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Posterior Cuts in Prefrontal Leucotomy: A Clinico-Pathological Study

Published online by Cambridge University Press:  08 February 2018

Alfred Meyer  and
Turner McLardy
Alfred Meyer
Affiliation:
Department of Neuropathology, Research Laboratory, Maudsley Hospital, London
Turner McLardy
Affiliation:
Department of Neuropathology, Research Laboratory, Maudsley Hospital, London
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Extract

The usual leucotomy cut in this country, made through burr holes orientated by means of skull measurements, in the majority of cases enters the brain at about the middle of pars triangularis of the inferior frontal gyrus (Brodmann's Area 45), and if performed in a strictly coronal plane remains entirely within the prefrontal region. Intentionally or unintentionally cuts are not infrequently placed either anterior or posterior to this plane. That cuts made posterior to strictly prefrontal levels are often followed by an unfavourable post-operative course distinguished by particularly severe personality change, persisting incontinence, vasomotor, trophic and neurological disturbances has been demonstrated by Knight (1943), Meyer and Beck (1945), Ziegler and Osgood (1945), Reitman (1946) and others.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 94 , Issue 396 , July 1948 , pp. 555 - 564
Copyright
Copyright © Royal College of Psychiatrists, 1948 

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