Regional cerebral blood flow changes in patients with intractable obsessive compulsive disorders treated by limbic leukotomy

Stereotactic and Functional Neurosurgery

Volumn 76, Issue 3-4, 2001, Pages 249-255

  Kim, Moon Chan ^a   Lee, Tae Kyu ^a   Son, Byung Chul ^a   Choi, Chang Rak ^a   Lee, Chul ^a  

^a The Catholic University of Korea   (South Korea)

Author keywords

Limbic leukotomy; Obsessive compulsive disorder; Psychosurgery

Indexed keywords

HEXAMETHYLPROPYLENE AMINE OXIME TECHNETIUM TC 99M;

ADULT; ANATOMY; BRAIN BLOOD FLOW; CINGULATE GYRUS; CLINICAL ARTICLE; CONFERENCE PAPER; CONTROLLED STUDY; CORPUS STRIATUM; FRONTAL CORTEX; HUMAN; IMAGING; LEUKOTOMY; LIMBIC CORTEX; MEASUREMENT; MEDICAL ASSESSMENT; OBSESSIVE COMPULSIVE DISORDER; PHOTON EMISSION TOMOGRAPHY; SURGICAL TECHNIQUE; TREATMENT OUTCOME; VOLUNTEER;

ADULT; CEREBROVASCULAR CIRCULATION; HUMANS; LIMBIC SYSTEM; MIDDLE AGED; OBSESSIVE-COMPULSIVE DISORDER; PSYCHOSURGERY; TOMOGRAPHY, EMISSION-COMPUTED, SINGLE-PHOTON;

EID: 0035788870     PISSN: 10116125     EISSN: None     Source Type: Journal    
DOI: 10.1159/000066727     Document Type: Conference Paper

References (18)

1. Mindus P, Nyman H: Normalization of personality characteristics in patients with incapacitating anxiety disorders after capsulotomy. Acta Psychiatr Scand 1991;83:283-291.
2. Baer L, Rauch SL, Ballantine HT Jr, Martuza R, Cosgrove R, Cassem E, Giriunas I, Manzo PA, Dimino C, Jenike MA: Cingulotomy for intractable obsessive-compulsive disorder: Prospective long-term follow-up of 18 patients. Arch Gen Psychiatry 1995;52:384-392.
3. Jenike MA, Baer L, Ballantine T, Martuza RL, Tynes S, Giriunas I, Buttolph ML, Cassem NH: Cingulotomy for refractory obsessive-compulsive disorder: A long-term follow-up of 33 patients. Arch Gen Psychiatry 1991;48:548-555.
4. Bridges PK, Bartlett JR, Hale AS, Poynton AM, Malizia AL, Hodgkiss AD: Psychosurgery: Stereotactic subcaudate tractotomy: An indispensable treatment. Br J Psychiatry 1994;165:599-611.
5. Hay P, Sachdev P, Cumming S, Smith JS, Lee T, Kitchener P, Matheson J: Treatment of obsessive-compulsive disorder by psychosurgery. Acta Psychiatr Scand 1993;87:197-207.
6. Trivedi MH: Functional neuroanatomy of obsessive-compulsive disoder. J Clin Psychiatry 1996;57 (suppl 8):26-36.
7. Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, Heninger GR, Charney DS: The Yale-Brown Obsessive Compulsive Scale, I: Development, use, and reliability. Arch Gen Psychiatry 1989;46:1006-1011.
8. Kelly D, Richardson A, Mitchell-Heggs N, Greenup J, Chen C, Hafner RJ: Stereotactic limbic leucotomy: A preliminary report on forty patients. Br J Psychiatry 1973;123:141-148.
9. Kelly D, Richardson A, Mitchell-Heggs N: Stereotactic limbic leucotomy: Neurophysiologic aspects and operative technique. Br J Psychiatry 1973;115:257-266.
10. Ebmeier KP, Besson JA, Smith FW: Visualization of subcaudate tractotomy lesions by magnetic resonance imaging. Psychiatry Res 1989;29:291-292.
11. Mindus P, Bergstrom K, Thuomas KA, Hindmarsh T: Magnetic resonance imaging of stereotactic radiosurgical lesions in the internal capsule. Acta Radiol Suppl 1986;369:614-617.
12. Mindus P, Bergstrom K, Levander SE, Noren G, Hindmarsh T, Thuomas KA: Magnetic resonance images related to clinical outcome after psychosurgical intervention in severe anxiety disorder. J Neurol Neurosurg Psychiatry 1987;50:1288-1293.
13. Lippitz BE, Mindus P, Meyerson BA, Kihlström L, Lindquist C: Lesion topography and outcome after thermocapsulotomy or gamma knife capsulotomy for obsessive-compulsive disorder: Relevance of the right hemisphere. Neurosurgery 1999;44:452-460.
14. MacLean PD: Some psychiatric implications of physiologic studies on the frontotemporal portion of limbic system. Electroenceph Clin Neurophysiol 1952;4:407-418.
15. Machlin SR, Harris GJ, Pearlson GD, Hoehn-Saric R, Jeffery P, Camargo EE: Elevated medial-frontal cerebral blood flow in obsessive-compulsive patients: A SPECT study. Am J Psychiatry 1991;148:1240-1242.
16. Papez JW: A proposed mechanism of emotion of emotion. Arch Neurol Psychiatry 1937;38:725-743.
17. Hassenbusch SJ: Intracranial procedures for affective disorders; in Youmans JR (ed): Neurological Surgery, ed 4. Philadelphia, WB Saunders, 1995, vol 5, pp 3665-3670.
18. Nauta WJN: Some efferent connections of the prefrontal cortex in the monkey; in Warren JM, Akert K (eds): Frontal Granular Cortex and Behavior. New York, McGraw-Hill, 1964, pp 397-409.