Medicine · 2017
Compulsive skin-picking behavior after deep brain stimulation in a patient with refractory obsessive-compulsive disorder: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Chang Chun-Hung, Chen Shin-Yuan, Tsai Sheng-Tzung, Tsai Hsin-Chi
Аннотация
RATIONAL: The therapeutic effect of deep brain stimulation (DBS) for refractory obsessive-compulsive disorder (OCD) has been studied, but complications after this treatment have rarely been noted.
PATIENT CONCERNS: A 28-year-old man with treatment-resistant OCD received bilateral ventral capsule/ventral striatum stimulation for 12 months.
DIAGNOSIS: Compulsive skin-picking behavior and infection were noted following 12-month DBS treatment.
INTERVENTION: We removed the implanted right-side pulse generator.
OUTCOMES: The local inflammation and skin-picking behavior gradually improved. The stimulator device was re-implanted 4 months later.
LESSONS: We suggest that patients with the OC spectrum should be evaluated for skin-picking behaviors during presurgical and postsurgical follow-up to reduce the infection and device removal rates.
PATIENT CONCERNS: A 28-year-old man with treatment-resistant OCD received bilateral ventral capsule/ventral striatum stimulation for 12 months.
DIAGNOSIS: Compulsive skin-picking behavior and infection were noted following 12-month DBS treatment.
INTERVENTION: We removed the implanted right-side pulse generator.
OUTCOMES: The local inflammation and skin-picking behavior gradually improved. The stimulator device was re-implanted 4 months later.
LESSONS: We suggest that patients with the OC spectrum should be evaluated for skin-picking behaviors during presurgical and postsurgical follow-up to reduce the infection and device removal rates.