Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Pediatrics, University of Calgary, Cumming School of Medicine, Calgary, Alberta, Canada.
BMJ Case Rep. 2024 Jan 9;17(1):e256834. doi: 10.1136/bcr-2023-256834.
Obsessive-compulsive disorder (OCD) as a consequence of severe traumatic brain injury (TBI) has been reported in a limited number of case studies. Informed by CARE guidelines, we present the case of a boy in his late adolescence who sustained a severe TBI from a motor vehicle crash. His injuries required a prolonged stay in the hospital, including 3 weeks in the intensive care unit and a craniotomy to evacuate a large subdural haematoma. Obsessive-compulsive behaviours were first observed on discharge from the hospital and became worse over time. Compulsive behaviours were considered in light of a neuropsychological examination, and a diagnosis of OCD was attained. Sertraline was prescribed and effectively reduced the severity of OCD symptoms. Given the challenges comorbid conditions can pose to neurorehabilitation, a better understanding of patterns in OCD symptoms and brain lesions among reported cases will help guide the diagnosis of OCD among individuals with severe TBI.
强迫症（OCD）作为严重创伤性脑损伤（TBI）的后果，在有限数量的病例研究中有所报道。根据 CARE 指南，我们报告了一例青少年男孩，他因机动车事故导致严重的 TBI。他的伤势需要长时间住院治疗，包括在重症监护病房住院 3 周和开颅手术以清除大的硬膜下血肿。在出院时首次观察到强迫症行为，随着时间的推移病情恶化。强迫症行为是根据神经心理学检查考虑的，并获得了 OCD 的诊断。开了舍曲林，有效地减轻了 OCD 症状的严重程度。鉴于共病情况可能给神经康复带来的挑战，更好地了解报告病例中的 OCD 症状和脑损伤模式将有助于指导严重 TBI 患者 OCD 的诊断。
