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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by linkadge on May 8, 2004, at 10:33:58
Does anyone know anything about this procedure. Can I have it done without having ECT first ??
THanks
Linkadge
Posted by SLS on May 8, 2004, at 11:11:08
In reply to Stereotactic subcaudate tractotomy, posted by linkadge on May 8, 2004, at 10:33:58
> Does anyone know anything about this procedure. Can I have it done without having ECT first ??
Is this anything like a cingulotomy?
From a long time ago, I remember reading that cingulotomy had only a 30% probability of success with TRD. The two major cites that investigated neurosurgery for affective disorders were in Boston (Harvard / Mass General) and Australia (I can't remember which city). I think these two research centers worked in tandem. This was a few years ago.
- Scott
Posted by linkadge on May 8, 2004, at 11:18:14
In reply to Re: Stereotactic subcaudate tractotomy, posted by SLS on May 8, 2004, at 11:11:08
This procedure is done in London and has a 60 % likelyhood of greatly reducing symptoms of depression, and OCD. This is a group of people who weren't responsive to anything even ECT.
Linkadge
Posted by SLS on May 8, 2004, at 11:33:24
In reply to Re: Stereotactic subcaudate tractotomy, posted by linkadge on May 8, 2004, at 11:18:14
> This procedure is done in London and has a 60 % likelyhood of greatly reducing symptoms of depression, and OCD. This is a group of people who weren't responsive to anything even ECT.
>
> Linkadge
Wow!What did they have to say about bipolar disorder?
- Scott
Posted by linkadge on May 8, 2004, at 12:26:46
In reply to Re: Stereotactic subcaudate tractotomy, posted by SLS on May 8, 2004, at 11:33:24
It is very helpful for bipolar disorder as well. It is bassically a procedure in which a connection between the amygdala and the hippocampas is severed. It sort of short circuts the fear process.
Linkadge
Posted by harryp on May 8, 2004, at 14:56:03
In reply to Stereotactic subcaudate tractotomy, posted by linkadge on May 8, 2004, at 10:33:58
You should definitely try ECT before psychosurgery of any kind. In fact, I think any surgeon who didn't require failures of ECT and every class of antidepressant (with lithium augmentation) before operating would be irresponsible.
ECT has a success rate of over 90%. It is the most effective treatment known for depression, and changes in technique have greatly reduced the short term memory loss associated with it.
Posted by snapper on May 8, 2004, at 16:45:12
In reply to Re: Stereotactic subcaudate tractotomy » linkadge, posted by harryp on May 8, 2004, at 14:56:03
> You should definitely try ECT before psychosurgery of any kind. In fact, I think any surgeon who didn't require failures of ECT and every class of antidepressant (with lithium augmentation) before operating would be irresponsible.
>
> ECT has a success rate of over 90%. It is the most effective treatment known for depression, and changes in technique have greatly reduced the short term memory loss associated with it.> I will attest to the above. I am agonizingly waiting for a second series of ECT (Dr. is very busy)IT WORKS! the downside is that the relapse rate can be quite high-however when I have it done again I am going to ask the dr. if ect maintenence is an option---also it is about 99.9% less invasive than any brain surgery (IMHO) ! It is the most effective AD known! (next to maois' or death :^ ) !
snapper
Posted by Questionmark on May 9, 2004, at 2:00:11
In reply to Re: Stereotactic subcaudate tractotomy, posted by linkadge on May 8, 2004, at 11:18:14
> This procedure is done in London and has a 60 % likelyhood of greatly reducing symptoms of depression, and OCD. This is a group of people who weren't responsive to anything even ECT.
>
> LinkadgeDAm*!! *i* want this!
Hear anything about OC*P*D and this?
(Okay, i know-- stupid question).
Posted by Questionmark on May 9, 2004, at 2:07:51
In reply to Re: Stereotactic subcaudate tractotomy, posted by linkadge on May 8, 2004, at 12:26:46
>It is bassically a procedure in which a connection between the amygdala and the hippocampas is severed. It sort of short circuts the fear process.
>
> LinkadgeOh, if that involves those connections being completely severed, in particular, i would imagine that one's motivation, high-stress situational energy (if not overall energy), recall of certain types of memories, and other important cognitive and/or emotional qualities (such as concentration?) would be severely reduced after such an operation, though. i could see it potentially being very effective for panic disorder & other anxiety disorders, OCD, and certain types of depression, but i wonder how severe and widespread the side effects would be.
Posted by linkadge on May 9, 2004, at 7:44:52
In reply to Re: Stereotactic subcaudate tractotomy » linkadge, posted by Questionmark on May 9, 2004, at 2:07:51
Well from what I've heard (1200 operations been performed with only 2 deaths) (1 from suicide which goes to show its robust antisuicide effect)
that it leaves people intact. The only recall that people found they could not have was recall of horrible situations. Memories in general are stored in the hippocampas, but fear memories are stored in the amygdala. People were able to go back to their jobs, and often without and medication.Linkadge
Posted by Questionmark on May 10, 2004, at 16:51:05
In reply to Re: Stereotactic subcaudate tractotomy, posted by linkadge on May 9, 2004, at 7:44:52
This is the end of the thread.
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