Stereotactic radiofrequency thermal cingulotomy
for obsessive-compulsive disorder.
The study enrolled six participants who were scheduled to undergo cingulotomy - a procedure in which a small, precisely placed lesion is created within the ACC - to treat severe obsessive compulsive disorder (OCD) that has not responded to other types of treatment.
A standard part of the cingulotomy procedure involves microelectrode recordings of the activity of single neurons in the area where the lesion is to be placed.
Their target was the dorsal anterior cingulate, a region of the brain linked with chronic pain The concept was to stimulate the cingulate to produce a noninvasive cingulotomy
, a surgical procedure occasionally performed to sever white-matter connections to the cingulate and provide pain relief to patients with intractable, chronic pain.
Cerebral metabolic correlates as potential predictors of response to anterior cingulotomy
for obsessive compulsive disorder.
Other physicians suggested different procedures, including the cingulotomy, which was done with a precise mechanical instrument called a stereotaxic device.
In the main, surgeons abandoned lobotomy, but they performed cingulotomy, which involved lesioning the cingulate gyrus with electricity.
The procedure is known as a Bilateral Anterior Cingulotomy
- a very accurate implantation of two electrodes into the brain.
Stereotactic lesion procedures such as anterior cingulotomy
, subcaudate tractotomy, and anterior capsulotomy have been previously described for the treatment of psychiatric illness, and continue to be used on a small scale at expert centers, Dr.
Psychiatrists should wait longer to see the beneficial effects of a first cingulotomy
in patients with intractable obsessive-compulsive disorder before thinking about repeating the procedure, said Dr.
Selective peripheral denervation (Bertrand procedure) for spastic torticollis; Spinal tap, diagnostic, Stereotactic Cingulotomy
, for severe and intractable pain due to terminal cancer; Sympathetic therapy for chronic pain management; Sympathetic therapy for chronic pain management; Sympathectomy, Thoracoscopic; Thalamic Electrical Stimulation, for the treatment of intractable tremors; Transcranial Doppler Ultrasonography; Transient Ischemic Attack (TIA) - Hospitalization Indications; Trigeminal Neuralgia, Cryosurgery;
All three procedures have very different targets but produce similar benefits and evidently use the same pathway, with one exception: "Capsulotomy is better than cingulotomy
for patients with OCD.