Obsessive-compulsive disorder after unilateral caudate nucleus bleeding
- 9 July 2004
- journal article
- case report
- Published by Springer Nature in Acta Neurochirurgica
- Vol. 146 (9) , 1027-1031
- https://doi.org/10.1007/s00701-004-0312-6
Abstract
Obsessive compulsive disorders (OCD) may be encountered after basal ganglia lesions of various aetiologies. These lesions are usually bilateral. We report here the case of a 24 years old man who developed a pure compulsive behavior after a unilateral left-sided caudate nucleus hemorrhage due to a cavernoma. The pathophysiology of this compulsive disorder probably reflects a frontal cortex deafferentation mechanism. Behavioral, psychological and medical (serotoninergic) treatments are usually proposed but the efficacy of such therapy remains to be investigated in secondary OCD.Keywords
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