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March 1949

Las modernas intervenciones quirúrgicas en psiquiatría.

Arch NeurPsych. 1949;61(3):338. doi:10.1001/archneurpsyc.1949.02310090113012

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The book is a monograph on lobotomy for psychoses, a subject on which the author has been working since 1940. The book is a good review of the literature, both clinical and physiologic, which, however, adds little that is noteworthy to the account by Freeman and Watts. The most interesting part of the monograph is the description of the author's experiences with temporal leukotomy. He reports 2 cases. The first was that of a schizophrenic patient with auditory hallucinations and periods of agitation. These disturbances were not altered by removal of the lower parts of both temporal lobes. Finally a bilateral frontal leukotomy had to be performed; this largely relieved the agitation and hallucinations but produced a much more profound confusion and apathy. The results were not successful in a second similar case in which the operation was performed after partial failure of a frontal leukotomy.