PDF(Pubmed)
Abstract：
UNASSIGNED: The use of surgery for treatment of psychiatric conditions is a well-established strategy, especially in severe and resistant obsessive-compulsive disorder. Attractive anatomical and functional targets for stereotactic surgery are reported in some studies. Surgery for treatment of psychiatric conditions in our nation and Arab world is obscured and hidden because of several social and cultural limitations, which should be overcome. We report here the first psychiatric neurosurgery in our nation and how we overcome such community limitation. This the first report of postoperative tremor.
UNASSIGNED: Young patient presented with severe and persistent obsessive-compulsive disorder resistant to all non-surgical modalities for several years. Stereotactic ablation surgery was done under local anaesthesia. Marked improvement in our obsessive-compulsive disorder patient after psychiatric neurosurgery with self-limited tremor was not reported before in the literature. The medications were the same before and immediate after surgery and this is not a drug-induced tremor. Postoperative YBOCS showed 90% of improvement.
UNASSIGNED: Surgery-induced tremor could be a self-limited side effect after surgery in obsessive-compulsive disorder. Safety and efficacy should be promoted in our nation and Arab world. Society and cultural limitations should be overcome by further research studies, intervention, and activism in the field of mental health systems in our nation and Arab countries to improve awareness.
UNASSIGNED: Young patient presented with severe and persistent obsessive-compulsive disorder resistant to all non-surgical modalities for several years. Stereotactic ablation surgery was done under local anaesthesia. Marked improvement in our obsessive-compulsive disorder patient after psychiatric neurosurgery with self-limited tremor was not reported before in the literature. The medications were the same before and immediate after surgery and this is not a drug-induced tremor. Postoperative YBOCS showed 90% of improvement.
UNASSIGNED: Surgery-induced tremor could be a self-limited side effect after surgery in obsessive-compulsive disorder. Safety and efficacy should be promoted in our nation and Arab world. Society and cultural limitations should be overcome by further research studies, intervention, and activism in the field of mental health systems in our nation and Arab countries to improve awareness.
摘要：
■使用手术治疗精神病是一种行之有效的策略，尤其是严重的和有抵抗力的强迫症。一些研究报道了立体定向手术的有吸引力的解剖和功能靶标。由于一些社会和文化限制，在我们国家和阿拉伯世界治疗精神病的手术被掩盖和隐藏，这是应该克服的。我们在这里报告了我们国家的第一个精神病神经外科手术，以及我们如何克服这种社区限制。这是术后震颤的首次报道。
■年轻患者出现严重和持续的强迫症，对所有非手术方式有数年的抵抗力。在局部麻醉下进行立体定向消融手术。以前文献中没有报道过精神神经外科手术后强迫症患者出现自限性震颤的明显改善。手术前和手术后立即使用相同的药物，这不是药物引起的震颤。术后YBOCS显示90%的改善。
■手术引起的震颤可能是强迫症手术后的自限副作用。在我们国家和阿拉伯世界应该促进安全性和有效性。社会和文化限制应该通过进一步的研究来克服，干预，以及我们国家和阿拉伯国家精神卫生系统领域的行动主义，以提高认识。
■年轻患者出现严重和持续的强迫症，对所有非手术方式有数年的抵抗力。在局部麻醉下进行立体定向消融手术。以前文献中没有报道过精神神经外科手术后强迫症患者出现自限性震颤的明显改善。手术前和手术后立即使用相同的药物，这不是药物引起的震颤。术后YBOCS显示90%的改善。
■手术引起的震颤可能是强迫症手术后的自限副作用。在我们国家和阿拉伯世界应该促进安全性和有效性。社会和文化限制应该通过进一步的研究来克服，干预，以及我们国家和阿拉伯国家精神卫生系统领域的行动主义，以提高认识。
