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Psychiatric and Pain Disorders

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Principles and Practice of Stereotactic Radiosurgery

Abstract

Despite great advances in the medical management of pain and psychiatric disease, there remains a fraction of patients who are refractory to available medical therapies. For example, despite therapeutic progress in recent years, conventional treatment of anxiety disorders fails or has only a temporary effect in 20% of patients. Pain and psychiatric disorders are often severely disabling and are associated with rates of suicide comparable with those of depression. When medical therapy fails, options include open surgical procedures, consisting of lesioning procedures or implantation of deep-brain stimulators, and radiosurgery. Radiosurgical options are well suited for functional neurosurgery, in which the surgeon strives to create a focused lesion without injuring or affecting adjacent structures.

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Author information

Authors and Affiliations

  1. Department of Neurological Surgery and Neuroscience, University of Virginia, Charlottesville, VA, USA

    Jason Sheehan MD, PhD (Assistant Professor of Neurological Surgery and Neuroscience)

  2. Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA

    Nader Pouratian MD, PhD (Resident Physician)

  3. Department of Neurosurgery, Hospital of the University of Virginia, Charlottesville, VA, USA

    Charles Sansur MD, MHSc (Resident)

Authors
  1. Jason Sheehan MD, PhD
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  2. Nader Pouratian MD, PhD
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  3. Charles Sansur MD, MHSc
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Boston University School of Medicine, Boston, MA, USA

    Lawrence S. Chin MD (Professor and Chairman) (Professor and Chairman)

  2. Department of Radiation Oncology, University of Maryland Medical School, Baltimore, MD, USA

    William F. Regine MD (Professor and Chairman) (Professor and Chairman)

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Sheehan, J., Pouratian, N., Sansur, C. (2008). Psychiatric and Pain Disorders. In: Chin, L.S., Regine, W.F. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71070-9_58

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  • DOI: https://doi.org/10.1007/978-0-387-71070-9_58

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-71069-3

  • Online ISBN: 978-0-387-71070-9

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