Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report
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. Si...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-06-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740166 |
| _version_ | 1811326180668735488 |
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| author | Natalia Guisolphi Isabela Garcia Bessa Ledismar José da Silva |
| author_facet | Natalia Guisolphi Isabela Garcia Bessa Ledismar José da Silva |
| author_sort | Natalia Guisolphi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T14:45:45Z |
| format | Article |
| id | doaj.art-094f6fd9f0234b6db8ba86fb00f5c1c3 |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-04-13T14:45:45Z |
| publishDate | 2022-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-094f6fd9f0234b6db8ba86fb00f5c1c32022-12-22T02:42:45ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222022-06-014102e212e21610.1055/s-0041-1740166Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case ReportNatalia Guisolphi0Isabela Garcia Bessa1Ledismar José da Silva2School of Medicine, Pontifícia Universidade Católica de Goiás, Goiânia, GO, BrazilSchool of Medicine, Pontifícia Universidade Católica de Goiás, Goiânia, GO, BrazilSchool of Medicine, Pontifícia Universidade Católica de Goiás, Goiânia, GO, BrazilObsessive 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740166stereotaxic techniquesubstance-related disorderobsessive-compulsive disorderneurosurgerypsychiatryquality of life |
| spellingShingle | Natalia Guisolphi Isabela Garcia Bessa Ledismar José da Silva Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report Brazilian Neurosurgery stereotaxic technique substance-related disorder obsessive-compulsive disorder neurosurgery psychiatry quality of life |
| title | Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report |
| title_full | Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report |
| title_fullStr | Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report |
| title_full_unstemmed | Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report |
| title_short | Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report |
| title_sort | thermocoagulation treatment of a patient with obsessive compulsive disorder and substance use disorder case report |
| topic | stereotaxic technique substance-related disorder obsessive-compulsive disorder neurosurgery psychiatry quality of life |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740166 |
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