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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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Related Experiment Video

Updated: Jun 2, 2026

Targeting the Corticospinal Tract in Neonatal Rats with a Double-Viral Vector using Combined Brain and Spine Surgery
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[Precautions During Pediatric Neurosurgery].

Chisato Yokota1

  • 1Department of Neurosurgery, The University of Osaka Graduate School of Medicine.

No Shinkei Geka. Neurological Surgery
|June 1, 2026
PubMed
Summary
This summary is machine-generated.

Pediatric neurosurgery requires age-specific care, focusing on developmental factors. This review guides early-career surgeons on clinical assessment, imaging, and perioperative management for children.

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Area of Science:

  • Neurosurgery
  • Pediatric Medicine
  • Developmental Anatomy

Background:

  • Pediatric neurosurgical care demands specialized approaches distinct from adult care.
  • Developmental anatomy, physiology, and psychosocial factors are critical considerations.

Purpose of the Study:

  • To review practical aspects of pediatric neurosurgical care for early-career surgeons.
  • Focus on clinical assessment, imaging, and perioperative management in pediatric neurosurgery.

Main Methods:

  • Review of clinical presentations across different pediatric age groups.
  • Emphasis on age-appropriate imaging techniques, prioritizing MRI when feasible.
  • Guidelines for safe sedation practices during pediatric neuroimaging.
  • Discussion of weight-based perioperative management strategies.
  • Highlighting prevention of intraoperative complications specific to pediatric patients.

Main Results:

  • Clinical presentation of neurosurgical conditions varies significantly with age in children.
  • MRI is preferred for pediatric neuroimaging, often requiring sedation with specific safety protocols.
  • Perioperative management necessitates precise weight-based dosing and vigilant monitoring for complications.
  • Preventing hypothermia, airway issues, and pressure injuries is crucial.

Conclusions:

  • Pediatric neurosurgery requires tailored strategies considering developmental stages.
  • Effective communication and trust-building with caregivers are paramount.
  • Continuous refinement of clinical and surgical skills is essential for optimal pediatric neurosurgical outcomes.