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Abstract
In order to evaluate the results of the Stereotactic Functional Neurosurgery (SFN) on the functional profile of patients diagnosed with Resistant Psychiatric Pathology (RPP), a pre / post treatment design was performed. Thirteen patients were assessed ( x = 31 ± 8 years): seven women diagnosed with some type of Resistant Eating Disorder (RED); three women diagnosed with Resistant Obsessive Compulsive Disorder and Resistant Depression (TOC and RD), and three patients (two women and one man) diagnosed with Resistant Depression (RD). The Patient’s Functioning Scale, axis K, consisting of seven subscales, and the Assessment of Global Activity Scale (AGAS) were applied before and after treatment (6 months after FSN). All diagnostic groups and all the patients assessed showed positive clinical changes. However, only the RED group showed important clinical improvement in the performance profile with a statistically significant difference (pre Md = 56, Md = 84 post, z = - 2.36, p <0.05). With the evidence obtained it was noted that SFN represents an effective therapeutic option aimed at reducing the suffering of patients with RPP and improve their overall level of functioning and therefore their quality of life. All patients in the study had a condition indicating resistance to conventional treatments which had been documented by an expert multidisciplinary team.
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References
Carrillo, P., Jiménez, A., Soto, C., Velasco, F. & Castro, R. (2006). Introducción a la neurocirugía psiquiátrica. Salud Mental, 29, 3-12.
Grubert, C., Hurlemann, R., Bwerenick, B.H., Kayser, S., Hadrysiewicz, B., Acmacher, N., Turm, V. & Schlaepfer, T.E. (2011). Neuropsychological safety of nucleus accumbens. Deep brain stimulation for major depression: effects of 12- month stimulation. World Journal Biology Psychiatric, 12, 516-527.
Guridi, J. & Aldave G. (2011). Dianas quirúrgicas en el tratamiento de enfermedades psiquiátricas. Desde el movimiento a las emociones. Neurocirugía, 22, 5-22.
Hernández, S., Zárate, M., Valencia, G., Meneses, Ochoa, M.G., Torres, S., Martínez, B. (2009). El papel actual de la cirugía del sistema límbico: El caso de la anorexia y bulimia terminales. Archivos Neurociencias, 14, 11-21.
Hernández, S., Zárate, M., Valencia, G., Meneses, L., García, G., Luján, G., Juárez, C., Lucino, C. & Martínez, S. (2009). Blancos estereotácticos más comunes en neurocirugía funcional, experiencia en el Centro Médico Nacional “20 de Noviembre”. Archivos Neurociencias, 14, 94-101.
Kennedy, J.A. (2003). Mastering the Kennedy Axis V: A new Psychiatric Assessment of Patient Functioning (pp. 66-90). American Psychiatric Publications.
Kubu, C. S., Malone, D. A., Chelune, G., Malloy, P., Rezai, A. R., & Greenberg, B. D. (2013). Neuropsychology Outcome after Deep Brain Stimulation in the Ventral Capsule/Ventral Striatum for Highly Refractory Obsessive-Compulsive Disorder of Major Depression. Stereotactic and Functional Neurosurgey, 91, 374-378.
Luigjes,J., Kwaasteniet B.P., De Koning P.P., Oudjin, M.S., Van de Munckhof, P., Schuurman, P.R. & Denys, D. (2013). Surgey for Psychiatric Disorders. World Neurosurgery, 80, 17-31.
McLaughlin, N., Didie, E., Machado, A., Haber, S., Eskandar, E. & Greenberg, B. (2013). Improvements in Anorexia Symptoms After Deep Brain Stimulation for Intractable Obsessive-Compulsive Disorder. Biological Psychiatry Journal, 72, 29-31.
Méndez, F., Ochoa, M., Morel, T., Valencia, G., Hernández, S. & Zárate, M. (2009). Cirugía del sistema límbico en pacientes con patología psiquiátrica severa refractaria: Revisión de casos. Revista Mexicana de Neurociencias, 10, 434-442.
Moreines, J.L., McClintock, S.M. & Holzheimer, P.E. (2011). Neuropsychologic effets for neuromodulation techniques for treatment-resistant depression: A review. Brain Stimulation, 4, 17-27.
Mustaca, A.E. (2003). Análisis Experimental del Comportamiento y Neurociencias. Acta Colombiana de Psicología, 10, 7-23.
Oquendo, R.V. (2003). Depresión Refractaria: Actualización Conceptual y Clínica. Asociación Psiquiátrica de América Latina. 13, 41-56.
Thase, M.E. (2003). Effectiveness of Antidepressants: Comparative Remission Rates. Journal of Clinical Psychiatry, 64, 3-7.
Vilar, S. (1997). La nueva racionalidad: comprender la complejidad con métodos transdisciplinarios (pp. 120-163). Barcelona: Kairós.
Wang, J., Chang, C., Geng, N., Wang, X. & Gao, G. (2013). Treatment of Intractable Anorexia Nervosa with Inactivation of the Nucleus Accumbens Using Stereotactic Surgey. Stereotactic and Functional Neurosurgey, 91, 364-372.
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