Scientific article
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Deep brain stimulation of the subthalamic nucleus in obsessive–compulsives disorders: long-term follow-up of an open, prospective, observational cohort

Published inJournal of Neurology, Neurosurgery, and Psychiatry, vol. 91, no. 12, p. 1349-1356
Publication date2020
Abstract

Obsessive-compulsive disorder (OCD) is a major cause of disability in western country and responsible for severe impairment of quality of life. About 10% of patients present with severe OCD symptoms and require innovative treatment such as deep brain stimulation (DBS). Among possible targets, the non-motor subthalamic nucleus (STN) is a key node of the basal ganglia circuitry, strongly connected to limbic cortical areas known to be involved in OCD. We analysed, in a prospective, observational, monocentric, open label cohort, the effect of chronic non-motor STN-DBS in 19 patients with treatment-resistant OCD consecutively operated in a single centre. Severity of OCD was evaluated using the Yale and Brown Obsessive-Compulsive Scale (YBOCS). YBOCS scores at 6, 12 and 24 months postoperatively were compared with baseline. Responders were defined by >35% improvement of YBOCS scores. Global Assessment Functioning (GAF) scale was used to evaluate the impact of improvement.

Keywords
  • Adult
  • Anxiety/etiology
  • Cohort Studies
  • Deep Brain Stimulation/adverse effects
  • Deep Brain Stimulation/methods
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mania/etiology
  • Middle Aged
  • Obsessive-Compulsive Disorder/therapy
  • Prospective Studies
  • Severity of Illness Index
  • Subthalamic Nucleus
  • Treatment Outcome
Citation (ISO format)
CHABARDES, Stephan et al. Deep brain stimulation of the subthalamic nucleus in obsessive–compulsives disorders: long-term follow-up of an open, prospective, observational cohort. In: Journal of Neurology, Neurosurgery, and Psychiatry, 2020, vol. 91, n° 12, p. 1349–1356. doi: 10.1136/jnnp-2020-323421
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Article (Published version)
Identifiers
Journal ISSN0022-3050
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