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Year : 2019  |  Volume : 61  |  Issue : 1  |  Page : 13-21

Indian guidelines on neurosurgical interventions in psychiatric disorders


1 Department of Neurosurgery, Jaslok Hospital and Research Centre, Mumbai, Maharastra, India
2 Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
3 Department of Psychiatry, St. Martha's Hospital, Bengaluru, Karnataka, India
4 Consultant Neurosurgeon, Department of Neurosurgery, Fortis Hospital, Gurgaon, Haryana, India
5 Department of Psychiatry, Jaslok Hospital and Research Centre, Mumbai, Maharastra, India
6 Department of Psychiatry, Nilratan Sirchar Medical College, Kolkata, West Bengal, India
7 Consultant Psychiatrist, Gautam Hospital and Research Centre, Civil Lines, Jaipur, Rajasthan, India
8 Department of Psychiatry, J.S.S Medical College and Hospital, J.S.S University, Mysore, Karnataka, India
9 Consultant Psychiatrist, Sun Medical and Research Centre, Trichur, Kerala, India
10 Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
11 Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India

Correspondence Address:
Paresh K Doshi
Department of Neurosurgery, Jaslok Hospital and Research Centre, 15, Dr. G Deshmukh Marg, Mumbai - 400 026, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_536_18

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Neurosurgery for psychiatric disorders (NPD) has been practiced for >80 years. However, the interests have waxed and waned, from 1000s of surgeries in 1940–1950s to handful of surgery in 60–80s. This changed with the application of deep brain stimulation surgery, a surgery, considered to be “reversible” there has been a resurgence in interest. The Indian society for stereotactic and functional neurosurgery (ISSFN) and the world society for stereotactic and functional neurosurgery took the note of the past experiences and decided to form the guidelines for NPD. In 2011, an international task force was formed to develop the guidelines, which got published in 2013. In 2018, eminent psychiatrists from India, functional neurosurgeon representing The Neuromodulation Society and ISSFN came-together to deliberate on the current status, need, and legal aspects of NPD. In May 2018, Mental Health Act also came in to force in India, which had laid down the requirements to be fulfilled for NPD. In light of this after taking inputs from all stakeholders and review of the literature, the group has proposed the guidelines for NPD that can help to steer these surgery and its progress in India.



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