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Neurosurgery for psychiatric disorders 

Neurosurgery for psychiatric disorders
Chapter:
Neurosurgery for psychiatric disorders
Author(s):

Keith Matthews

and David Christmas

DOI:
10.1093/med/9780199696758.003.0163
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date: 16 October 2019

Despite its chequered past, modern NMD bears little similarity to historical freehand procedures. Advances in neuroimaging mean that anatomical substrates for depression and OCD are being elucidated. Ablative procedures such as ACAPS and ACING are unlikely to undergo randomized controlled trials but prospective clinical audit suggests that such procedures may offer improvement to selected patients with treatment-refractory depression and OCD. Interventions such as VNS and DBS offer the possibility of double-blind testing but as yet there is insufficient evidence to suggest that such procedures offer greater effectiveness.

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