Deep brain stimulation of the anterior limb of the internal capsule for treatment of therapy-refractory obsessive compulsive disorder (OCD): a case study highlighting neurocognitive and psychiatric changes

被引:8
作者
Choudhury, Tabina K. [1 ,2 ]
Davidson, Joyce E. [3 ]
Viswanathan, Ashwin [4 ]
Strutt, Adriana M. [2 ,3 ]
机构
[1] Texas A&M Univ, Dept Psychol, College Stn, TX 77843 USA
[2] Baylor Coll Med, Dept Neurol, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Psychiat & Behav Sci, Houston, TX 77030 USA
[4] Baylor Coll Med, Dept Neurosurg, Houston, TX 77030 USA
关键词
Obsessive compulsive disorder; deep brain stimulation; internal capsule; cognition; neuropsychology; ELECTRICAL-STIMULATION; NUCLEUS;
D O I
10.1080/13554794.2017.1319958
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Obsessive compulsive disorder (OCD) is an anxiety disorder characterized by repeated, unwanted thoughts and behaviors. Individuals with this condition often experience significant emotional distress secondary to their symptoms. Additionally, impairments in attention/concentration, processing speed, and executive functions are typically observed. The exact pathology of OCD remains unknown; consequently, it can be difficult to treat patients with severe symptomatology. Deep brain stimulation (DBS) may be a viable treatment option for individuals who do not respond to medication and/or cognitive behavioral therapy. The following case discusses DBS of the anterior limb of the internal capsule for a patient with severe, therapy-refractory OCD, including pre- to postoperative neurocognitive and psychiatric changes.
引用
收藏
页码:138 / 145
页数:8
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