AANS Online Scientific Session: Stereotactic & Functional-Cyberknife Radiosurgery for Intractable Obsessive Compulsive Disorder: A Single-Center Experience

Cyberknife Radiosurgery for Intractable Obsessive Compulsive Disorder: A Single-Center Experience

Video Transcription

Video Summary

Dr. Sait Shirin discusses the use of CyberKnife radiosurgery for intractable obsessive-compulsive disorder (OCD). He provides a brief history of psychosurgery and its decline due to the rise of neuropharmacology and opposition. Dr. Shirin explains that radiosurgery is an irreversible lesioning procedure that uses high-dose radiation. He mentions Lars Legstad as the first to perform OCD radiosurgery in 1953. Various centers around the world, including Stockholm, Sao Paulo, Pittsburgh, and Istanbul, perform OCD radiosurgery. Dr. Shirin discusses the indications, contraindications, target selection, and dose selection for OCD radiosurgery. He also presents the success rates and outcomes of different studies and shares the experience of his own center using CyberKnife for OCD treatment. Dr. Shirin concludes that ventral capsulotomy with CyberKnife is safe and effective, but further studies are needed to determine optimal dose and target selection.

Asset Subtitle

Sait Sirin, MD

Keywords

CyberKnife radiosurgery

intractable obsessive-compulsive disorder

psychosurgery history

OCD radiosurgery centers

ventral capsulotomy