Psicocirurgia nos distúrbios do comportamento

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

doi:10.1590/S0004-282X1977000300004

Resumos

Com base em casuística de 170 pacientes operados mediante diversos procedimento neurocirúrgicos, os autores relatam a experiência obtida na terapia de doenças mentais e de distúrbios do comportamento. Frizam que as extensas intervenções sobre os lobos frontais vem sendo substituídas pelas pequenas lesões estereotáxicas seletivas a atraumáticas, destinada especialmente ao tratamento da psiconeuroses rebeldes à terapêutica médica e, também, dos distúrbios do comportamento, casos em que este tipo de psicocirurgia vem fornecendo resultados promissores.

The results obtained in a casuistic of 170 patients with mental diseases and behavior disturbances treated by neurosurgical procedures are reported. The authors call attention to the advantages of the atraumatic stereotaxic psychosurgery over the major surgical procedures on the frontal lobes for the treatment of psychoses and intractable psychoneurosis.

Psicocirurgia nos distúrbios do comportamento

Psychosurgery in mental diseases and behavior disturbances

Ricardo Reixach Granés^I; Demetrio Romão Torres^II; Ana Lucia Reis^III

^IChefe do Departamento. Departamento de Neurologia e Neurocirurgia do Hospital Regional da Santa Casa de Bauru (SP)

^IIPsiquiatra. Departamento de Neurologia e Neurocirurgia do Hospital Regional da Santa Casa de Bauru (SP)

^IIIPsicóloga. Departamento de Neurologia e Neurocirurgia do Hospital Regional da Santa Casa de Bauru (SP)

RESUMO

Com base em casuística de 170 pacientes operados mediante diversos procedimento neurocirúrgicos, os autores relatam a experiência obtida na terapia de doenças mentais e de distúrbios do comportamento. Frizam que as extensas intervenções sobre os lobos frontais vem sendo substituídas pelas pequenas lesões estereotáxicas seletivas a atraumáticas, destinada especialmente ao tratamento da psiconeuroses rebeldes à terapêutica médica e, também, dos distúrbios do comportamento, casos em que este tipo de psicocirurgia vem fornecendo resultados promissores.

SUMMARY

The results obtained in a casuistic of 170 patients with mental diseases and behavior disturbances treated by neurosurgical procedures are reported. The authors call attention to the advantages of the atraumatic stereotaxic psychosurgery over the major surgical procedures on the frontal lobes for the treatment of psychoses and intractable psychoneurosis.

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Trabalho do Departamento de Neurologia e Neurocirurgia do Hospital Regional da Santa Casa de Bauru (SP), apresentado no X Congresso Brasileiro de Neurocirurgia (Campinas, SP - julho de 1974).

Clínica Neurológica - Hospital Regional da Santa Casa - 17100 Bauru, SP - Brasil

1. BALLANTINE, H.T.; CASSIDY, W.L.; FLANAGAN, N.B. & MARINO JUNIOR, R. - Stereotaxic anterior cingulotomy for neuropsychiatric illness and intractable pain. J. Neurosurg. 26:488, 1967.
2. BALLANTINE, H.T.; CASSIDY, W.L.; BRODEUR, J., & GIRIUNAS, I. - Frontal cingulotomy for mood disturbance. In Psychosurgery - E. Hitchcock & col. 6, pag. 221.
3. BRIDGES, P.K. - Psychosurgery today: psychiatric aspects. Proc. roy Soc. Med. 65:1104, 1972.
4. BROWN, M.H. & LIGHTFALL, J.A. - Selective anterior cingulotomy. J. Neurosurg. 29:513, 1968.
5. HERNER, T. - Treatment of mental disorders with frontal stereotaxic thermo-lesions. Acta Psychiat. Neurol. Scand. Suppl. 158, 1961.
6. HITCHCOCK, E.; LAITINEN, L. & VAERNET, K. - Psychocurgery. Claries C. Thomas Publisher, Springfield (Illinois), 1972.
7. KNIGHT, G. - Bi-frontal stereotactic tractotomy: an atraumatic operation of value in the theatment of intractable psychoneurosis. Brit. J. Psychiat. 115:257, 1969.
8. KNIGHT, G. - Neurosurgical aspects of psychosurgery. Proc. Roy. Soc. Med. 65:1099, 1972.
9. KULLBERG, G. - Experiences with small stereotaxic lesions in the frontal lobes. In Psychosurgery - E. Hitchcock. & col. 6pag. 400.
10. LAITINEN, L. - Stereotactic lesions in the knee of the corpus callosum in the treatment of emotional disorders. Lancet 1:472 1972.
11. LEVY, R. - Psychosurgery. Lancet I: 185, 1972.
12. LE BEAU, J. - Psycho-Chirurgie et Fontions Mentales. Masson Cie., Paris, 1954.
13. LE BEAU, J.; WOLLINETZ, E.; CHOPPY, M. & GACHES, J. - Position actuelle de la psychochirurgie. Cahiers de Medecine (Paris) 11:289, 1970.
14. MONIZ, E. - Tentatives Operatoires dans le Traitment de Certaines Psychoses. Masson & Cie., Paris 1936.
15. OBRADOR, S. - Neurosurgical aspects of anxiety. Brit. J. Psychiat. Special publication. 3 1968.
16. ROBIN. A. & MAcDONALD, D. - Lessons of Leucotomy. Henry Kimpton Publishers, London, 1975.
17. SALLES SILVA, P. - Psicocirurgia. In Terapêuticas Biológicas nos Distúrbios Mentais - Isac Guz. Livraria Editora Artes Médicas, São Paulo, 1974.
18. SCOVILLE, W.B. - Psychosurgery and other lesions of the brain affecting human behavior. In Psychosurgery. - E. Hitchcock. & col. 6, pag. 5.
19. STROM-OLSEN, R. & CARLISLE, S. - Bifrontal stereotactic tractotomy synopsis. Brit. J. Psychiat. 116:559, 1970.
20. TAN E.; MARKS, I.M. & MARSET, P. - Bimedial leucotomy in obsesive-compulsive neurosis. Brit. J. Psychiat. 118:155, 1971.

