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Rostral Leucotomy: a Report on 240 Cases Personally Followed Up After ½ to 5 Years

Published online by Cambridge University Press:  08 February 2018

John Pippard
John Pippard*
Affiliation:
Claybury Hospital, Woodford Bridge, Essex
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Extract

Cortical undercutting, as an alternative to standard leucotomy and to the major operation of topectomy, was devised by three surgeons independently. Scoville (1949) published his preliminary results soon after McKissock had begun to do rostral leucotomies. Both have continued to use this type of operation (Scoville et al., 1951; Scoville, 1954) but Ferey (1950), the third to develop a similar technique, was disappointed with the results and soon abandoned it (Ferey, 1953). McKissock (1951) reported the initial impressions of the results in 100 cases and by the end of 1952 had operated on 240 cases. During 1953–54, 1½ to 5 years after operation, I followed up these patients, visiting 175 of them in their homes, and 35 in hospital. Personal follow up was refused or for some reason impracticable in 17 cases, including 4 whose case notes had been destroyed; 13 others had died before the survey was made.

Partridge (1950) reported a follow up study of 300 cases operated on by the same surgeon by his “standard” technique (McKissock, 1943); he had the advantage, which I had not, of being able to see his patients before operation. I have had to work retrospectively, and the case notes available, whilst often excellent, had usually not been made with the idea that they would be needed for follow-up purposes. I have not, therefore, thought it right to draw more than broad conclusions from this study.

Type
Original Articles
Information
Journal of Mental Science , Volume 101 , Issue 425 , October 1955 , pp. 756 - 773
Copyright
Copyright © Royal College of Psychiatrists, 1955 

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References

Curran, R. D., J. Ment. Sci., 1952, 98, 373.Google Scholar
Curran, D., and Partridge, M., Surgical Progress, 1952, p. 162. London. Google Scholar
Elithorn, A., Proc. R. Soc. Med., 1953, 46, 832.Google Scholar
Ferey, M. D., Rev. neurol., 1950, 82, 35.Google Scholar
Idem , ibid., 1953, 88, 509.Google Scholar
Freeman, W., Neurology, 1953, 3, 479.Google Scholar
Fulton, J. F., Frontal Lobotomy and Affective Behaviour. A Neurophysiological Analysis, 1951. New York. Google Scholar
Grantham, E. G., Sth. Surg., 1950, 16, 181.Google Scholar
Golla, F. L., Proc. R. Soc. Med., 1946, 39, 443.Google Scholar
Greenblatt, M., and Solomon, H. C., Amer. J. Psychiat., 1952, 109, 262.Google Scholar
Idem (eds.), Frontal Lobes and Schizophrenia, 1953. New York.Google Scholar
Hoch, P. H., Amer. J. Med., 1953, 15, 570.Google Scholar
Klein, R., J. Ment. Sci., 1952, 98, 60.Google Scholar
KOLB, L., J. Amer. med. Ass., 1953, 152, 1085.Google Scholar
Le Beau, J., J. Ment. Sci., 1952, 98, 12.CrossRefGoogle Scholar
Idem , Rev. neurol., 1953, 88, 413.Google Scholar
McKissock, W., J. Ment. Sci., 1943, 89, 194.Google Scholar
Idem , Lancet, 1951, ii, 91.Google Scholar
Idem , Personal communication, 1954.Google Scholar
Maclay, W. S., Proc. R. Soc. Med., 1953, 46, 13.Google Scholar
Partridge, M., Pre-frontal Leucotomy. A survey of 300 cases personally followed over 1½-3 years, 1950. Oxford. Google Scholar
Penman, J., Lancet, 1954, i, 633.Google Scholar
Pool, J. L., Trans. Coll. Phys. Philad., 1951, 19, 49.Google Scholar
Rylander, G., Acta psychiat. neurol., Kbh. supp., 1952, 80, 122.Google Scholar
Sargant, W., Brit. med. J., 1953, ii, 800.CrossRefGoogle Scholar
Scoville, W. B., J. Neurosurg., 1949, 6, 65.Google Scholar
Idem , Wilk, E. K., and Pepe, A. J., Amer. J. Psychiat., 1951, 107, 730.Google Scholar
Scoville, W. B., Conn. St. med. J., 1954, 18, 421.Google Scholar
Stengel, E., J. Ment. Sci., 1950, 96, 633.Google Scholar
Ström-Olsen, R., and Tow, P. M., Lancet, 1949, i, 87.CrossRefGoogle Scholar
Tow, P. M., and Whitty, C. W. M., J. Neurol. Psychiat., 1953, 16, 186.Google Scholar
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