Obsessive-compulsive disorder surgery: Difference between revisions
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===Psychosurgery=== | ===Psychosurgery=== | ||
*For patients whose condition does not improve with other medications and treatments, procedures may be the chosen course of treatment. | *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. | *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.<ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832 }} </ref> | *[[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.<ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832 }} </ref> | ||
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*Subcaudate tractotomy | *Subcaudate tractotomy | ||
*Limbic leucotomy (combining anterior cingulotomy and capsulotomy) | *Limbic leucotomy (combining anterior cingulotomy and capsulotomy) | ||
==References== | ==References== | ||
Revision as of 14:10, 15 August 2018
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Obsessive-compulsive disorder Microchapters |
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Differentiating Obsessive-Compulsive Disorder from other Diseases |
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Obsessive-Compulsive Disorder due to Another Medical Condition |
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Diagnosis |
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Treatment |
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Case Studies |
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Obsessive-compulsive disorder surgery On the Web |
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American Roentgen Ray Society Images of Obsessive-compulsive disorder surgery |
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Directions to Hospitals Treating Obsessive-compulsive disorder |
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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: 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.