Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-24T11:55:32.539Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychological Aspects of the Stereotactic Treatment of Parkinsonism

Published online by Cambridge University Press:  29 January 2018

Doreen Asso ,
Sidney Crown ,
John A. Russell  and
Valentine Logue
Doreen Asso
Affiliation:
Department of Neurosurgical Studies, The National Hospital, W.C.1
Sidney Crown
Affiliation:
The London Hospital, E.1
John A. Russell
Affiliation:
National Hospitals for Nervous Diseases, W.C.1
Valentine Logue
Affiliation:
Department of Neurosurgical Studies, National Hospitals for Nervous Diseases, and The Middlesex Hospital, W.1
Get access Rights & Permissions [Opens in a new window]

Extract

The beneficial clinical effects of stereotactic lesions in the ventrolateral nucleus of the thalamus in the treatment of Parkinsonism are well established. Studies of the cognitive and personality changes, however, have given contradictory results. This may be due to the great variety of tests used, to lack of control groups and to the fact that some investigators have studied only unilateral operations, whereas others have included some patients operated on bilaterally. Changes, presumably permanent, have been reported in intelligence (Jurko and Andy, 1961; Lenshoek and Manem, 1960; Niehbuhr, 1962; Jurko and Andy, 1964); concept formation (Jurko and Andy, 1961); extraversion (Fortin, 1960; Jurko and Andy, 1961); and anxiety (Niehbuhr, 1962). Transient changes have been reported in intelligence (Riklan, 1961; Levita et al., 1964); human figure drawing (Riklan et al., 1962); integrity of personality (Fortin et al., 1961; Fortin, 1960; Riklan, 1961); and somatosensory status (Proctor et al., 1963). In other studies no change was found following the operation (Bravo and Cooper, 1959; Gillingham et al., 1960; Gillingham et al., 1964; Levita and Riklan, 1965; Muller and Yasargil, 1959; Riklan, 1962).

Type
Studies in Parkinsonism
Information
The British Journal of Psychiatry , Volume 115 , Issue 522 , May 1969 , pp. 541 - 553
Copyright
Copyright © Royal College of Psychiatrists, 1969 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bennett, A. M. H. (1960). “A stereotactic apparatus for use in cerebral surgery.” Brit. J. Radiology, 33, 343–351.CrossRefGoogle Scholar
Bravo, G., and Cooper, I. S. (1959). “A clinical and radiological correlation of the lesions produced by chemopallidectomy and thalamectomy.” J. Neurol. Neurosurg. Psychiat., 22, 1–10.CrossRefGoogle Scholar
Burns, B. D. (1960). “V.A. Study Group III—measurement of signs and symptoms.” Med. Serv. J. Can., 15.Google Scholar
Canter, G. J., de la Torre, R., and Mier, M. (1961). “A method for evaluating disability in patients with Parkinson's disease.” J. nerv. ment. Dis., 133, 143–147.CrossRefGoogle Scholar
Eysenck, H. J. (1959). Manual of the Maudsley Personality Inventory. University London Press.Google Scholar
Fortin, J. N. (1960). “Parkinson's disease. V.A.–D.V.A. Study Group.” Med. Serv. J. Can., 6.Google Scholar
Fortin, J. N., Vunier, N., and Boucher, P. (1961). “Psychological and social aspects of Parkinson's before and after chemosurgery.” Rev. Can. de Biol., 20, 297–304.Google Scholar
Gillingham, F. J., Kalyanaraman, S., and Donaldson, A. A. (1964): “Bilateral lesions in the management of Parkinsonism and dyskinesias.” Brit. med. J., 5410–6569.CrossRefGoogle Scholar
Gillingham, F. J., Watson, W. S., Donaldson, A. A., and Nauohton, J. (1960). “The surgical treatment of Parkinsonism.” Brit. med. J., 1395–1402.CrossRefGoogle Scholar
Hays, P., Krikler, B., Walsh, L. S., and Woolfson, G. (1966). “Psychological changes following surgical treatment of Parkinsonism.” Amer. J. Psychiat., 123, 657–663.CrossRefGoogle Scholar
Jurko, M. F., and Andy, J. O. (1961). “Electrical and behavioural changes following thalamotomy.” Surg. Forum, 12, 404–406.Google Scholar
Jurko, M. F., and Andy, J. O. (1964). “Psychological aspects of diencephalotomy.” J. Neurol. Neurosurg. Psych., 27, 516–521.CrossRefGoogle Scholar
Kendall, M. G. (1955). Rank Correlation Methods. London: Charles Griffin.Google Scholar
Lenshoek, C. H., and Manem, J. van (1960). “Symposium on diencephalic surgery.” J. Neurol. Neurosurg. Psychiat., 23.Google Scholar
Levita, E., and Riklan, M. (1965). “Temporal aspects of perceptual functions after surgery of subcortical structures.” J. Psychol., 59, 295–298.Google Scholar
Levita, E., Riklan, M., and Cooper, I. S. (1964). “Verbal and perceptual functions after surgery of subcortical structures.” Percept. Motor Skills, 18, 195–202.Google Scholar
McFie, J. (1960). “Psychological effects of stereotaxic operations for the relief of Parkinsonian symptoms.” J. ment, sci., 106, 1512–1517.Google Scholar
Meyer, V. (1957). ‘Cognitive changes following temporal lobectomy for the relief of focal temporal lobe Epilepsy.’ Unpublished Ph.D. Thesis Univ. London.Google Scholar
Muller, C., and Yasaroil, M. G. (1959). “Zur Psychiatrie der Stereotaktischen Hirnoperationen bei extrapyramidalen Erkrankungen.” Schweiz. Arch. Neurol, Neurochir. Psychiat., 84, 136–154.Google Scholar
Niehbuhr, H. (1962). Steroencephalotomy. Part II. Eld. Spiegl and Wycis. N.Y., Grune and Stratton.Google Scholar
Proctor, F., Riklan, M., Cooper, I. S., and Teuber, H. L. (1963). “Somatosensory status of Parkinsonian patients before and after chemothalamectomy.” Neurology, 13, 906–912.Google Scholar
Riklan, M. (1961). “Psychological studies on chemosurgery of the basal ganglia: extrapyramidal system and neuroleptics, 61, 209–223.Google Scholar
Riklan, M. (1962). “Vocational status following chemopallidectomy and chemothalamectomy for Parkinsonism.” Arch. phys. Med., 43, 280–283.Google Scholar
Riklan, M., Zahn, T. P., and Diller, L. (1962). “Human figure drawings before and after chemosurgery of the basal ganglia in Parkinsonism.” J. nerv. ment. Dis., 135, 500–506.Google Scholar
Schwab, R. S. (1958). “A simple device for measuring the visual motor reaction time.” Neurol., 8, 719–721.CrossRefGoogle Scholar
Taylor, J. A. (1953). “A personality scale of manifest anxiety.” J. abnorm. soc. Psychol., 48, 285.Google Scholar
Wechsler, D. (1955). Wechsler Adult Intelligence Scale Manual. The Psychological Corporation.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.