Cited by 328Deep Brain Stimulation and Movement DisordersObsessive-Compulsive Spectrum DisordersElectroconvulsive Therapy Studies

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Treatment of psychiatric illness by stereotactic cingulotomy

Ballantine, H.Thomas, Bouckoms, Anthony J., Thomas, Elizabeth K., Giriunas, Ida E.·1987·Biological Psychiatry

DOI 10.1016/0006-3223(87)90080-1

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Abstract

The treatment of 198 psychiatrically disabled patients with stereotactic cingulotomy was evaluated prospectively for a mean follow-up of 8.6 years. Patients with major affective disorders and anxiety disorders fared the best, with a return to normal functioning in the majority. Patients with obsessive-compulsive disorders, schizophrenia, and personality disorders improved less predictably, with an uneven improvement in functioning that required active ongoing psychiatric treatment. Low mortality and morbidity, a reduction of violent behavior, a possible reduction of suicidal risk, and a lessening of the intractable suffering of chronic psychiatric illness all indicate that cingulotomy can be an effective, safe treatment for patients with affective disorders that are unresponsive to all other forms of therapy.

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Authors: Ballantine, H. T., Bouckoms, A. J., Thomas, E. K., & Giriunas, I. E.
Affiliations: Harvard University (US)
Massachusetts General Hospital (US)
Corresponding author: Ballantine, H.Thomas
Venue: Biological Psychiatry
Publisher: Elsevier BV
Published: 1987-07
Volume: 22
Issue: 7
Pages: 807-819
ISSN: 0006-3223 (ISSN-L)
DOI: 10.1016/0006-3223(87)90080-1
OpenAlex: W2064542914
Cited by: 328
References: 13
Citations by year: 2026: 4 · 2025: 5 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 7 · 2019: 4 · 2018: 21 · 2017: 5 · 2016: 6 · 2015: 10 · 2014: 12 · 2013: 18 · 2012: 11
FWCI: 3.68
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Biological Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
Keywords: mental illness, mood disorders, anxiety disorders, obsessive-compulsive disorder, schizophrenia, personality disorders, treatment outcomes, long-term follow-up, violent behavior, suicide risk, refractory psychiatric disorders
MeSH terms: Adolescent, Adult, Aged, Anxiety Disorders, Mental Disorders, Child, Female, Follow-Up Studies, Gyrus Cinguli, Humans, Male, Middle Aged, Personality Disorders, Psychomotor Performance, Schizophrenia, Social Adjustment, Stereotaxic Techniques, Mood Disorders

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Treatment of psychiatric illness by stereotactic cingulotomy

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