Psicocirurgia nos distúrbios do comportamento

Granés, Ricardo Reixach; Torres, Demetrio Romão; Reis, Ana Lúcia

doi:10.1590/s0004-282x1977000300004

Cited by 1 publication

(3 citation statements)

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“…12 13 As a consequence of the improvements in stereotactic techniques, the medial thalamic nucleus, the hypothalamic nucleus, and the amygdaloid nucleus, which make up the limbic system, and are considered the biological determining center of individual conduct, have become surgical targets for psychiatric disorders. 10…”

Section: Discussionmentioning

confidence: 99%

“…8,9 As stereotactic surgery improved, the therapeutic targets have gradually become more precise. 10 In stereotactic surgical procedures, small lesions are created in specific targets, modifying neuronal activity without damaging the nervous system. 11 The selection of target points to be injured during the NPS procedure for the treatment of psychiatric disorders was greatly influenced by the description of the limbic system as the essence of human emotions.…”

Section: Discussionmentioning

confidence: 99%

“…12,13 As a consequence of the improvements in stereotactic techniques, the medial thalamic nucleus, the hypothalamic nucleus, and the amygdaloid nucleus, which make up the limbic system, and are considered the biological determining center of individual conduct, have become surgical targets for psychiatric disorders. 10 Stereotactic neurosurgery as a treatment for drug addiction was first used between the 1960s and the 1970s. 11 Substance-related disorders are characterized by psychological and physical dependence.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Thermocoagulation in Multiple Targets to Treat Obsessive-Compulsive Disorder Associated with Drug Addiction: Case Report

Assis,

Carvalho,

Silva

2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Substance-related disorders are chronic psychiatric conditions defined by substance abuse, and they compromise patients both clinically and functionally. Currently, pharmacotherapy, behavioral therapy, or an association of both are the treatments of choice for obsessive-compulsive disorder associated with drug addiction. However, the refractoriness to treatment, as a result of the high failure rates of these approaches, has led to the need to develop surgical techniques to treat severe cases of substance-related disorders. In the present article, we report the case of a patient who underwent neurosurgery through the stereotactic technique after refractoriness to the conventional treatment for drug addiction. The patient showed sustained improvement in his addiction to drugs. Despite the numerous reports on the effectiveness and applicability of neurosurgery in psychiatric disorders, some concerns regarding stereotactic surgery as a treatment for drug addiction still remain, especially in relation to its efficacy, safety, and ethical implications.

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Section: Discussionmentioning

confidence: 99%