Der Nervenarzt

, Volume 80, Issue 7, pp 781–788 | Cite as

„Psychochirurgie“ und tiefe Hirnstimulation mit psychiatrischer Indikation

Aktuelle und historische Aspekte
Übersichten

Zusammenfassung

Die tiefe Hirnstimulation stellt ein neues, bisher bei psychiatrischen Erkrankungen noch wenig erforschtes, reversibles operatives neurochirurgisches Verfahren dar. Im Zusammenhang mit schweren therapieresistenten Verläufen bei Zwangsstörungen und Depressionen zeigen sich vielversprechende Ergebnisse bei insgesamt kleinen Fallzahlen. Operative Eingriffe in das Gehirn bei psychiatrischen Erkrankungen werfen ethische Fragestellungen auf, auch aufgrund der historischen Erfahrungen mit der so genannten Psychochirurgie, die hier diskutiert werden sollen.

Schlüsselwörter

Tiefe Hirnstimulation Psychochirurgie Ethik Depression Zwangsstörung 

„Psychosurgery” and deep brain stimulation with psychiatric indication

Current and historical aspects

Summary

Deep brain stimulation is a novel and reversible surgical intervention in the treatment of psychiatric disorders. Recent studies in small samples of patients with depression and obsessive-compulsive disorder have come up with promising results. Neurosurgical interventions in psychiatric patients raise ethical questions in the context of historical experiences with traditional and irreversible psychosurgical procedures that need to be discussed.

Keywords

Deep brain stimulation Psychosurgery Ethics Depression Obsessive-compulsive disorder 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2009

Authors and Affiliations

  1. 1.Psychiatrische Klinik und PoliklinikHeinrich-Heine-Universität DüsseldorfDüsseldorfDeutschland
  2. 2.Institut für Geschichte, Theorie und Ethik der MedizinUniversität UlmUlmDeutschland

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