Rui Lai
*
Yang Ming
Feilong Gong
*The final, formatted version of the article will be published soon.
CASE REPORT article
Front. Psychiatry
Sec. Psychopathology
Volume 15 - 2024 |
doi: 10.3389/fpsyt.2024.1498046
This article is part of the Research Topic The Heterogeneity of Psychiatric Symptoms and Disorders View all 10 articles
Multiple Stereotactic Neurosurgery of Obsessive-Compulsive Disorder with Obsessional Slowness: A Case Report
Provisionally accepted- Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
We report a case of a 22-year-old female patient. The patient was diagnosed with obsessive compulsive disorder according to the International Classification of Diseases and Related Health Problems (ICD-10). The relatively effective methods for treating obsessive compulsive disorder are pharmacotherapy and cognitive behavioral therapy. The patient received multiple antipsychotic drugs (such as paroxetine, clomipramine) and combined cognitive behavioral therapy at the age of 21. But the patient gradually lost response to the above treatment. After obtaining the consent of the patient's family and the patient, anterior capsulotomy was performed with the patient, followed up and evaluated after surgery. Through comprehensive analysis and judgment, there is a significant rebound in the patient's OCD and OS symptoms, and we have decided to choose the accumbensotomy.9 months after the episiotomy, OCD symptoms began to rebound. Shortly thereafter, OS symptoms reappeared. This case indicates that OCD with OS, as a special category, may not be suitable for stereotactic neurosurgery. In addition, multiple surgeries for such OCD patients should be considered with utmost caution.
Keywords: Anterior capsulotomy, Accumbensotomy, obsessional slowness, Obsessivecompulsive disorder, Stereotactic Neurosurgery
Received: 18 Sep 2024; Accepted: 06 Nov 2024.
Copyright: © 2024 Lai, Pang, Ming, He, Xiong, You, Cheng and Gong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Rui Lai, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
Xiao Pang, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
Haipin He, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
Yu Xiong, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
Jian You, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
Ligang Cheng, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
Feilong Gong, Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
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