an overlaid three-dimensional image (Volumegraph)-guided navigation system that allows navigation during operative procedures. The three-dimensional image is superimposed on the patient's head and body via a semi-transparent mirror. The Volumegraph can display three-dimensional images in the...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099897

    authors: Iseki H,Masutani Y,Iwahara M,Tanikawa T,Muragaki Y,Taira T,Dohi T,Takakura K

    更新日期:1997-01-01 00:00:00

  • Treatment of nasopharyngeal carcinoma: stereotactic radiosurgical boost following fractionated radiotherapy.

    abstract::Treatment of patients with nasopharyngeal carcinoma (NPC) using external beam radiation therapy (XRT) alone results in significant local recurrence. To improve local control, stereotactic radiosurgery (SRS) was used to boost radiation to the primary tumor site following XRT in 23 patients with NPC. SRS was delivered u...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029753

    authors: Chang SD,Tate DJ,Goffinet DR,Martin DP,Adler JR Jr

    更新日期:1999-01-01 00:00:00

  • DREZ coagulations for deafferentation pain related to spinal and peripheral nerve lesions: indication and results of 79 consecutive procedures.

    abstract::During a 16 years' period, a total of 79 dorsal root entry zone coagulations were performed in 68 patients for deafferentation pain. Of the 23 patients who underwent surgery for pain due to cervical root avulsion, 18 (82%) had a good (12) or fair (6) pain relief (mean follow-up period 51 months). Twelve (57%) patients...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099917

    authors: Rath SA,Seitz K,Soliman N,Kahamba JF,Antoniadis G,Richter HP

    更新日期:1997-01-01 00:00:00

  • Intractable epilepsy and olfactory bulb hamartoma. A case report.

    abstract::The objective of this case report is to demonstrate that a benign tumour arising solely from the olfactory bulb can act as a primary epileptic focus and to illustrate the difficulty in making a preoperative diagnosis of pathological lesions in this area. The case of a 29-year-old male with intractable epilepsy is pres...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000070104

    authors: McEvoy AW,Bartolucci M,Revesz T,Harkness W

    更新日期:2002-01-01 00:00:00

  • Multiple target deep brain stimulation for multiple sclerosis related and poststroke Holmes' tremor.

    abstract:BACKGROUND:The results from thalamic deep brain stimulation (DBS) for atypical tremor syndromes including tremor from multiple sclerosis (MS) and stroke are often disappointing. Three recent case reports have suggested that simultaneous stimulation of multiple thalamic targets can result in sustained improvement in suc...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099072

    authors: Lim DA,Khandhar SM,Heath S,Ostrem JL,Ringel N,Starr P

    更新日期:2007-01-01 00:00:00

  • How does the stereotactic workstation help the neurosurgeon?

    abstract::At the KUL University of Leuven a workstation for the planning of neurosurgical stereotactic procedures has been developed. Its benefits are illustrated in three exemplary cases. The CT and/or MR images, acquired under stereotactic conditions, are transmitted via a PACS network (picture archiving and communication sys...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100284

    authors: Nuttin B,Knauth M,Gybels J,Verbeeck R,Vandermeulen D,Michiels J,Suetens P,Marchal G

    更新日期:1994-01-01 00:00:00

  • The Medial Subthalamic Nucleus Border as a New Anatomical Reference in Stereotactic Neurosurgery for Parkinson's Disease.

    abstract:INTRODUCTION:The intersection of Bejjani's line with the well-delineated medial subthalamic nucleus (STN) border on MRI has recently been proposed as an individualized reference in subthalamic deep brain stimulation (DBS) surgery for Parkinson's disease (PD). We, therefore, aimed to investigate the applicability across...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000510802

    authors: Bolier E,Bot M,van den Munckhof P,Pal G,Sani S,Verhagen Metman L

    更新日期:2020-11-18 00:00:00

  • Pressure monitoring inside Meckel's cave during percutaneous microcompression of gasserian ganglion.

    abstract::During percutaneous microcompression of the gasserian ganglion for the relief of trigeminal neuralgia, a computerized technique for monitoring the pressure inside Meckel's cave was employed in 22 patients. A dedicated transducer connected to a computer records the balloon inflation pressure. Its variations are discern...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099391

    authors: Zanusso M,Curri D,Landi A,Colombo F,Volpin L,Cervellini P

    更新日期:1991-01-01 00:00:00

  • Posttraumatic stress disorder: neurocircuitry and implications for potential deep brain stimulation.

    abstract::Posttraumatic stress disorder (PTSD) is a prevalent and highly disabling psychiatric disorder that is notoriously difficult to treat. At some point in their lifetimes, 5-8% of men, 10-14% of women, and up to a quarter of combat veterans carry this diagnosis. Despite pharmacological and behavioral therapies, up to 30% ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000343148

    authors: Taghva A,Oluigbo C,Corrigan J,Rezai AR

    更新日期:2013-01-01 00:00:00

  • Evoked-potential monitoring during dorsal root entry zone surgery. Patients with chronic pain.

