[Favorable effect of cingulotomy on gastric crisis pain]

Among the patients subjected to cingulotomy in the years 1969-1976 we observed a particularly interesting case of late syphilis with attacks of gastric crisis-type pains. Prolonged pharmacological treatment and subsequent surgery (laparatomy, chordotomy) as well as the use of large doses of narcotic drugs did not stop these attacks. The patient exhibited psychic disturbances such as emotional instability and aggressive behaviour. He had not been able to work and was granted a pension. Cingulotomy was performed and the attacks disappeared. During the six-year follow-up period the beneficial effects of the operation were preserved. There was no need to administer narcotic drugs. The patient's family and social life improved markedly.