Edema and Trophic Disturbances of the Lower Extremities Complicating Prefrontal Lobotomy

Ziegler, Lloyd H.; Osgood, Carroll W.

doi:10.1001/archneurpsyc.1945.02300040008002

Cited by 18 publications

(1 citation statement)

References 12 publications

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“…(Le Gros Clark and Meyer, 1950;Wall, Glees, and Fulton, 1951;Cowan and Powell, 1956;Nauta, 1961;Powell, Cowan, and Raisman, 1963, and it may be that a tractotomy confined to certain of these pathways is significant in producing the effects observed. Vertical incisions in this area, however, produce serious autonomic and trophic disturbances (Knight, 1943;Meyer and Beck, 1954;Ziegler and Osgood, 1945;Beck, McLardy, and Meyer, 1950), which are attributable to associated damage to the striatum (Meyer and McLardy, 1948) indicating that the substantia should not be approached from above and that in a stereotactic operation a strictly localized lesion should be formed in the substantia innominata by a destructive agent which could not produce marginal effects by infarction or haemorrhage in the region of the striatum. Although electrocoagulation or ultrasonic methods might prove to be satisfactory when the site and size of the optimum lesion had been finally determined, we decided for research purposes to use seeds of radioactive Ytrrium Y90 whose short range of emanation would ensure a strictly localized effect.…”

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confidence: 99%

Stereotactic tractotomy in the surgical treatment of mental illness

Knight¹

1965

Journal of Neurology, Neurosurgery & Psychiatry

143

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confidence: 99%

Stereotactic tractotomy in the surgical treatment of mental illness

Knight¹

1965

Journal of Neurology, Neurosurgery & Psychiatry

143

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Psychosis Following Lobotomy in a Case of Sexual Psychopathy

Friedlander¹,

Banay²

1948

Arch NeurPsych

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to comment critically:Unfortunately, aside from their value as vital statistics it is impossible to assess the validity of these findings. At no point have there been other than superficial attempts made to standardize the criteria for the pre-operative and post-operative clinical status of the patient. Not a single patient has been adequately studied. For a moral and social responsibility to do this, there has been substituted a phenomenal array of case statistics. Unfortunately, the pyramiding of unknowns is scarcely a pathway to knowledge. This paper is an attempt to remedy the alleged lack in the literature of a single case adequately studied. In 1942, one of us (R. S. B.) collaboratively reported the apparent recovery of a patient with sexual psychopathy after lobotomy.2 The patient, a sexual offender without psychosis, entered prison in 1939, at the age of 52. To relieve his extreme tension and obsessive-compulsive symptoms, a lobotomy was performed in 1941. The report for publication was made six months after operation, while the patient was still in prison. After his release he came to Chicago, where, five years after operation, he was discovered in the locked ward of the Veterans Administration Facility at Hines, 111. We established the identity of the patient by letter and exchanged observations. Further studies were made in order to obtain a complete set of comparable data from the two sources. REPORT OF A CASEThe family history, as well as the material in sections and C, was obtained from the patient before operation by one of us (R. S. B.) andPublished with permission of the Chief after operation by the other (J. W. F.). This is supplemented with data from the patient's prison record and with information from relatives of the patient, obtained by Mrs. Mary Diggles, social worker at Veterans Administration Facility, Hines, 111.A. FAMILY HISTORY The patient's father died in 1929, at the age of 85, after suffering for ten years with asthma, presumably of cardiac origin. A New England traveling salesman, he came home on weekends only. In excellent health prior to the onset of his asthma, he was a steady worker, kindly, reserved and nonassertive. The patient described him as "a quiet person. He used to bring me presents when he came home. He was gentle and never beat me." At the age of 35 he married a socially prominent woman of the same town, eight years his junior.The mother died in 1934, at the age of 82, of cerebral hemorrhage. In contrast to her husband, she was obese, worrisome, insomniac, domineering and excessively devoted to the patient. The patient (hereafter referred to as J. S.) recalled with tenderness the times he sang in the church choir with her or accompanied her on the piano when she sang at social events. He described her as "very kindhearted. She would give me anything I wanted. Of course, when I did wrong, I would receive a beating on the rear end, about two or three times a week." These beatings, invariably followed by a compensatory kiss, were administered on his bare buttocks until...

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The orbital cortex as an objective in the surgical treatment of mental illness. The results of 450 cases of open operation and the development of the stereotactic approach

Knight¹

1964

Journal of British Surgery

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Edema and Trophic Disturbances of the Lower Extremities Complicating Prefrontal Lobotomy

Cited by 18 publications

References 12 publications

Stereotactic tractotomy in the surgical treatment of mental illness

Stereotactic tractotomy in the surgical treatment of mental illness

Psychosis Following Lobotomy in a Case of Sexual Psychopathy

The orbital cortex as an objective in the surgical treatment of mental illness. The results of 450 cases of open operation and the development of the stereotactic approach

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