Surgery for Aggressive Behavior Disorder

very concerned with the message this report sends to the neuro-surgical community regarding (1) the surgical treatment of ag-gressiveness disorder and (2) the standards in scientific and ethi-cal rigor in the study of neuromodulation of mood disorders.W e believe it is premature to be performing bilateral, ablative, irreversible lesions in these patients with aggressive behavior dis-order. There are no studies, and no rationale in the literature, nei-ther in humans nor in animals, that have shown the efficacy of capsulotomy and cingulotomy in the treatment of aggressive be-havior except for a highly questionable publication [2]Re . gandg ricingulotomy alone, the same can be said, except for a publication from a congress proceeding in 1970 in which the authors mention 5 ‘poor results’ in 10 patients [3] . The combination of these two types of surgeries, as is the case in this study, has never been de-scribed in the treatment of aggression. We also read with interest the previous report by the same group published 1 year ago of very similar structure [4] an d con-tent to the present article [1] . That previous paper reported on a series of patients operated on for the same condition, with the same procedure, by the same surgeons, at the same institution, during the same time interval. We were surprised that there is no mention of this previous work in the present paper. We invite the authors to clarify several significant discrepancies observed be-tween their previous report [4] and the current article published in