[Psychoses with painful manifestations]

Apart from pain related to nociception and pain due to sensory deafferentation, some patients complain repeatedly of some visceral, abdominal or peripheric type of pain, urging surgeons to perform iterative operations in spite of the lack of anatomical background: these patients often labelled as cenestopaths, can be included in the group of severe obsessional neurosis, pain being the main or unique obsessional symptom. Alike other compulsive symptoms of obsessional neurosis, prefrontal lobotomy, topectomy and best of all, prefrontal cryocorticectomy provide an excellent control of pain with little or no side effects.