Anterior cingulotomy for refractory obsessive-compulsive disorder

C. H. Kim, J. W. Chang, Min Seong Koo, J. W. Kim, H. S. Suh, I. H. Park, H. S. Lee

Research output: Contribution to journalArticle

86 Citations (Scopus)

Abstract

Objective: This study was designed to prospectively investigate the efficacy and cognitive adverse effects of stereotactic bilateral anterior cingulotomy as a treatment for refractory obsessive-compulsive (OCD) patients for 12 months. Method: Patients were eligible if they had severe OCD and rigorous treatments had been unsuccessful. Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Clinical Global Impression (CGI) and neuropsychological tests were used to assess the efficacy and cognitive changes of cingulotomy before and 12 months after operation. Results: The mean improvement rate of the Y-BOCS scores achieved from baseline was 36.0%. Out of 14 patients six met responder criteria; 35% or higher improvement rate on Y-BOCS and CGI improvement of very much or much better at 12-month follow-up. There was no significant cognitive dysfunction after cingulotomy. Conclusion: Anterior cingulotomy shows few cognitive adverse effects, with about half of the OCD patients demonstrating significant symptomatic improvement.

Original languageEnglish
Pages (from-to)283-290
Number of pages8
JournalActa Psychiatrica Scandinavica
Volume107
Issue number4
DOIs
Publication statusPublished - 2003 Apr 1

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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