One of the most frequent indications of psychosurgical treatment is incurable obsessions. Up to now, capsulotomy or cingulotomy has been preferred. In our opinion, the variety of obsessive conditions require a more thorough approach to the selection of interbrain targets. Forty-seven @entity1 with pure @entity3119 as well as disorders connected with @entity308 , @entity302 , @entity914 and Gilles de la @entity4676 with extremely severe resistance to medical therapy were examined. Eighteen @entity1 were operated on. Surgical treatment is permissible only in cases fulfilling the three following criteria: (1) clinicopsychopathological permissibility (duration of disease, resistance to medication, psychopathological status); (2) physiological permissibility (the presence of a brain target, defining the psychopathological status), and (3) technical permissibility (the availability of proper stereotactic, imaging, electrophysiological and other apparatus necessary to carry out the surgical treatment). One supposes that the outcome of surgical treatment is determined by all three criteria. For the purpose of improving the efficiency of stereotactic treatment, a number of methods of surgical treatment depending on the psychopathological status are suggested. For example, in case of comorbidity of obsession with the @entity302 , we suggest cingulotomy (capsulotomy) and amygdalotomy; in case of comorbidity with @entity308 we suggest cingulotomy and innominatotomy. The long-term observation of the outcome of stereotactic treatment covers a period from 2 up to 9 years.

Differential approach to XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression', 'depressions'] @entity914 :: ('MESH:D011618', 'Disease') :: ['schizophreniform state'] @entity302 :: ('MESH:D004827', 'Disease') :: ['epileptic syndrome', 'epileptiform syndrome'] @entity3119 :: ('MESH:D009771', 'Disease') :: ['obsessive-compulsive disorders'] @entity4676 :: ('MESH:D005879', 'Disease') :: ["Tourette's syndrome"]
@entity3119 :: (MESH:D009771,Disease) :: ['psychosurgery of obsessive disorders']
