Bilateral anterior cingulotomy for refractory obsessive-compulsive disorder: long-term follow-up results
Open accessAbstract
Objective To investigate the long-term efficacy and adverse cognitive effects of stereotactic bilateral anterior cingulotomy as a treatment for refractory obsessive-compulsive disorder (OCD) patients. Materials and methods Seventeen patients suffering from refractory OCD underwent stereotactic bilateral anterior cingulotomies and were followed for 24 months. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Clinical Global Impression and other neuropsychological tests were used to assess the efficacy and cognitive changes of cingulotomy. The tests were taken before and 12 and 24 months after surgery. Results The mean improvement rate of the Y-BOCS score achieved from the baseline was 48%. Eight patients out of 17 met the responder criteria. During the 24-month follow-up, there were no significant adverse effects observed after surgery. Conclusions Bilateral anterior cingulotomy was effective for the treatment of refractory OCD, and no other significant adverse cognitive effects on long-term follow-up were found.
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The beneficial impact on OCD in those who respond to cingulotomy persists for at least two years.
“Importantly, the beneficial impact on OCD on those who respond has been shown to persist for at least two years (Jung et al., 2006)”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Jung et al., 2006
No long-term changes have been found in performance of other memory tasks, including the Hopkins Verbal Learning Test, after cingulotomy.
“Similar studies have again found no long term changes in the performance of other memory tasks, including the Hopkins Verbal Learning Test (Kim et al., 2003; Jung et al., 2006).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Jung et al., 2006
Other formal tests of memory, including recall of the Rey-Taylor complex, show preserved performance after anterior cingulotomy.
“Other formal tests of memory, including recall of the Rey-Taylor complex, also show preserved performance (Corkin, 1980; Jung et al., 2006).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Jung et al., 2006
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- Authors
- Jung, H. H., Kim, C.-H., Chang, J. H., Park, Y. G., Chung, S. S., & Chang, J. W.
- Affiliations
- Yonsei University (KR)
- Venue
- Stereotactic and Functional Neurosurgery
- Publisher
- S. Karger AG
- Published
- 2006
- Volume
- 84
- Issue
- 4
- Pages
- 184-189
- ISSN
- 1011-6125 (ISSN-L)
- 1423-0372
- OpenAlex
- W2131702737
- Cited by
- 140
- References
- 27
- Citations by year
- 2026: 4 · 2024: 5 · 2023: 4 · 2022: 5 · 2021: 12 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 10 · 2014: 12 · 2013: 14 · 2012: 7
- FWCI
- 11.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.karger.com
- Licence
- Locations
- Stereotactic and Functional Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- refractory obsessive-compulsive disorder, stereotactic neurosurgery, long-term efficacy, cognitive side effects, Yale-Brown Obsessive Compulsive Scale, treatment response, neuropsychological outcomes
- MeSH terms
- Adult, Anxiety Disorders, Cognition, Depressive Disorder, Female, Follow-Up Studies, Gyrus Cinguli, Humans, Functional Laterality, Male, Memory, Middle Aged, Obsessive-Compulsive Disorder, Stereotaxic Techniques, Treatment Outcome, Neurosurgical Procedures
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