[Treatment of refractory aggressiveness by amygdalotomy and posteromedial hypothalamotomy by radiofrequency].

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AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-09-15T00:31:08Z
Fecha de publicación2019-02-01
ResumenINTRODUCTION: Since, under certain circumstances, defensive or attacking behaviours display a pattern of motor dominance, as observed in subjects who participate in contact or fighting sports, aggressive behaviour was considered to have a dominant motor pattern. With the aim of preventing the functional problems reported with bilateral lesion procedures involving both the central nucleus of the amygdala and the posteromedial hypothalamus, the decision was made to combine them; thus, an amygdalotomy of the central nucleus of the amygdala and a posteromedial hypothalamotomy were to be performed simultaneously and unilaterally, on the basis of the motor dominance of the patient determined by means of the Edinburgh test. PATIENTS AND METHODS: This study describes the surgical experience in a series of nine patients diagnosed with refractory neuroaggressive syndrome. As part of the study protocol, a magnetic resonance brain scan was performed to rule out the presence of neoplasms, vascular diseases, infections and degenerative disorders. The degree of aggressiveness was quantified using Yudofsky's Overt Aggression Scale. Additionally, manual dominance was determined by means of the Edinburgh test. RESULTS AND CONCLUSIONS: Good control of aggressiveness was seen immediately. In some cases it was necessary to reduce the antipsychotic or benzodiazepine medication, as it was seen to increase aggressiveness. Only one case required a second surgical intervention. Follow-up was achieved in 100% of the cases at 24 months and 78% at 36 months.es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/2827
Idiomaenes_ES
EditorialNational Institutes of Healthes_ES
RelaciónPubMedes_ES
URL relacionadohttps://pubmed.ncbi.nlm.nih.gov/30687915es_ES
DerechosAcceso restringido / Suscripción (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_16eces_ES
FuentePubMed
Palabra claveMedicinees_ES
Palabra claveDominance (genetics)es_ES
Palabra claveAggressiones_ES
Palabra claveLesiones_ES
Palabra claveAntipsychotices_ES
Palabra claveAmygdalaes_ES
Palabra claveRefractory (planetary science)es_ES
Palabra clavePhysical medicine and rehabilitationes_ES
Palabra claveNeurosciencees_ES
Palabra clavePsychologyes_ES
Palabra clavePsychiatryes_ES
Palabra claveInternal medicinees_ES
ClasificaciónObsessive-Compulsive Spectrum Disorderses_ES
Título[Treatment of refractory aggressiveness by amygdalotomy and posteromedial hypothalamotomy by radiofrequency].es_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorGarcía‐Muñoz, Luis
AutorCarrillo‐Ruiz, José D.
AutorFavila-Bojórquez, José J.
AutorLópez-Valdés, Julio César
AutorJiménez-Ponce, Fiacro
AutorGarcía‐Muñoz, Luises_ES
AutorCarrillo‐Ruiz, José D.es_ES
AutorFavila-Bojórquez, José J.es_ES
AutorLópez-Valdés, Julio Césares_ES
AutorJiménez-Ponce, Fiacroes_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Número3es_ES
Rango de páginas91-98es_ES
URL relacionadahttps://pubmed.ncbi.nlm.nih.gov/30687915
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen68es_ES

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