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Neuro-physio-surgery in the Netherlands since 1971

W Storm van Leeuwen

    Acta Neurochirurgica
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Neuro-physio-surgery (NPS) offers relief for severe psychiatric and epileptic conditions when conventional therapies fail. A multidisciplinary team approach ensures careful patient selection for this brain surgery, minimizing risks and improving outcomes for "hopeless" cases.

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    Area of Science:

    • Neurosurgery
    • Psychiatry
    • Epileptology

    Background:

    • Since 1971, a Dutch working group has evaluated patients considered for neuro-physio-surgery (NPS).
    • NPS involves brain surgery for psychiatric or epileptic patients.
    • This approach is reserved for "hopeless" cases unresponsive to conventional treatments.

    Purpose of the Study:

    • To evaluate the efficacy and safety of neuro-physio-surgery.
    • To assess the role of multidisciplinary team discussions in patient selection for NPS.
    • To determine the outcomes of NPS in severe psychiatric and epileptic patients.

    Main Methods:

    • A retrospective review of 123 patients considered for NPS over approximately 8 years.
    • Multidisciplinary team discussions involving various specialists.

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  • Neurosurgical intervention for selected patients.

    • Main Results:

    • 48 out of 123 patients underwent neurosurgical intervention (36 psychiatric, 12 epileptic).
    • The majority of treated patients experienced relief.
    • Careful case selection by a specialist group was emphasized.

    Conclusions:

    • Neuro-physio-surgery can provide relief for patients with severe, intractable psychiatric and epileptic conditions.
    • Multidisciplinary team evaluation is crucial for optimal patient selection and safety in NPS.
    • NPS serves as an effective ultimate resort for carefully selected "hopeless" cases.