Neurosurgical treatment of severe obsessive-compulsive disorder associated with Tourette's syndrome.

@article{Kurlan1990NeurosurgicalTO,
  title={Neurosurgical treatment of severe obsessive-compulsive disorder associated with Tourette's syndrome.},
  author={Roger M. Kurlan and J M Kersun and H Thomas Ballantine and Eric D Caine},
  journal={Movement disorders : official journal of the Movement Disorder Society},
  year={1990},
  volume={5 2},
  pages={152-5}
}
We describe two patients with Gilles de la Tourette's syndrome (TS) and disabling obsessive-compulsive and ritualistic behaviors who underwent bilateral radiofrequency anterior cingulotomy. Both achieved a limited but sustained improvement in behavioral symptoms and overall functional abilities. Our observations indicate involvement of limbic structures in this disorder. The procedure should be considered for patients with TS complicated by resistant obsessive-compulsive disorder. 

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