Psychosurgery: A historical overview
Psychosurgery: A historical overview
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DOI：
10.1097/00006123-200103000-00041
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发表时间：
2001-03-01
期刊：
影响因子：
4.8
通讯作者：
Goodrich, JT
中科院分区：
文献类型：
--
作者：
Feldman, RP;Goodrich, JT
精神疾病的神经外科治疗有很长的历史，也有争议。从石器时代使用钻孔来释放灵魂的恶魔，到目前手术室使用的精确到毫米的立体定向仪器，精神外科既受到了热情的支持，也受到了鄙视。今天，心理外科是一种微创和高度选择性的治疗方法，只对少数患有严重、难治性、情感性、焦虑症或强迫症的患者进行治疗。最近技术和功能神经解剖技术的进步，以及降低慢性病患者护理成本的经济压力，可能会为心理外科成为治疗精神疾病的更具吸引力的选择提供机会。在这篇历史回顾中，我们描述了心理外科的兴衰。更好地了解这一有趣话题的丰富多彩的历史，应该能够使现代神经外科医生和其他卫生保健专业人员应对摆在面前的社会、伦理和技术挑战。
NEUROSURGICAL TREATMENT FOR psychiatric disorders has a long and controversial history. From the Stone Age use of trephining to release the demons of the spirit to the millimeter accuracy of stereotactic instruments currently used in the operating room, psychosurgery has enjoyed enthusiastic support as well as experiencing scorn. Today, psychosurgery is a minimally invasive and highly selective treatment that is performed for only a few patients with severe, treatment-refractory, affective, anxiety, or obsessive-compulsive disorders. Recent advances in technology and functional neuroanatomic techniques, as well as economic pressures to decrease the costs of caring for chronically ill patients, may provide an opportunity for psychosurgery to become a more attractive option for the treatment of psychiatric diseases. In this historical overview, the rise and fall of psychosurgery are described. A better understanding of the colorful history of this interesting topic should enable modern neurosurgeons and other health care professionals to meet the social, ethical, and technical challenges that are sore to lie ahead.