4.3 Review

Contemporary Role of Stereotactic Radiosurgery for Psychiatric Disorders

Journal

NEUROLOGY INDIA
Volume 71, Issue -, Pages S31-S38

Publisher

WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/0028-3886.373648

Keywords

Anorexia nervosa; capsulotomy; cingulotomy; depression; limbic leucotomy; obsessive compulsive disorder

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Psychiatric disorders are a hidden pandemic with limited treatment options. Neurosurgical interventions, including stereotactic radiosurgery (SRS), have shown successful treatment in specific psychiatric disorders, improving quality of life and offering a valid alternative for patients with no therapeutic options. SRS is cost-effective and reproducible among specialists, serving as an adjuvant to medical and behavioral treatments. This study reviews the contemporary role of SRS in various psychiatric disorders.
Psychiatric disorders are the hidden pandemic of the current century. Despite major advances in medical management, the options for treatment are still limited. Neurosurgical intervention is effective for certain refractory psychiatric illnesses and the options range from stimulation surgeries to precise disconnection procedures influencing the neuronal network. Literature regarding stereotactic radiosurgery (SRS) is now enriched with successful treatment of obsessive compulsive disorder, major depression disorder, and anorexia nervosa. These procedures by reducing compulsions, obsessions, depression, and anxiety, improve substantially the quality of life for patients with a good safety profile. It is a valid treatment alternative for a selected group of patients who otherwise have no therapeutic options for whom the neurosurgical intervention is the only hope. It is also cost effective and highly reproducible among specialists. These procedures are adjuvant to the medical and behavioural treatment of psychiatric disorders. In this study the Contemporary role of Stereotactic radiosurgery is reviewed starting with relevant history of psychosurgery followed by individual psychiatric disorders.

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