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神経性食思不振症はボディーイメージの歪みから極端な体重減少をきたす重篤な精神疾患で,薬剤加療や心理療法などでは改善が得られない場合も少なくない。本邦では現在,精神疾患に対する脳神経外科的治療はまったく行われていないが,諸外国では難治性精神疾患に対してさまざまな機能的脳神経外科治療が行われ,有効性が報告されてきた。神経性食思不振症に対して行われた脳神経機能への介入治療の中で代表的なものを紹介する。
Abstract
Anorexia nervosa (AN) is a serious psychiatric disorder characterized by disturbances in body- and self-perception and excessive weight loss. AN is sometimes refractory to conventional treatments such as medication and psychological therapy. Therefore, the neurosurgery for psychiatric disorders (NPD) has been studied. While the efficacy of NPD has previously been reported and is currently being studied, it is not performed in Japan. We introduce the results of representative studies that investigated functional neurosurgery for AN.
(Received May 22, 2020; Accepted November 20, 2020; Published April 1, 2021)
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