Stereotaxic Anterior Cingulotomy for Neuropsychiatric Illness and Intractable Pain

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Assistant Clinical Professor of Surgery, Harvard Medical School, and Visiting Neurosurgeon, Massachusetts General Hospital, Boston.

Superintendent, Wiswall Hospital, Wellesley.

Chief of Staff, Wiswall Hospital, Wellesley.

Research Fellow in Surgery, Harvard Medical School, and Clinical and Research Fellow in Neurosurgery, Massachusetts General Hospital, Boston.

© AANS, except where prohibited by US copyright law.

Headings

Figures

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    Schema of the limbic system. OB—olfactory bulb; LOT—lateral olfactory striae; INS—insula;UB—uncinate bundle; DB—diagonal band of broca; AMYG—amygdala; SCR—subcallosal radiations; HYP—hypothalamus; AT—anterior thalamus; MB—mammillary body; MTT—mammillothalamic trace (Vicq D'Azyr's Tract); ATR—anterior thalamic radiations; ST—stria terminalis; HAB—habenula; MFB—medial forebrain bundle; SM—stria medullaris; HPT—habenulointerpeduncular tract (fasciculus retroflexus of Meynert); IP—interpeduncular nucleus; LMA—limbic midbrain area of nauta; G—nucleus of Gudden; CG—central gray; CC—corpus callosum.

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    Cingulotomy for neuropsychiatric illness. Major symptoms in 40 cases.

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    Cingulotomy for neuropsychiatric illness. Age at onset and at time of operation.

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    Anteroposterior and lateral views of the electrodes in place for creation of a cingulate lesion.

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    Cross setion showing plaement of the bilateral cingulate lesions.

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    Loyez stain showing destruction of the cingulum bundle and its topographical relations to neighboring structures. Note the intact anterior cerebral arteries.

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    Status of 40 psychiatric patients after cingulotomy.

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