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The first record of obsessive-compulsive disorder dates back to the 14th century in Europe. It was believed that people who had OCD were possessed by the devil, and treatment included a series of performed exorcisms. In the 1910s, Sigmund Freud, a neurologist from Austria described Obsessive Compulsive Disorder to a case of touching phobia. [3]
Methods used to destroy tissue included thermocoagulation, suction, radioisotopes and leucotomes. By far the most common diagnosis of those undergoing psychosurgery was depression, followed by anxiety, violence, obsessive-compulsive disorder, and schizophrenia. [22] The Mental Health Act 1983 legislated for the use of psychosurgery.
All the forms of psychosurgery in use today (or used in recent years) target the limbic system, which involves structures such as the amygdala, hippocampus, certain thalamic and hypothalamic nuclei, prefrontal and orbitofrontal cortex, and cingulate gyrus—all connected by fibre pathways and thought to play a part in the regulation of emotion. [9]
DBS was approved as humanitarian device exemptions for dystonia in 2003, [4] obsessive–compulsive disorder (OCD) in 2009, and approved for epilepsy in 2018. [ 5 ] [ 6 ] [ 7 ] DBS has been studied in clinical trials as a potential treatment for chronic pain , for various affective disorders, including major depression , for Alzheimer's disease ...
Leeds Gamma Knife Centre is based in the Institute of Oncology at St James's University Hospital in Leeds, West Yorkshire, England. St. James's Institute of Oncology (Bexley Wing), a National Health Service (NHS) hospital, is the largest cancer research hospital in Europe. [ 1 ]
Stereotactic surgery is a minimally invasive form of surgical intervention that makes use of a three-dimensional coordinate system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS), etc.
[2] OCD is a mental disorder characterized by obsessions and/or compulsions. [3] An obsession is defined as "a recurring thought, image, or urge that the individual cannot control". [ 4 ] Compulsion can be described as a "ritualistic behavior that the person feels compelled to perform". [ 4 ]
The facility is based in the Balestier Road-based ParkwayHealth Day Surgery & Medical Centre. [3] An independent medical centre, any member of the public, local or foreigner, is entitled to make use of it. [5] The centre promotes itself as "Asia's leading gamma knife centre" and "the only gamma knife facility in Singapore". [3]