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Neuroablative Intervention for Refractory Obsessive-Compulsive Disorder

Authors
 Jhin Goo Chang  ;  Se Joo Kim  ;  Chan-Hyung Kim 
Citation
 PSYCHIATRY INVESTIGATION, Vol.20(11) : 997-1006, 2023-11 
Journal Title
PSYCHIATRY INVESTIGATION
ISSN
 1738-3684 
Issue Date
2023-11
Keywords
Ablation techniques ; Magnetic resonance imaging, interventional ; Obsessive-compulsive disorder ; Psychosurgery ; Refractory
Abstract
Objective: This review aims to investigate the progression of neuroablation, along with documented clinical efficacy and safety, in the management of treatment-resistant obsessive-compulsive disorder (OCD).

Methods: We searched and compiled clinical research results of neuroablation therapy reported to date. We extracted outcomes related to clinical efficacy, side effects, and surgical complications. Additionally, we summarized key claims and findings.

Results: Neuroablative intervention is a potential treatment approach for refractory OCD. Recent advancements, such as real-time magnetic resonance monitoring and minimally invasive techniques employing ultrasound and laser, offer distinct advantages in terms of safety and comparative efficacy when compared to conventional methods. However, the absence of randomized controlled trials and long-term outcome data underscores the need for cautious consideration when selecting neuroablation.

Conclusion: Neuroablative intervention shows promise for refractory OCD, but vigilant consideration is essential in both patient selection and surgical method choices due to the potential for rare yet serious complications.
Files in This Item:
T202306546.pdf Download
DOI
10.30773/pi.2023.0214
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
Kim, Chan Hyung(김찬형)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197593
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