Compulsive skin-picking behavior after deep brain stimulation in a patient with refractory obsessive–compulsive disorder: A case report

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/ven...

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Detalles Bibliográficos
Autores principales: Chang, Chun-Hung, Chen, Shin-Yuan, Tsai, Sheng-Tzung, Tsai, Hsin-Chi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393004/
https://www.ncbi.nlm.nih.gov/pubmed/28885367
http://dx.doi.org/10.1097/MD.0000000000008012
Descripción
Sumario: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.

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