Obsessive-compulsive disorder surgery: Difference between revisions
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{{Obsessive-compulsive disorder}} | {{Obsessive-compulsive disorder}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | |||
For some patients, 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. 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]], although their efficacy has not been conclusively demonstrated.<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> | |||
==Surgery== | ==Surgery== | ||
===Psychosurgery=== | ===Psychosurgery=== | ||
For some, 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. 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]], although their efficacy has not been conclusively demonstrated. | For some patients, 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. 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]], although their efficacy has not been conclusively demonstrated.<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> | ||
===Ablative procedures=== | |||
The ablative procedures used for OCD treatment include:<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> | |||
*Anterior cingulotomy | |||
*Capsulotomy | |||
*Subcaudate tractotomy | |||
*Limbic leucotomy (combining anterior cingulotomy and capsulotomy) | |||
==References== | ==References== | ||
Revision as of 16:34, 10 April 2017
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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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Obsessive-compulsive disorder surgery On the Web |
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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]
Overview
For some patients, 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. 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, although their efficacy has not been conclusively demonstrated.[1]
Surgery
Psychosurgery
For some patients, 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. 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, although their efficacy has not been conclusively demonstrated.[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.