Application of Modern Neurosurgeric Methods in Complex Treatment of Therapeutic Resistent Mental Disorders

Abstract

The article presents a brief historical overview of the neurosurgical methods development in psychiatric practice. The article also presents considers modern methods of functional neurosurgery
and the results of neurosurgical correction in the complex therapy of therapeutic resistant mental disorders too. 32 patients with resistant obsessive-compulsive and depressive disorders have
got neurosurgical treatment. According to CGI-I a significant improvement in mental state was noted in 26.0 % of cases, moderate – in 18.5 %, insignificant – in 44.5 %, lack of effect – in
11.0 % of observations; minor complications were observed in 15.6 % of operated patients. The using of functional stereotactic neurosurgery methods to overcome therapeutic resistance
is safe and effective if the selection criteria and careful preoperative preparation, including the neuroimaging survey, will be met. But the authors specify that the using of neurosurgical
correction in the mentally ill is possible only in absolutely non-incurable cases now.