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Djup hjärnstimulering kan bryta ond cirkel vid tvångssyndrom
Engelsk titel: Deep brain stimulation can break vicious circle in obsessive-compulsive disorder Läs online Författare: Chen, Long Long ; Schechtmann, Gaston ; Ring, Patrik ; Djurfeldt, Diana Språk: Swe Antal referenser: 45 Dokumenttyp: Översikt UI-nummer: 16067502

Tidskrift

Läkartidningen 2016;113(21)1047-9 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Obsessive-compulsive disorder (OCD), characterized by repetitive intrusive thoughts and ritualized behaviors, is a highly debilitating disorder with an estimated lifetime prevalence of about 2 %. Approximately 10 % of these patients have severe symptoms despite having received all available treatments, thus considered treatment refractory. Deep brain stimulation (DBS), a reversible, safe and adaptive method widely used for movement disorders, enables specific targeting of deep brain structures of relevance in OCD. About 60% of the patients with treatment refractory OCD show ameliorated symptoms and improved quality of life with DBS. Taking ethical aspects into consideration DBS is a viable option for patients with treatment refractory OCD though further studies are needed to fully understand and individualize this treatment.