Book: Psychiatric Neurotherapeutics: Contemporary Surgical and Device-Based Treatments

Psychiatric Neurotherapeutics: Contemporary Surgical and Device-Based Treatments (Current Clinical Psychiatry)

Psychiatric Neurotherapeutics: Contemporary Surgical and Device-Based Treatments (Current Clinical Psychiatry)
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This volume covers the gamut of surgical and device-based treatments for psychiatric disorders. Written by experts in the field, this book covers neuroscience advances in the neurobiological underpinnings of psychiatric diseases, emerging surgical and device-based treatments, and advances in the field. Topics include electroconvulsive therapy, transcranial magnetic stimulation, Vagus nerve stimulation (VNS), and many other cutting-edge treatments and techniques.
Psychiatric Neurotherapeutics is a valuable resource for psychiatrists, neurosurgeons, neurologists, researchers, and all other medical professionals interested in surgical and device-based treatments of psychiatric disorders.


Product Details

  • Published on: 2016-01-22
  • Original language: English
  • Number of items: 1
  • Dimensions: .0″ h x .0″ w x .0″ l, .0 pounds
  • Binding: Paperback
  • 230 pages

About the Author
Joan Camprodon, Transcranial Magnetic Stimulation (TMS), Laboratory for Neuropsychiatry & Neuromodulation, Director of Translational Research, Division of Neurotherapeutics, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA

Scott L. Rauch, President and Psychiatrist in Chief, Rose-Marie and Eijk van Otterloo, Chair of Psychiatry, McLean Hospital, 115 Mill Street, Belmont, MA 02478
Darin D. Dougherty, Harvard Medical School, Department of Psychiatry, 149 Thirteenth Street, Charleston, MA, 02129, USA
Benjamin D. Greenberg, Brown University School of Medicine, 345 Blackstone Boulevard Providence, RI, 02906, USA

Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders

For patients with psychiatric illnesses remaining refractory to ‘standard’ therapies, neurosurgical procedures may be considered.
Guidelines for safe and ethical conduct of such procedures have previously and independently been proposed by various local and regional expert groups.
To expand on these earlier documents, representative members of continental and international psychiatric and neurosurgical societies, joined efforts to further elaborate and adopt a pragmatic worldwide set of guidelines. These are intended to address a broad range of neuropsychiatric disorders, brain targets and neurosurgical techniques, taking into account cultural and social heterogeneities of healthcare environments.
The proposed consensus document highlights that, while stereotactic ablative procedures such as cingulotomy and capsulotomy for depressionand obsessive compulsive disorder are considered ‘established’ in some countries, they still lack level of evidence 1. Further, it is noted that deep brain stimulation in any brain target hitherto tried, and for any psychiatric or behavioural disorder, still remains at an investigational stage. Researchers are encouraged to design randomised controlled trials, based on scientific and data-driven rationales for disease and brain target selection. Experienced multidisciplinary teams are a mandatory requirement for the safe and ethical conduct of any psychiatric neurosurgery, ensuring documented refractoriness of patients, proper consent procedures that respect patient’s capacity and autonomy, multifaceted preoperative as well as postoperative long-term follow-up evaluation, and reporting of effects and side effects for all patients.
This consensus document on ethical and scientific conduct of psychiatric surgery worldwide is designed to enhance patient safety 1).
1) Nuttin B, Wu H, Mayberg H, Hariz M, Gabriëls L, Galert T, Merkel R, Kubu C, Vilela-Filho O, Matthews K, Taira T, Lozano AM, Schechtmann G, Doshi P, Broggi G, Régis J, Alkhani A, Sun B, Eljamel S, Schulder M, Kaplitt M, Eskandar E, Rezai A, Krauss JK, Hilven P, Schuurman R, Ruiz P, Chang JW, Cosyns P, Lipsman N, Voges J, Cosgrove R, Li Y, Schlaepfer T. Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders. J Neurol Neurosurg Psychiatry. 2014 Sep;85(9):1003-8. doi: 10.1136/jnnp-2013-306580. Epub 2014 Jan 20. PubMed PMID: 24444853; PubMed Central PMCID: PMC4145431.
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