L Gabriëls1, B Nuttin, P Cosyns. 1. Department of Psychiatry, University Hospital Gasthuisberg, Leuven, Belgium.
Abstract
OBJECTIVE: Research on stereotactic neurosurgery for psychiatric disorders (SNPD) is rapidly evolving. Knowledge on patients undergoing SNPD is of crucial importance. We describe applicants for SNPD and examine the necessity for a multidisciplinary advisory board. METHOD: Summary of the current practice of the Flemish advisory board (SNPD committee) and analysis of a questionnaire investigating the attitude of clinicians on SNPD. RESULTS: In 7 years, 91 applications were submitted, nine patients did not fulfill diagnostic criteria for OCD, 65 patients received a positive recommendation, 50 SNPD procedures were performed. The prevalence of SNPD in the current year in Belgium is 0.6/million inhabitants. Ninety-seven per cent of clinicians consider the expertise and advice of the SNPD committee essential for indication setting. Forty-four percent of clinicians consider referral of a patient for capsulotomy, 82% for electrical brain stimulation. CONCLUSION: Neurosurgery is exclusively considered for severe, treatment-refractory psychiatric disorders. Clinicians consider the SNPD committee essential in the decision-making process prior to intervention.
OBJECTIVE: Research on stereotactic neurosurgery for psychiatric disorders (SNPD) is rapidly evolving. Knowledge on patients undergoing SNPD is of crucial importance. We describe applicants for SNPD and examine the necessity for a multidisciplinary advisory board. METHOD: Summary of the current practice of the Flemish advisory board (SNPD committee) and analysis of a questionnaire investigating the attitude of clinicians on SNPD. RESULTS: In 7 years, 91 applications were submitted, nine patients did not fulfill diagnostic criteria for OCD, 65 patients received a positive recommendation, 50 SNPD procedures were performed. The prevalence of SNPD in the current year in Belgium is 0.6/million inhabitants. Ninety-seven per cent of clinicians consider the expertise and advice of the SNPD committee essential for indication setting. Forty-four percent of clinicians consider referral of a patient for capsulotomy, 82% for electrical brain stimulation. CONCLUSION: Neurosurgery is exclusively considered for severe, treatment-refractory psychiatric disorders. Clinicians consider the SNPD committee essential in the decision-making process prior to intervention.
Authors: Sarah L Garnaat; Benjamin D Greenberg; Nicholas J Sibrava; Wayne K Goodman; Maria C Mancebo; Jane L Eisen; Steven A Rasmussen Journal: J Neuropsychiatry Clin Neurosci Date: 2014 Impact factor: 2.198
Authors: Peter Rabins; Brian S Appleby; Jason Brandt; Mahlon R DeLong; Laura B Dunn; Loes Gabriëls; Benjamin D Greenberg; Suzanne N Haber; Paul E Holtzheimer; Zoltan Mari; Helen S Mayberg; Evelyn McCann; Sallie P Mink; Steven Rasmussen; Thomas E Schlaepfer; Dorothy E Vawter; Jerrold L Vitek; John Walkup; Debra J H Mathews Journal: Arch Gen Psychiatry Date: 2009-09
Authors: Bart Nuttin; Hemmings Wu; Helen Mayberg; Marwan Hariz; Loes Gabriëls; Thorsten Galert; Reinhard Merkel; Cynthia Kubu; Osvaldo Vilela-Filho; Keith Matthews; Takaomi Taira; Andres M Lozano; Gastón Schechtmann; Paresh Doshi; Giovanni Broggi; Jean Régis; Ahmed Alkhani; Bomin Sun; Sam Eljamel; Michael Schulder; Michael Kaplitt; Emad Eskandar; Ali Rezai; Joachim K Krauss; Paulien Hilven; Rick Schuurman; Pedro Ruiz; Jin Woo Chang; Paul Cosyns; Nir Lipsman; Juergen Voges; Rees Cosgrove; Yongjie Li; Thomas Schlaepfer Journal: J Neurol Neurosurg Psychiatry Date: 2014-01-20 Impact factor: 10.154