Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-22T18:45:04.575Z Has data issue: false hasContentIssue false
  • English
  • Français

Stereotactic Limbic Leucotomy: A Preliminary Report on Forty Patients

Published online by Cambridge University Press:  29 January 2018

Desmond Kelly ,
Alan Richardson ,
Nita Mitchell-Heggs ,
Juliet Greenup ,
Char-nie Chen  and
R. Julian Hafner
Desmond Kelly
Affiliation:
St. George's Hospital Medical School, Atkinson Morley's Hospital, 31 Copse Hill, London, S.W.20
Alan Richardson
Affiliation:
St. George's Hospital Medical School, Atkinson Morley's Hospital, 31 Copse Hill, London, S.W.20
Nita Mitchell-Heggs
Affiliation:
St. George's Hospital Medical School, Atkinson Morley's Hospital, 31 Copse Hill, London, S.W.20
Juliet Greenup
Affiliation:
St. George's Hospital Medical School, Atkinson Morley's Hospital, 31 Copse Hill, London, S.W.20
Char-nie Chen
Affiliation:
St. George's Hospital Medical School, Atkinson Morley's Hospital, 31 Copse Hill, London, S.W.20
R. Julian Hafner
Affiliation:
St. George's Hospital Medical School, Atkinson Morley's Hospital, 31 Copse Hill, London, S.W.20
Get access Rights & Permissions [Opens in a new window]

Extract

The neurophysiological aspects and operative technique of stereotactic limbic leucotomy have been described in a previous paper (Kelly, Richardson and Mitchell-Heggs, 1973). The present investigation is a prospective study designed to assess the results of such surgery in a group of 40 severely ill psychiatric patients, who had failed to respond satisfactorily to every other type of treatment. The results have been assessed clinically, psychologically and physiologically, in a very detailed way, at six weeks; a similar follow-up at one year is in progress. A comparison is made between the results of the present series and those of a previous: study (Kelly et al., 1972), in which more extensive leucotomy operations were carried out, and similar means of assessment were employed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 123 , Issue 573 , August 1973 , pp. 141 - 148
Copyright
Copyright © Royal College of Psychiatrists, 1973

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

∗

Now Honorary Senior Registrar, Bethlem Royal and Maudsley Hospitals and Research Worker, Institute of Psychiatry, De Crespigny Park, London, SE5 8AF.

A synopsis of this paper was published in the December 1972 Journal.

References

Beck, A., Ward, C., Mendelson, M., Mork, J., and Erbaugh, J. (1961). ‘An inventory for measuring depression.’ Archives of General Psychiatry, 4, 561–71.CrossRefGoogle ScholarPubMed
Crown, S., and Crisp, A. (1966). ‘A short clinical diagnostic self-rating scale for psychoneurotic patients.’ British Journal of Psychiatry, 112, 917–23.CrossRefGoogle Scholar
Eysenck, H. (1959). Manual of the Maudsley Personality Inventory. London.Google Scholar
Freeman, W. (1971). ‘Frontal lobotomy in early schizophrenia. Long follow-up in 415 cases.’ British Journal of Psychiatry, 119, 621–4.CrossRefGoogle ScholarPubMed
Hamilton, M. (1959). ‘The assessment of anxiety states by rating.’ British Journal of Medical Psychology, 32, 50–9.CrossRefGoogle ScholarPubMed
Hamilton, M. (1967). ‘Development of a rating scale for primary depressive illness.’ British Journal of Social and Clinical Psychology, 6, 278–96.CrossRefGoogle ScholarPubMed
Jackson, H. (1954). ‘Leucotomy—a recent development.’ Journal of Mental Science, 100, 62–5.CrossRefGoogle Scholar
Kelly, D. H. W. (1967). ‘The technique of forearm plethysmography for assessing anxiety.’ Journal of Psychosomatic Research, 10, 373–82.CrossRefGoogle ScholarPubMed
Kelly, D. H. W. (1972). ‘Physiological changes during operations on the limbic system in man.’ Conditional Reflex. 7, 127–38.CrossRefGoogle ScholarPubMed
Kelly, D. H. W., Pik, R., and Chen, C. (1973). ‘A psychological and physiological evaluation of the effects of intravenous diazepam.’ British Journal of Psychiatry. In press.CrossRefGoogle Scholar
Kelly, D. H. W., Richardson, A., and Mitchell-Heggs, N. (1973). ‘Stereotactic Limbic Leucotomy: Neurophysiological aspects and operative technique.’ British Journal of Psychiatry, 122, 133–40.Google Scholar
Kelly, D. H. W., Walter, C. J. S., and Sargant, W. (1966). ‘Modified leucotomy assessed by forearm blood flow an other measurements.’ British Journal of Psychiatry, 112, 871–81.Google ScholarPubMed
Kelly, D. H. W., Walter, C. J. S., Mitchell-Heggs, N., and Sargant, W. (1972). ‘Modified leucotomy assessed clinically, physiologically and psychologically at six weeks and eighteen months.’ British Journal of Psychiatry, 120, 19–29.CrossRefGoogle ScholarPubMed
McKisssock, W. (1959). ‘Discussion on psychosurgery.’ Proceedings of the Royal Society of Medicine, 52, 206–9.Google Scholar
Pippard, J. (1955). ‘Rostral leucotomy: a report on 240 cases personally followed up after 1f12 to 5 years.’ Journal of Mental Science, 101, 756–73.CrossRefGoogle Scholar
Ström-Olsen, R., and Carlisle, S. (1971). ‘Bi-frontal stereotactic tractotomy. A follow-up study.’ British Journal of Psychiatry, 118, 141–54.CrossRefGoogle ScholarPubMed
Taylor, J. (1953). ‘A personality scale of manifest anxiety.’ Journal of Abnormal and Social Psychology, 48, 285–90.CrossRefGoogle ScholarPubMed
Walter, C. J. S., Mitchell-Hegos, N., and Sargant, W. (1972). ‘Modified narcosis, ECT and antidepressant drugs: a review of technique and immediate outcome of 679 courses of combined treatment in 484 patients’, British Journal of Psychiatry. 120, 651–62.CrossRefGoogle Scholar
Wechsler, D. (1955). Manual for the Wechsler Adult Intelligence Scale. New York.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.