The first in a two-part series, this module
introduces a number of interventions which can be considered for
individuals with chronic and treatment-refractory depression and/or
obsessive-compulsive disorder when all other options have been
tried and failed, and symptoms are persistent and disabling.
Part 1 looks at the history of
development of some of these treatments. Patient selection, the
operative procedure, and post-operative recovery are covered. This
part also outlines the legislative framework in the UK.
The second module in this series, Neurosurgery and neuromodulation for mental
disorder: Part 2, covers outcomes from anterior cingulotomy
(ACING) and ‘reversible’ neuromodulation strategies, namely vagus
nerve stimulation (VNS), and deep brain stimulation (DBS). For each
intervention, the evidence supporting their use will be
We have adopted the term ‘neurosurgery for
mental disorder’ (NMD) to describe a range of neurosurgical
interventions for psychiatric illness. When reviewing historical
developments, the term ‘psychosurgery’ is used to describe older
and usually obsolete procedures.
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