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Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report

Guisolphi, Natalia ; Bessa, Isabela Garcia ; Silva, Ledismar José da

Arquivos brasileiros de neurocirurgia, 2022-06, Vol.41 (2), p.e212-e216 [Periódico revisado por pares]

Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda

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  • Título:
    Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report
  • Autor: Guisolphi, Natalia ; Bessa, Isabela Garcia ; Silva, Ledismar José da
  • Assuntos: Case Report ; neurosurgery ; obsessive-compulsive disorder ; psychiatry ; quality of life ; stereotaxic technique ; substance-related disorder
  • É parte de: Arquivos brasileiros de neurocirurgia, 2022-06, Vol.41 (2), p.e212-e216
  • Descrição: Abstract Obsessive compulsive disorder (OCD) is a possible cause associated with substance use disorder (SUD), a set of physical, psychological, behavioral, and cognitive phenomena related to the use of one or more chemical substances as a priority in a person's life that compromises quality of life. Since they can share the same neuronal network, this serves as a basis for neurosurgical procedures in cases refractory to conventional therapies. A 31-year-old male patient with a history of OCD and SUD refractory to conventional therapies underwent bilateral ablative stereotactic neurosurgery of the anterior limb of the internal capsule, the subgenual cingulate region, the nucleus accumbens, and the cingulate gyrus. Up to 33 months after the the procedure, the patient showed an absolute improvement in OCD and SUD and reported lack of withdrawal signs or symptoms and/or need to use drugs. In recent years, ablative neurosurgery has proven to be an alternative to OCD refractoriness, with long-term benefits. In the case analyzed, ablative stereotactic neurosurgery was effective in controlling both the signs and symptoms triggered by OCD, as well as those of anxiety and stress.
  • Editor: Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil: Thieme Revinter Publicações Ltda
  • Idioma: Inglês

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