    abstract::Somatosensory evoked potentials (SEP) were monitored intraoperatively in 15 patients who underwent spinal cord radiofrequency thermal dorsal root entry zone (DREZ) lesion procedures to treat chronic deafferentation pain. We found a significant correlation between transient latency shifts (recovery to prelesion values ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099539

    authors: Lunsford LD,Bennett MH

    更新日期:1989-01-01 00:00:00

  • Paradoxical labeling of radiosurgically treated quiescent tumors with Ki67, a marker of cellular proliferation.

    abstract::Ki67 (also known as MIB) is a monoclonal antibody staining agent, which is routinely used as a marker of cellular proliferation. It is used to evaluate the proliferative potential of malignant tumors, since it is thought to stain only those cells undergoing active division. The paradoxical elevation of the Ki67 labeli...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056438

    authors: Jennelle R,Gladson C,Palmer C,Guthrie B,Markert J

    更新日期:1999-01-01 00:00:00

  • Intraoperative cortical mapping has low sensitivity for the detection of motor function in proximity to a tumor in the primary motor area.

    abstract::Six patients with brain tumors within or near the primary motor cortex underwent preoperative functional magnetic resonance imaging (fMRI) and intraoperative cortical mapping, and the accuracy of those techniques for localization of the primary motor cortex and motor function beside the tumor were determined by compar...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000088160

    authors: Shinoura N,Yamada R,Kodama T,Suzuki Y,Takahashi M,Yagi K

    更新日期:2005-01-01 00:00:00

  • A prospective, randomized study of spinal cord stimulation versus reoperation for failed back surgery syndrome: initial results.

    abstract::Spinal cord stimulation (SCS) has been reported to be effective treatment for the failed back surgery syndrome in a number of retrospective case series. Its retrospectively reported results compare favorably with those of neurosurgical treatment alternatives, such as reoperation and ablative procedures. There has been...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000098631

    authors: North RB,Kidd DH,Lee MS,Piantodosi S

    更新日期:1994-01-01 00:00:00

  • Bilateral pallidal stimulation for cervical dystonia. An optimal paradigm from our experiences.

    abstract::We sought to identify optimal paradigms of bilateral globus pallidus internus (GPi) stimulation in 3 subsequent patients with severe cervical dystonia. At low frequency stimulation (50-60 Hz) with wide pulse width (500 micros) and high amplitude (4.5-8.0 V), we observed immediate and consistent improvement of dystonia...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000070835

    authors: Goto S,Mita S,Ushio Y

    更新日期:2002-01-01 00:00:00

  • Combining brain diagnosis and therapy in a single strategy: the safety, reliability, and cost implications using same-day versus separate-day stereotactic procedures.

    abstract:BACKGROUND:A therapeutic radiosurgery procedure usually follows a separate diagnostic stereotactic procedure after days or weeks. OBJECTIVES:To define the clinical reliability, safety, and cost implications of same-day diagnostic stereotactic biopsy and therapeutic radiosurgery. METHODS:During an 8-year interval, 26 ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000332057

    authors: Park KJ,Niranjan A,Kondziolka D,Kano H,Castillo P,Matchett JC,Flickinger JC,Lunsford LD

    更新日期:2011-01-01 00:00:00

  • CT analysis of postoperative changes after thalamotomy for Parkinson's disease.

    abstract::Stereotactic operations have long been used to relieve agitation and muscle rigidity in Parkinson disease. Because of its high-density resolution, CT is quite effective to portray the location, size, shape and density of the thermocoagulative focus. The foci were classified into different types according to their chan...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098740

    authors: Zhang G,Guo Q,Wu S

    更新日期:1995-01-01 00:00:00

  • Electrical stimulation for epilepsy: stimulation of hippocampal foci.

    abstract::Subacute and chronic continuous electrical stimulation at the epileptic focus in the hippocampus or parahippocampal cortex at 130 Hz, 0.21-1.0 ms, 2.5-3.5 V (about 200-300 microA) induces a decrease in focal EEG epileptic interictal activity and also in the occurrence of clinical seizures. This may represent an altern...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000064610

    authors: Velasco F,Velasco M,Velasco AL,Menez D,Rocha L

    更新日期:2001-01-01 00:00:00

  • Functional recovery after combined cerebral and cerebellar hemispherectomy in the rat.

    abstract::The cerebellum seems to be one of the structures responsible for early neurological improvement after cerebral hemispherectomy and its consequent deficits. Considered as an accessory brain, the cerebellum may constitute a neurobiological substrate for the recovery of such extensive cortical and subcortical lesions. It...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056497

    authors: Marino R Jr,Machado AG,Timo-Iaria C

    更新日期:2001-01-01 00:00:00