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Psychiatric and Pain Disorders

  • Jason Sheehan
  • Nader Pouratian
  • Charles Sansur

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.

Keywords

Radiat Oncol Biol Phys Trigeminal Neuralgia Gamma Knife Gamma Knife Surgery Microvascular Decompression 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Jason Sheehan
    • 1
  • Nader Pouratian
    • 2
  • Charles Sansur
    • 3
  1. 1.Department of Neurological Surgery and NeuroscienceUniversity of VirginiaCharlottesvilleUSA
  2. 2.Department of Neurological SurgeryUniversity of VirginiaCharlottesvilleUSA
  3. 3.Department of NeurosurgeryHospital of the University of VirginiaCharlottesvilleUSA

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