Obsessive-compulsive disorder surgery: Difference between revisions
No edit summary |
|||
| Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Obsessive-compulsive disorder}} | {{Obsessive-compulsive disorder}} | ||
{{CMG}}; {{AE}} {{USAMA}} | {{CMG}}; {{AE}} {{Sonya}}, {{USAMA}} | ||
==Overview== | ==Overview== | ||
Revision as of 14:16, 15 August 2018
|
Obsessive-compulsive disorder Microchapters |
|
Differentiating Obsessive-Compulsive Disorder from other Diseases |
|---|
|
Obsessive-Compulsive Disorder due to Another Medical Condition |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Obsessive-compulsive disorder surgery On the Web |
|
American Roentgen Ray Society Images of Obsessive-compulsive disorder surgery |
|
Directions to Hospitals Treating Obsessive-compulsive disorder |
|
Risk calculators and risk factors for Obsessive-compulsive disorder surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sonya Gelfand, Usama Talib, BSc, MD [2]
Overview
For some patients with severe OCD, neither medication, support groups nor psychological treatments are helpful in alleviating obsessive-compulsive symptoms. These patients may choose to undergo psychosurgery as a last resort. Deep-brain stimulation and vagus nerve stimulation are possible surgical options which do not require the destruction of brain tissue, although their efficacy has not been conclusively demonstrated.[1]
Surgery
Psychosurgery
- For patients whose condition does not improve with other medications and treatments, procedures may be the chosen course of treatment.
- These patients may choose to undergo psychosurgery as a last resort. In this procedure, a surgical lesion is made in an area of the brain (the cingulate bundle). In one study, 30% of participants benefited significantly from this procedure.
- Deep-brain stimulation and vagus nerve stimulation are possible surgical options which do not require the destruction of brain tissue, however their efficacy has not been established.[1]
Ablative procedures
The ablative procedures used for OCD treatment include:[1]
- Anterior cingulotomy
- Capsulotomy
- Subcaudate tractotomy
- Limbic leucotomy (combining anterior cingulotomy and capsulotomy)
References
- ↑ 1.0 1.1 1.2 Hirschtritt ME, Bloch MH, Mathews CA (2017). "Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment". JAMA. 317 (13): 1358–1367. doi:10.1001/jama.2017.2200. PMID 28384832.