DISAPPEARANCE OF SELF‐AGGRESSIVE BEHAVIOR IN A BRAIN‐INJURED PATIENT AFTER DEEP BRAIN STIMULATION OF THE HYPOTHALAMUS: TECHNICAL CASE REPORT
DISAPPEARANCE OF SELF‐AGGRESSIVE BEHAVIOR IN A BRAIN‐INJURED PATIENT AFTER DEEP BRAIN STIMULATION OF THE HYPOTHALAMUS: TECHNICAL CASE REPORT
复制标题
脑损伤患者下丘脑深部刺激后自我攻击行为消失：技术病例报告
作者：
J. Kuhn;D. Lenartz;J. Mai;W. Huff;J. Klosterkoetter;V. Sturm
目的自残是多种病因疾病的严重症状。它可以在智力迟钝和创伤性脑损伤的情况下观察到。药物治疗方法往往被证明无效。临床表现：我们报告一名22岁的女性，在严重的创伤性脑损伤后，口腔区域有重复的自残行为。结果双侧深度脑刺激下丘脑后部，在4个月的观察期内，自残症状完全消除。结论本技术病例报告表明，下丘脑后部深部脑刺激是治疗严重自残行为的一种有希望的方法。
OBJECTIVESelf-mutilation is a severe symptom of diseases with varying etiologies. It can be observed in the context of mental retardation and after traumatic brain injury. Pharmacological treatment approaches often prove ineffective. CLINICAL PRESENTATIONWe report the case of a 22-year-old woman with repetitive self-mutilating behavior in the mouth area after severe traumatic brain injury. RESULTSBilateral deep brain stimulation of the posterior hypothalamus was conducted and resulted in the complete elimination of self-mutilation during a 4-month observation period. CONCLUSIONThis technical case report indicates that deep brain stimulation of the posterior hypothalamus could be a promising approach in the treatment of severe self-mutilating behavior.