Sobre a leucotomia pré-frontal de Egas Moniz

[摘要] This paper is based on a review of 209 female patients admitted to the 5th. Pavillion, at the Juqueri State Hospital, São Paulo, Brazil, observed between February 1936 anti December 1945. One hundred and sixty-one patients were operated on by the Egas Moniz's method of leucotomy and 48 by the Freeman and Watts's technique of prefrontal lobotomy. Since January 1946, we are performing the Freeman and Watts's prefrontal lobotomy in three stages for the purpose of determining the effets of incisions in different parts of the prefrontal region as regards mental condition. The available data about this subject are not sufficient to warrant any conclusion and are not discussed here. The majority of our patients were chronic schizophrenics already treated by two or more of the most recent shock therapy methods. The operations were performed by the chief neurosurgeon Dr. A. Mattos Pimenta and his assistants Drs. A. Sette Junior and A. C. Barretto. The results of the Egas Moniz's leucotomy are listed as follows: Schizophrenia (135 cases) - failures (108), complete or social recovery (21), deaths (2), improved (4); Feeble minded with other symptoms as prolonged episodes, excitement states (13 cases) - failures (7), complete recovery (5), improved (1); Manic-depressive psychosis (5) cases) - failures (3), complete recovery (2) psychopathic personality (3 cases) - failure (1), improved (1), complete recovery (1); Severe neurosis (2 cases) - complete recovery (2); Dementia paralytica (1 case) - improved (1); Encephalitis sequellae (2 cases) - improved (1), greatly improved (1).