2018 AANS Annual Scientific Meeting-Neurosurgery for OCD: Stimulation or Ablation?

Video Transcription

Video Summary

In this video, Dr. Ludwig Zunzow, a nurse surgeon at Queen's Square in London, discusses neurosurgery options for obsessive-compulsive disorder (OCD). He mentions that there has been no head-to-head study comparing the effectiveness of stimulation versus ablation in neurosurgery for OCD. However, Dr. Zunzow highlights that OCD is a disorder of neural networks and can be treated through various methods, including pharmacological, behavioral, and surgical interventions. He explains that deep brain stimulation (DBS) targets, such as the ventral capsule and anteromedial subthalamic nucleus, have shown promising results in reducing OCD symptoms. He also mentions that cognitive behavioral therapy can enhance the effects of DBS. Additionally, Dr. Zunzow discusses the potential benefits of stereotactic ablation, such as singulotomy and capsulotomy, in treating OCD. He compares the outcomes and side effects of DBS and ablation techniques, suggesting that both approaches have their advantages and that further studies and informed consent are needed to determine the best course of treatment for individual patients.

Asset Caption

Ludvic Zrinzo, MD FRCS (United Kingdom)

Keywords

neurosurgery

OCD

stimulation

ablation

DBS

cognitive behavioral therapy