一名难治性强迫症患者接受脑深部电刺激术后出现强迫性皮肤搔抓行为：一例报告。
Compulsive skin-picking behavior after deep brain stimulation in a patient with refractory obsessive-compulsive disorder: A case report.
作者信息
Chang Chun-Hung, Chen Shin-Yuan, Tsai Sheng-Tzung, Tsai Hsin-Chi
机构信息
Department of Psychiatry, China Medical University Hospital Institute of Clinical Medicine, China Medical University, Taichung Department of Neurosurgery Department of Psychiatry, Tzu-Chi General Hospital Institute of Medical Sciences, Tzu-Chi University, Hualien City, Hualien, Taiwan, Republic of China.
出版信息
Medicine (Baltimore). 2017 Sep;96(36):e8012. doi: 10.1097/MD.0000000000008012.
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.
原理
已对深部脑刺激（DBS）治疗难治性强迫症（OCD）的疗效进行了研究，但这种治疗后的并发症鲜有报道。
患者情况
一名28岁难治性强迫症男性接受了双侧腹侧囊/腹侧纹状体刺激治疗12个月。
诊断
在12个月的DBS治疗后出现强迫性皮肤搔抓行为和感染。
干预措施
我们取出了植入的右侧脉冲发生器。
结果
局部炎症和皮肤搔抓行为逐渐改善。4个月后重新植入了刺激器装置。
经验教训
我们建议，对于患有强迫谱系障碍的患者，应在术前和术后随访期间评估其皮肤搔抓行为，以降低感染率和装置取出率。
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