Change search
ReferencesLink to record
Permanent link

Direct link
Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience. WSSFN Committee on Neurosurgery for Psychiatric Disorders.
Show others and affiliations
2014 (English)In: Journal of Neurology, Neurosurgery and Psychiatry, ISSN 0022-3050, E-ISSN 1468-330X, Vol. 85, no 9, 1003-1008 p.Article in journal (Refereed) Published
Abstract [en]

Background For patients with psychiatric illnesses remaining refractory to 'tandard' 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. Methods 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. Findings The proposed consensus document highlights that, while stereotactic ablative procedures such as cingulotomy and capsulotomy for depression and obsessive-compulsive disorder are considered 'stablished' in some countries, they still lack level I evidence. 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-p evaluation, and reporting of effects and side effects for all patients. Interpretation This consensus document on ethical and scientific conduct of psychiatric surgery worldwide is designed to enhance patient safety.

Place, publisher, year, edition, pages
BMJ Publishing Group , 2014. Vol. 85, no 9, 1003-1008 p.
National Category
Psychiatry Surgery Neurology
URN: urn:nbn:se:umu:diva-95283DOI: 10.1136/jnnp-2013-306580ISI: 000342430400014OAI: diva2:759118
Available from: 2014-10-29 Created: 2014-10-27 Last updated: 2014-10-29Bibliographically approved

Open Access in DiVA

fulltext(344 kB)243 downloads
File information
File name FULLTEXT01.pdfFile size 344 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Hariz, Marwan
By organisation
Clinical Neuroscience
In the same journal
Journal of Neurology, Neurosurgery and Psychiatry

Search outside of DiVA

GoogleGoogle Scholar
Total: 243 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 55 hits
ReferencesLink to record
Permanent link

Direct link