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Compulsive skin-picking behavior after deep brain stimulation in a patient with refractory obsessive-compulsive disorder: A case report.
- Source :
-
Medicine [Medicine (Baltimore)] 2017 Sep; Vol. 96 (36), pp. e8012. - Publication Year :
- 2017
-
Abstract
- 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.<br />Patient Concerns: A 28-year-old man with treatment-resistant OCD received bilateral ventral capsule/ventral striatum stimulation for 12 months.<br />Diagnosis: Compulsive skin-picking behavior and infection were noted following 12-month DBS treatment.<br />Intervention: We removed the implanted right-side pulse generator.<br />Outcomes: The local inflammation and skin-picking behavior gradually improved. The stimulator device was re-implanted 4 months later.<br />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.
- Subjects :
- Adult
Electrodes, Implanted
Humans
Male
Obsessive-Compulsive Disorder complications
Obsessive-Compulsive Disorder physiopathology
Reoperation
Ventral Striatum physiopathology
Deep Brain Stimulation adverse effects
Deep Brain Stimulation psychology
Disruptive, Impulse Control, and Conduct Disorders etiology
Obsessive-Compulsive Disorder therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1536-5964
- Volume :
- 96
- Issue :
- 36
- Database :
- MEDLINE
- Journal :
- Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 28885367
- Full Text :
- https://doi.org/10.1097/MD.0000000000008012