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Psychological Aspects of the Stereotactic Treatment of Parkinsonism

Published online by Cambridge University Press:  29 January 2018

Doreen Asso ,
Sidney Crown ,
John A. Russell  and
Valentine Logue
Doreen Asso
Affiliation:
Department of Neurosurgical Studies, The National Hospital, W.C.1
Sidney Crown
Affiliation:
The London Hospital, E.1
John A. Russell
Affiliation:
National Hospitals for Nervous Diseases, W.C.1
Valentine Logue
Affiliation:
Department of Neurosurgical Studies, National Hospitals for Nervous Diseases, and The Middlesex Hospital, W.1
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Extract

The beneficial clinical effects of stereotactic lesions in the ventrolateral nucleus of the thalamus in the treatment of Parkinsonism are well established. Studies of the cognitive and personality changes, however, have given contradictory results. This may be due to the great variety of tests used, to lack of control groups and to the fact that some investigators have studied only unilateral operations, whereas others have included some patients operated on bilaterally. Changes, presumably permanent, have been reported in intelligence (Jurko and Andy, 1961; Lenshoek and Manem, 1960; Niehbuhr, 1962; Jurko and Andy, 1964); concept formation (Jurko and Andy, 1961); extraversion (Fortin, 1960; Jurko and Andy, 1961); and anxiety (Niehbuhr, 1962). Transient changes have been reported in intelligence (Riklan, 1961; Levita et al., 1964); human figure drawing (Riklan et al., 1962); integrity of personality (Fortin et al., 1961; Fortin, 1960; Riklan, 1961); and somatosensory status (Proctor et al., 1963). In other studies no change was found following the operation (Bravo and Cooper, 1959; Gillingham et al., 1960; Gillingham et al., 1964; Levita and Riklan, 1965; Muller and Yasargil, 1959; Riklan, 1962).

Type
Studies in Parkinsonism
Information
The British Journal of Psychiatry , Volume 115 , Issue 522 , May 1969 , pp. 541 - 553
Copyright
Copyright © Royal College of Psychiatrists, 1969 

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