Datas de Publicação

Publicação nesta coleção
30 Ago 2012
Data do Fascículo
Set 1977

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BALLANTINE, H.T.; CASSIDY, W.L.; FLANAGAN, N.B. & MARINO JUNIOR, R. - Stereotaxic anterior cingulotomy for neuropsychiatric illness and intractable pain. J. Neurosurg. 26:488, 1967.

[2] 2. BALLANTINE, H.T.; CASSIDY, W.L.; BRODEUR, J., & GIRIUNAS, I. - Frontal cingulotomy for mood disturbance. In Psychosurgery - E. Hitchcock & col. 6, pag. 221.

[3] 3. BRIDGES, P.K. - Psychosurgery today: psychiatric aspects. Proc. roy Soc. Med. 65:1104, 1972.

[4] 4. BROWN, M.H. & LIGHTFALL, J.A. - Selective anterior cingulotomy. J. Neurosurg. 29:513, 1968.

[5] 5. HERNER, T. - Treatment of mental disorders with frontal stereotaxic thermo-lesions. Acta Psychiat. Neurol. Scand. Suppl. 158, 1961.

[6] 6. HITCHCOCK, E.; LAITINEN, L. & VAERNET, K. - Psychocurgery. Claries C. Thomas Publisher, Springfield (Illinois), 1972.

[7] 7. KNIGHT, G. - Bi-frontal stereotactic tractotomy: an atraumatic operation of value in the theatment of intractable psychoneurosis. Brit. J. Psychiat. 115:257, 1969.

[8] 8. KNIGHT, G. - Neurosurgical aspects of psychosurgery. Proc. Roy. Soc. Med. 65:1099, 1972.

[9] 9. KULLBERG, G. - Experiences with small stereotaxic lesions in the frontal lobes. In Psychosurgery - E. Hitchcock. & col. 6pag. 400.

[10] 10. LAITINEN, L. - Stereotactic lesions in the knee of the corpus callosum in the treatment of emotional disorders. Lancet 1:472 1972.

[11] 11. LEVY, R. - Psychosurgery. Lancet I: 185, 1972.

[12] 12. LE BEAU, J. - Psycho-Chirurgie et Fontions Mentales. Masson Cie., Paris, 1954.

[13] 13. LE BEAU, J.; WOLLINETZ, E.; CHOPPY, M. & GACHES, J. - Position actuelle de la psychochirurgie. Cahiers de Medecine (Paris) 11:289, 1970.

[14] 14. MONIZ, E. - Tentatives Operatoires dans le Traitment de Certaines Psychoses. Masson & Cie., Paris 1936.

[15] 15. OBRADOR, S. - Neurosurgical aspects of anxiety. Brit. J. Psychiat. Special publication. 3 1968.

[16] 16. ROBIN. A. & MAcDONALD, D. - Lessons of Leucotomy. Henry Kimpton Publishers, London, 1975.

[17] 17. SALLES SILVA, P. - Psicocirurgia. In Terapêuticas Biológicas nos Distúrbios Mentais - Isac Guz. Livraria Editora Artes Médicas, São Paulo, 1974.

[18] 18. SCOVILLE, W.B. - Psychosurgery and other lesions of the brain affecting human behavior. In Psychosurgery. - E. Hitchcock. & col. 6, pag. 5.

[19] 19. STROM-OLSEN, R. & CARLISLE, S. - Bifrontal stereotactic tractotomy synopsis. Brit. J. Psychiat. 116:559, 1970.

[20] 20. TAN E.; MARKS, I.M. & MARSET, P. - Bimedial leucotomy in obsesive-compulsive neurosis. Brit. J. Psychiat. 118:155, 1971.