Surgical treatment of medication-resistant anorexia nervosa

被引:2
作者
Torres Diaz, Cristina V. [1 ]
Martin Pena, Gonzalo [2 ]
Ezquiaga, Elena [3 ]
Navas Garcia, Marta [1 ]
Garcia de Sola, Rafael [1 ]
机构
[1] Hosp Univ La Princesa, Serv Neurocirugia, Madrid, Spain
[2] Hosp Univ La Princesa, Serv Endocrinol & Nutr, C Diego Leon 32, Madrid 28006, Spain
[3] Hosp Univ La Princesa, Serv Psiquiatria, Madrid, Spain
关键词
Anorexia nervosa; Deep brain stimulation; Psychosurgery; Neurostimulation; DEEP BRAIN-STIMULATION; TRANSCRANIAL MAGNETIC STIMULATION; OBSESSIVE-COMPULSIVE DISORDER; EATING-DISORDERS; LIMBIC LEUKOTOMY; BULIMIA-NERVOSA; FOLLOW-UP; ADOLESCENTS; DEPRESSION; TRIAL;
D O I
10.20960/nh.403
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Given the advances experienced in neurosurgical techniques, and because the diagnosis and classification of psychiatric diseases has evolved over the past decades, new experimental treatments are arising to treat a greater number of medication-resistant psychiatric patients. Among psychiatric diseases, anorexia nervosa has the highest mortality rate, and approximately 20% of patients experience torpid outcomes. For these patients who do not respond to conservative management, deep brain stimulation has arisen as an alternative option, although studies are still scarce. We review the pathophysiology of anorexia nervosa, as well as the various neurosurgical treatments that have been performed throughout history. The prospect of current surgical treatments is detailed, as well as the ethical aspects to consider regarding the emergence of these new therapies.
引用
收藏
页码:1001 / 1007
页数:7
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