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Metody chirurgicznego leczenia wybranych chorób psychiatrycznych

Author(s): Marek Harat | Marcin Rudaś

Journal: Neuropsychiatria i Neuropsychologia
ISSN 1896-6764

Volume: 2;
Issue: 1;
Start page: 3;
Date: 2007;
Original page

Keywords: psychiatric illness | ablation | neuromodulation

Severe psychiatric illnesses of heavy course, refractoryon conservative treatment, such as obsessive-compulsivedisorder, depression or Tourette syndrome, are more andmore frequently the subject of the neurosurgeon'sinterest. This is due to the increasingly betterunderstanding of their neuropathological origin and thebetter visualization of the human brain, includingfunctional investigations, investigations of activity ofdefined areas of the brain and illustrating the nervouspathways. The nature of neurosurgical interventions waschanged in psychiatric diseases; neuromodulatingmethods brought amazing progress. The interventionsusing deep brain stimulation (DBS) bring an advantagedue to the possibility of modification of the therapy ineach moment even to the disconnection of thestimulating system if it is necessity. At present severalaims in the brain are defined where the effectiveness ofstimulations has been confirmed in psychiatric diseases.Those are: anterior limb of the internal capsule (OCD,depression); 25 Brodman’s field (depression); nucleusaccumbens (OCD, Tourette syndrome, depression);vagus nerve (depression). The present article introducesneurosurgical methods in treatment of psychiatricdiseases with special consideration of neuromodulation.
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