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

作者：Chang Chun Hung; Chen Shin Yuan; Tsai Sheng Tzung; Tsai Hsin Chi^*

来源：Medicine, 2017, 96(36): e8012.

DOI：10.1097/MD.0000000000008012

• deep brain stimulation
• obsessive-compulsive disorder
• skin-picking behavior

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.
PatientConcerns: 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.

• 出版日期2017-9
• 单位河北医科大学; 中国医科大学