Custom psychosurgery
Open accessAbstract
Summary: It seems fundamentally improbable that different mental symptoms and personality disorders should be relieved by one single form of operation on the brain. The present paper describes five operations which can be performed with benefit to different types of psychiatric abnormality; namely, unilateral temporal lobectomy, unilateral or bilateral temporal lobotomy, inferior quadrant pre-frontal leucotomy, paramedian frontal leucotomy and posterior cingulectomy. The symptoms that represent an indication for these various operations and the results of the operations on the symptom complexes are described. The proposition is put forward that only operations suitable for the precise psychiatric diagnosis should be used. A new form of analysis of sphenoidal lead examinations is described which is of primary importance in conjunction with psychiatric examination in deciding which operation a particular patient would or would not benefit from. A concept of diencephalic instability is introduced in connection with this EEG analysis to supplement the usual concept of centrencephalic epilepsy. Diencephalic instability as defined here seems to respond specifically to paramedian lobotomy, provided of course the clinical condition justifies such a step.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Informal reports and formal assessments often indicate preserved cognition after anterior cingulotomy, although transient confusion, disorientation, and memory loss can occur.
“Both informal reports (Tow and Whitty, 1953; Turner, 1973) and formal assessments (Cohen et al., 1999a,b; Corkin, 1980) often indicate preserved cognition, although transient confusion, disorientation, and memory loss can occur (Dougherty et al., 2003; Sharim and Pouratian, 2016; Whitty and Lewin, 1960).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Turner, 1973
In the Posterior cingulectomy section (page unavailable), Turner says anterior cingulectomy appears to have no permanent effect on memory. He also says he could not find a clear account of its effects on mentality or performance, so the paper supports preserved memory but not the broader claim of preserved cognition after anterior cingulotomy. The sentence attributes the transient symptoms to other citations, not Turner. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPost-operative reductions in aggression were reported after posterior cingulotomies for chronic aggression, while memory was thought to be unaffected, although formal assessments were lacking.
“Post-operative reductions in aggression were reported, while memory was thought to be unaffected, although formal assessments were lacking (Turner, 1973).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Turner, 1973
The Posterior cingulectomy section reports reduced chronic aggression after 37 operations and says memory was unaffected. But the paper also says suitable patients underwent psychometric testing before and after surgery, including tests of recent and distant memory. The claim that formal assessments were lacking is therefore not supported. (LLM, conf=0.90)
Experimental — accuracy not yet measuredAnterior cingulotomies compromise the cingulum but cause additional cortical damage, principally in area 24.
“The advent of computerised tomography and subsequent MR imaging, confirmed that although anterior cingulotomies do compromise the cingulum (Steele et al., 2008; Turner., 1973), they cause additional cortical damage, principally in area 24 (Spangler et al., 1996; Steele et al., 2008).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Turner., 1973
Evidence from posterior cingulotomy in humans does not indicate obvious memory loss.
“While the evidence from posterior cingulotomy in humans is very limited, it does not indicate obvious memory loss (Turner, 1973).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Turner, 1973
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
No references could be resolved yet.
Research works printed but not linked: 2
- CROW, H.J., COOPER, R. & PHILLIPS, D.G. (1961) Controlled multifocal frontal leucotomy for psychiatric illness. Journal ofNeurology, Neurosurgery and Psychiatry, 24, 353.
- SCOVILLE, W.B. & MILNER, B. (1957) Loss of recent memory after bilateral hippocampal lesions. Journal of Neurology, Neurosurgery & Psychiatry, 20, 11.
Cited by
Sorted by citations
The cingulum bundle: Anatomy, function, and dysfunction
Bubb, E. J., Metzler-Baddeley, C., & Aggleton, J. P. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.05.008 · Cited by 740 · see citing works
“Post-operative reductions in aggression were reported, while memory was thought to be unaffected, although formal assessments were lacking (Turner, 1973).”
InfluentialHippocampal—diencephalic—cingulate networks for memory and emotion: an anatomical guide
Bubb, E. J., Kinnavane, L., & Aggleton, J. P. (2017) · Brain and Neuroscience Advances · doi:10.1177/2398212817723443 · Cited by 234 · see citing works
- Authors
- Turner, E.
- Affiliations
- Queen Elizabeth Hospital Birmingham (GB)
- Corresponding author
- Turner, Eric
- Venue
- Postgraduate Medical Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1973-12-01
- Volume
- 49
- Issue
- 578
- Pages
- 834-844
- ISSN
- 0032-5473 (ISSN-L)
- 1469-0756
- PMC
- PMC2495466
- OpenAlex
- W4248563970
- Cited by
- 5
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2018: 1 · 2017: 1
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Postgraduate Medical Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- psychosurgery, temporal lobectomy, prefrontal leucotomy, EEG signal analysis, personality disorders, psychiatric diagnosis, surgical indications
- MeSH terms
- Electroencephalography, Frontal Lobe, Gyrus Cinguli, Humans, Psychosurgery, Temporal Lobe
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
