Obsessive-compulsive disorder surgery: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
(Created page with "__NOTOC__ {{Obsessive-compulsive disorder}} {{CMG}} == Overview == ==Surgery== ===Psychosurgery=== For some, neither medication, support groups nor psychological treatments a...")
 
No edit summary
 
(10 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Obsessive-compulsive disorder}}
{{Obsessive-compulsive disorder}}
{{CMG}}
{{CMG}}; {{AE}}{{Priyanka}} {{Sonya}}, {{USAMA}}
== Overview ==
 
==Overview==
For some patients with severe OCD, neither medication, support groups nor [[psychological]] treatments are helpful in alleviating obsessive-compulsive symptoms. These patients may choose to undergo [[psychosurgery]] as a last resort. [[Deep-brain stimulation]] and [[vagus nerve stimulation]] are possible surgical options which do not require the destruction of [[brain tissue]], although their efficacy has not been conclusively demonstrated.<ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832  }} </ref>


==Surgery==
==Surgery==
===Psychosurgery===
===Psychosurgery===
For some, neither medication, support groups nor psychological treatments are helpful in alleviating obsessive-compulsive symptoms. These patients may choose to undergo [[psychosurgery]] as a last resort. In this procedure, a surgical [[lesion]] is made in an area of the brain (the cingulate bundle). In one study, 30% of participants benefited significantly from this procedure.<ref name="Barlow" /> [[Deep-brain stimulation]] and [[vagus nerve stimulation]] are possible surgical options which do not require the destruction of [[brain tissue]], although their efficacy has not been conclusively demonstrated.
*For patients whose condition does not improve with other medications and treatments, procedures may be the chosen course of treatment.
*These patients may choose to undergo [[psychosurgery]] as a last resort. In this procedure, a surgical [[lesion]] is made in an area of the [[brain]] (the cingulate bundle). In one study, 30% of participants benefited significantly from this procedure.  
*[[Deep-brain stimulation]] and [[vagus nerve stimulation]] are possible surgical options which do not require the destruction of [[brain tissue]], however their efficacy has not been established.<ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832  }} </ref>
 
===Ablative procedures===
The ablative procedures used for OCD treatment include:<ref name="pmid28384832">{{cite journal| author=Hirschtritt ME, Bloch MH, Mathews CA| title=Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment. | journal=JAMA | year= 2017 | volume= 317 | issue= 13 | pages= 1358-1367 | pmid=28384832 | doi=10.1001/jama.2017.2200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28384832  }} </ref>
 
*Anterior cingulotomy
*Capsulotomy
*Subcaudate tractotomy
*Limbic leucotomy (combining anterior cingulotomy and capsulotomy)
==Overview==
Surgical intervention is not recommended for the management of [disease name].
 
OR
 
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
 
OR
 
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
 
OR
 
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
 
OR
 
Surgery is the mainstay of treatment for [disease or malignancy].
 
==Indications==
 
*Surgical intervention is not recommended for the management of [disease name].
OR
*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
**[Indication 1]
**[Indication 2]
**[Indication 3]
*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
**[Indication 1]
**[Indication 2]
**[Indication 3]
 
==Surgery==
 
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
*Surgery is the mainstay of treatment for [disease or malignancy].
 
==Contraindications==
 
==References==
==References==


{{Reflist|2}}
{{Reflist|2}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}


[[Category:Psychiatry]]
[[Category:Psychiatry]]
 
[[Category:Disease]]
{{WikiDoc Help Menu}}
[[Category:Needs overview]]
{{WikiDoc Sources}}

Latest revision as of 17:02, 23 April 2021

Obsessive-compulsive disorder Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Obsessive-Compulsive Disorder from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Substance/Medication-induced Obsessive-Compulsive Disorder

Obsessive-Compulsive Disorder due to Another Medical Condition

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Obsessive-compulsive disorder surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Obsessive-compulsive disorder surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Obsessive-compulsive disorder surgery

CDC on Obsessive-compulsive disorder surgery

Obsessive-compulsive disorder surgery in the news

Blogs on Obsessive-compulsive disorder surgery

Directions to Hospitals Treating Obsessive-compulsive disorder

Risk calculators and risk factors for Obsessive-compulsive disorder surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Priyanka Kumari, M.B.B.S[2] Sonya Gelfand, Usama Talib, BSc, MD [3]

Overview

For some patients with severe OCD, neither medication, support groups nor psychological treatments are helpful in alleviating obsessive-compulsive symptoms. These patients may choose to undergo psychosurgery as a last resort. Deep-brain stimulation and vagus nerve stimulation are possible surgical options which do not require the destruction of brain tissue, although their efficacy has not been conclusively demonstrated.[1]

Surgery

Psychosurgery

  • For patients whose condition does not improve with other medications and treatments, procedures may be the chosen course of treatment.
  • These patients may choose to undergo psychosurgery as a last resort. In this procedure, a surgical lesion is made in an area of the brain (the cingulate bundle). In one study, 30% of participants benefited significantly from this procedure.
  • Deep-brain stimulation and vagus nerve stimulation are possible surgical options which do not require the destruction of brain tissue, however their efficacy has not been established.[1]

Ablative procedures

The ablative procedures used for OCD treatment include:[1]

  • Anterior cingulotomy
  • Capsulotomy
  • Subcaudate tractotomy
  • Limbic leucotomy (combining anterior cingulotomy and capsulotomy)

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

  • Surgical intervention is not recommended for the management of [disease name].

OR

  • Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]
  • The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]

Surgery

  • The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

  • Surgery is the mainstay of treatment for [disease or malignancy].

Contraindications

References

  1. ↑ 1.0 1.1 1.2 Hirschtritt ME, Bloch MH, Mathews CA (2017). "Obsessive-Compulsive Disorder: Advances in Diagnosis and Treatment". JAMA. 317 (13): 1358–1367. doi:10.1001/jama.2017.2200. PMID 28384832.

Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Obsessive-compulsive_disorder_surgery&oldid=1698304"