DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder

We treated a thirteen year old boy for life-threatening self-injurious behavior (SIB) and severe Kanner’s autism with Deep Brain Stimulation (DBS) in the amygdaloid complex as well as in the supra-amygdaloid projection system. Two DBS-electrodes were placed in both structures of each hemisphere. The...

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Main Authors: Volker eSturm, Oliver eFricke, Christian P. Buehrle, Doris eLenartz, Mohammad eMaarouf, Harald eTreuer, Jürgen K. Mai, Gerd eLehmkuhl
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-01-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnhum.2012.00341/full
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author Volker eSturm
Oliver eFricke
Christian P. Buehrle
Doris eLenartz
Mohammad eMaarouf
Harald eTreuer
Jürgen K. Mai
Gerd eLehmkuhl
author_facet Volker eSturm
Oliver eFricke
Christian P. Buehrle
Doris eLenartz
Mohammad eMaarouf
Harald eTreuer
Jürgen K. Mai
Gerd eLehmkuhl
author_sort Volker eSturm
collection DOAJ
description We treated a thirteen year old boy for life-threatening self-injurious behavior (SIB) and severe Kanner’s autism with Deep Brain Stimulation (DBS) in the amygdaloid complex as well as in the supra-amygdaloid projection system. Two DBS-electrodes were placed in both structures of each hemisphere. The stimulation contacts targeted the paralaminar, the basolateral, the central amygdala as well as the supra-amygdaloid projection system. DBS was applied to each of these structures, but only stimulation of the baso-lateral part proved effective in improving SIB and core symptoms of the autism spectrum in the emotional, social and even cognitive domains over a follow up of now 24 months. These results, which have been gained for the first time in a patient, support hypotheses, according to which the amygdala may be pivotal in the pathogeneses of autism and point to the special relevance of the baso-lateral part.
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spelling doaj.art-994f68bfd8684fb7a0ac4c3d4a4b48502022-12-22T02:34:20ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612013-01-01610.3389/fnhum.2012.0034118459DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorderVolker eSturm0Oliver eFricke1Christian P. Buehrle2Doris eLenartz3Mohammad eMaarouf4Harald eTreuer5Jürgen K. Mai6Gerd eLehmkuhl7University of CologneUniversity of CologneUniversity of CologneUniversity of CologneUniversity of CologneUniversity of CologneUniversity of DüsseldorfUniversity of CologneWe treated a thirteen year old boy for life-threatening self-injurious behavior (SIB) and severe Kanner’s autism with Deep Brain Stimulation (DBS) in the amygdaloid complex as well as in the supra-amygdaloid projection system. Two DBS-electrodes were placed in both structures of each hemisphere. The stimulation contacts targeted the paralaminar, the basolateral, the central amygdala as well as the supra-amygdaloid projection system. DBS was applied to each of these structures, but only stimulation of the baso-lateral part proved effective in improving SIB and core symptoms of the autism spectrum in the emotional, social and even cognitive domains over a follow up of now 24 months. These results, which have been gained for the first time in a patient, support hypotheses, according to which the amygdala may be pivotal in the pathogeneses of autism and point to the special relevance of the baso-lateral part.http://journal.frontiersin.org/Journal/10.3389/fnhum.2012.00341/fullAmygdalaDeep Brain Stimulationautismcase reporthyperexcitabilitySelf-injurious Behaviour
spellingShingle Volker eSturm
Oliver eFricke
Christian P. Buehrle
Doris eLenartz
Mohammad eMaarouf
Harald eTreuer
Jürgen K. Mai
Gerd eLehmkuhl
DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder
Frontiers in Human Neuroscience
Amygdala
Deep Brain Stimulation
autism
case report
hyperexcitability
Self-injurious Behaviour
title DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder
title_full DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder
title_fullStr DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder
title_full_unstemmed DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder
title_short DBS in the baso-lateral amygdala improves symptoms of autism and related self-injurious behaviourA case report and hypothesis on the pathogenesis of the disorder
title_sort dbs in the baso lateral amygdala improves symptoms of autism and related self injurious behavioura case report and hypothesis on the pathogenesis of the disorder
topic Amygdala
Deep Brain Stimulation
autism
case report
hyperexcitability
Self-injurious Behaviour
url http://journal.frontiersin.org/Journal/10.3389/fnhum.2012.00341/full
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