Neurosurgical procedure for treating depression, OCD, and chronic pain
Bilateral cingulotomy
ICD-9-CM
01.32
[edit on Wikidata]
Bilateral cingulotomy is a form of psychosurgery, introduced in 1948 as an alternative to lobotomy. Today, it is mainly used in the treatment of depression[1] and obsessive-compulsive disorder. In the early years of the twenty-first century, it was used in Russia to treat addiction.[2][3][4] It is also used in the treatment of chronic pain.[5] The objective of this procedure is the severing of the supracallosal fibres of the cingulum bundle, which pass through the anterior cingulate gyrus.[6]
^Steele, J. D.; Christmas, D.; Eljamel, M. S.; Matthews, K. (2008). "Anterior cingulotomy for major depression: Clinical outcome and relationship to lesion characteristics". Biological Psychiatry. 63 (7): 670–677. doi:10.1016/j.biopsych.2007.07.019. PMID 17916331. S2CID 24413156.
^Orellana, C. (2002). "Controversy over brain surgery for heroin addiction in Russia". The Lancet Neurology. 1 (6): 333. doi:10.1016/s1474-4422(02)00175-8. PMID 12849380. S2CID 33760018.
^Medvedev, S.V.; Anichkov, A.D.; Poliakov, Iu.I. (2003). "Physiological Mechanisms of the Effectiveness of Bilateral Stereotactic Cingulotomy against Strong Psychological Dependence in Drug Addicts". Human Physiology. 29 (4): 492–497. doi:10.1023/A:1024945927301. PMID 13677207. S2CID 27264612.
^A. Carter and W. Hall 2012 Addiction neuroethics: the promises and perils of neuroscience research on addiction. Cambridge University Press: 188-9.
^Sharim, J.; Pouratian, N. (2016). "Anterior Cingulotomy for the Treatment of Chronic Intractable Pain: A Systematic Review". Pain Physician. 19 (8): 537–550. PMID 27906933.
^Christmas, David; Morrison, Colin; Eljamel, Muftah S.; Matthews, Keith (2004). "Neurosurgery for mental disorder". Advances in Psychiatric Treatment. 10 (3): 189–199. doi:10.1192/apt.10.3.189.
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