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Neurosurg Clin N Am. 2003 Apr;14(2):251-65.

Neuropsychiatric thalamocortical dysrhythmia: surgical implications.

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  • 1Neurosurgical Clinic, Laboratory for Functional Neurosurgery, University Hospital, Sternwartstrasse 6, 8091 Zurich, Switzerland.


Clearly, more clinical experience must be amassed to define in detail the possibilities of this surgical approach in disabling neuropsychiatric disorders. We propose, however, that the evidence for benign and efficient surgical intervention against the neuropsychiatric TCD syndrome is already compelling. The potential appearance of strong postoperative reactive manifestations requires a close association between surgery and psychotherapy, with the latter providing support for the integration of the new situation as well as the resolution of old unresolved issues.

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