DREZ lesioning, myelotomy, tractotomy
, cingulotomy, or thalamotomy, in the hope of removing the short-circuited, dysfunctional pain-generating nerves from the normal neural system, or interrupting the feedback pathway to the brain.
The most common modern psychosurgical procedures are limbic leucotomy, capsulotomy, cingulotomy and subcaudate tractotomy
and involve a close collaboration between psychiatrists and neurosurgeons.
Despite that, subcaudate tractotomy
, dorsal anterior cingulotomy, anterior capsulotomy and limbic leukotomywere were still limitedly applied due to the complications such as obesity, cognitive impairment, personality changes and epilepsy.
For instance, application of topical haemostatic agents, hepato-omentorrhaphy (a viable omental pedicle is packed into the hepatic wound and sutured to the edges of Glisson's capsule superficially), tractotomy
with finger fracture (i.
Neuropsychological processing associated with recovery from depression after stereotactic subcaudate tractotomy
Target: anterior Fair cingulotomy combined with subcaudate tractotomy
Deep brain stimulation.
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.
Neurosurgery, such as limbic leukotomy or bilateral subcortical tractotomy
, may produce benefits for refractory patients whose severe symptoms make normal life impossible, but it remains very much a treatment of last resort, Dr.
Surgeons performing subcaudate tractotomy
, the procedure used in England, use radioactive yttrium rods to make a 20-mm-by-S-mm by 10- to 20-mm lesion on the undersurface of the frontal lobe.