jeudi 29 septembre 2011

Neurosurgery for OCD patients


Psychosurgery is used for patients with OCD problems and is only a sub sect of the neurosurgery or surgery to the brain. It is primarily used for patients unresponsive to other forms of treatment and therapy. In antiquity, the lobotomy was used has now been replaced by psychosurgery. Lobectomy has been found to cause brain damage and there have been cases of memory loss. Psychosurgery off part of the brain with the help of electrodes. The area to be disabled is selected with the help of MRI. About one third of patients reported improvement.

New gamma knife irradiation techniques and deep brain stimulation has emerged as the modern form of neurosurgery. With so many advances in treatments for various diseases conventional treatments for OCD has resulted in only temporary relief also in 20% of patients only.

There are several methods used in the treatment of neurosurgical treatment of OCD. Four of them have gained importance because of its safety and effectiveness.

• Previous cingulotomy
• limbic leucotomy
• subcaudate tractotomy
• anterior capsulotomy

In patients with OCD all brain areas of communication always work and never stop working BCT and the drug may reduce the activity to some extent, but can not stop all together. The connection of the areas has to be cut to control the OCD.
Surgical treatment is useful for patients with severe OCD and chronic anxiety state. Team of highly qualified and trained medical treatment should be performed only psychosurgical. After surgery the patient has to undergo a psychiatric rehabilitation program. Number of patients have benefited from these surgical treatments. Side effects or complications are few. Surgery is an option for severely affected patients are under-utilized.

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