Summary
Although emotion in the human is largely modified by the frontal association areas (software) and may better be called affect, it is still very much influenced by the balance of the ergotropic and the trophotropic circuits in the prosencephalon (hardware) especially in patients with organic brain lesions. Violent, aggressive, restless behaviours or rage can be regarded as an unbalanced state of these two circuits with dominance of the ergotropic circuit. In order to restore the balance of these two circuits, small stereotactic lesions were made in the ergotropic portion of the posterior hypothalamus (posteromedial hypothalamotomy) with good results in the follow-up of 10–25 years. Postoperatively there was no disturbance in endocrine activities and growth.
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References
Balasubraraaniam V, Kanaka TS (1975) Amygdalotomy and hypothalotomy—a comparative study. Confin Neurol 37: 195201
Ban T (1966) The septo-preoptico-hypothalamic system and its autonomic function. In: Tokizane T, Schade JP (eds) Prog Brain Res 21 A. Elsevier, Amsterdam, pp 1–43
Beattie J (1932) Hypothalamic mechanisms Canad Med Ass J 26: 400–405
Black P, Uematsu S, Walker AE (1975) Stereotaxic hypothalamotomy for control of violent aggressive behaviour. Confin Neurol 37: 187–188
Hess WR (1947) Vegetative Funktionen und Zwischenhirn. Hely Physiol Pharmac Acta, Supp1IV
Hess WR (1949) Das Zwischenhirn. Syndrome, Lokalisationen, Funktionen. Schwabe, Basel
Mayanagi Y, Hori T, Sano K (1978) The posteromedial hypothalamus and pain-behaviour, with special reference to endocrinological findings. Appl Neurophysiol 41: 223–231
Mayanagi Y, Sano K (1979) Long-term follow-up results of the posteromedial hypothalamotomy. In: Hitchcock ER, Ballantine HT Jr, Meyerson BA (eds) Modern concepts in psychiatric surgery. Elsevier North-Holland Biomedical Press, pp 197–204
Rubio E, Arjona A, Rodriguez-Burgos F (1977) Stereotactic cryohypothalamotomy in aggressive behaviour. In: Sweet WH et al (eds) Neurosurgical treatment in psychiatry, pain and epilepsy. University Park Press, Baltimore, pp 439–444
Sano K (1962) Sedative neurosurgery with special reference to posteromedial hypothalamotomy. Neurol Med Chir (Tokyo) 4: 112–142
Sano K (1966) Sedative stereoencephalotomy: fornicotomy, upper mesencephalic reticulotomy and postero-medial hypothalamotomy. In: Tokizane T, Schade JP (eds) Prog Brain Res 21 B. Elsevier, Amsterdam, pp 350–372
Sano K (1974) Surgery of the hypothalamus—in commemoration of Otfrid Foerster. In: Sano K, Ishii S (eds) Recent progress in neurological surgery. Excerpta Medica, Amsterdam, pp 210218
Sano K (1975) Posterior hypothalamic lesions in the treatment of violent behaviour. In: Fields WS, Sweet WH (eds) Neural bases of violence and aggression. WH Green, St. Louis, pp 401420
Sano K (1982) Aggressiveness. In: Schaltenbrand G, Walker AE (eds) Stereotaxy of the human brain. Thieme-Stratton, New York, pp 617–621
Sano K, Mayanagi Y, Sekino H, Ogashiwa M, Ishijima B (1970) Results of stimulation and destruction of the posterior hypothalamus in man. J Neurosurg 33: 689–707
Sano K, Sekino H, Hashimoto T, Amano K, Sugiyama H (1975) Posteromedial hypothalamotomy in the treatment of intractable pain. Confin Neurol 37: 285–290
Sano K, Sekino H, Mayanagi Y (1972) Results of stimulation and destruction of the posterior hypothalamus in cases with violent, aggressive or restless behaviours. In: Hitchcock E et al (eds) Psychosurgery. Thomas, Springfield, III, pp 57–75
Schvarcz JR (1977) Results of stimulation and destruction of the posterior hypothalamus: a long-term evaluation. In: Sweet WH et al (eds) Neurosurgical treatment in psychiatry, pain and epilepsy. University Park Press, Baltimore, pp 429–438
Schvarcz JR, Driollet R, Rios E, Betti 0 (1972) Stereotactic hypothalamotomy for behaviour disorders. J Neurol Neurosurg Psychiatry 35: 356–359
Sranja M, Nâdvornik P (1975) Surgical complication of posterior hypothalamotomy. Confin Neurol 37: 193–194
Tokizane T, Kawamura H, Imamura G (1960) Hypothalamic activation upon electrical activities of paleo-and archicortex. Neurol Med Chir (Tokyo) 2: 63–76
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© 1988 Springer-Verlag
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Sano, K., Mayanagi, Y. (1988). Posteromedial Hypothalamotomy in the Treatment of Violent, Aggressive Behaviour. In: Brihaye, J., Calliauw, L., Loew, F., van den Bergh, R. (eds) Personality and Neurosurgery. Acta Neurochirurgica, vol 44. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9005-0_28
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DOI: https://doi.org/10.1007/978-3-7091-9005-0_28
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