Skip to main content Accessibility help
×
Home

Rostral Leucotomy: a Report on 240 Cases Personally Followed Up After ½ to 5 Years

  • John Pippard (a1)

Extract

Cortical undercutting, as an alternative to standard leucotomy and to the major operation of topectomy, was devised by three surgeons independently. Scoville (1949) published his preliminary results soon after McKissock had begun to do rostral leucotomies. Both have continued to use this type of operation (Scoville et al., 1951; Scoville, 1954) but Ferey (1950), the third to develop a similar technique, was disappointed with the results and soon abandoned it (Ferey, 1953). McKissock (1951) reported the initial impressions of the results in 100 cases and by the end of 1952 had operated on 240 cases. During 1953–54, 1½ to 5 years after operation, I followed up these patients, visiting 175 of them in their homes, and 35 in hospital. Personal follow up was refused or for some reason impracticable in 17 cases, including 4 whose case notes had been destroyed; 13 others had died before the survey was made.

Partridge (1950) reported a follow up study of 300 cases operated on by the same surgeon by his “standard” technique (McKissock, 1943); he had the advantage, which I had not, of being able to see his patients before operation. I have had to work retrospectively, and the case notes available, whilst often excellent, had usually not been made with the idea that they would be needed for follow-up purposes. I have not, therefore, thought it right to draw more than broad conclusions from this study.

Copyright

References

Hide All
Curran, R. D., J. Ment. Sci., 1952, 98, 373.
Curran, D., and Partridge, M., Surgical Progress, 1952, p. 162. London.
Elithorn, A., Proc. R. Soc. Med., 1953, 46, 832.
Ferey, M. D., Rev. neurol., 1950, 82, 35.
Idem , ibid., 1953, 88, 509.
Freeman, W., Neurology, 1953, 3, 479.
Fulton, J. F., Frontal Lobotomy and Affective Behaviour. A Neurophysiological Analysis, 1951. New York.
Grantham, E. G., Sth. Surg., 1950, 16, 181.
Golla, F. L., Proc. R. Soc. Med., 1946, 39, 443.
Greenblatt, M., and Solomon, H. C., Amer. J. Psychiat., 1952, 109, 262.
Idem (eds.), Frontal Lobes and Schizophrenia, 1953. New York.
Hoch, P. H., Amer. J. Med., 1953, 15, 570.
Klein, R., J. Ment. Sci., 1952, 98, 60.
KOLB, L., J. Amer. med. Ass., 1953, 152, 1085.
Le Beau, J., J. Ment. Sci., 1952, 98, 12.
Idem , Rev. neurol., 1953, 88, 413.
McKissock, W., J. Ment. Sci., 1943, 89, 194.
Idem , Lancet, 1951, ii, 91.
Idem , Personal communication, 1954.
Maclay, W. S., Proc. R. Soc. Med., 1953, 46, 13.
Partridge, M., Pre-frontal Leucotomy. A survey of 300 cases personally followed over 1½-3 years, 1950. Oxford.
Penman, J., Lancet, 1954, i, 633.
Pool, J. L., Trans. Coll. Phys. Philad., 1951, 19, 49.
Rylander, G., Acta psychiat. neurol., Kbh. supp., 1952, 80, 122.
Sargant, W., Brit. med. J., 1953, ii, 800.
Scoville, W. B., J. Neurosurg., 1949, 6, 65.
Idem , Wilk, E. K., and Pepe, A. J., Amer. J. Psychiat., 1951, 107, 730.
Scoville, W. B., Conn. St. med. J., 1954, 18, 421.
Stengel, E., J. Ment. Sci., 1950, 96, 633.
Ström-Olsen, R., and Tow, P. M., Lancet, 1949, i, 87.
Tow, P. M., and Whitty, C. W. M., J. Neurol. Psychiat., 1953, 16, 186.

Rostral Leucotomy: a Report on 240 Cases Personally Followed Up After ½ to 5 Years

  • John Pippard (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Rostral Leucotomy: a Report on 240 Cases Personally Followed Up After ½ to 5 Years

  • John Pippard (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *