Obsessive Compulsive Disorder and alcohol cessation after Chronic Deep Brain Stimulation of the Nucleus AccumbensName : Dr. José Augusto Nasser dos Santos
Affliation : Neurological Surgeon
University : Neurological Surgeons And Neuroscience INTO RJ And Psychoanalytical Society Of Rio De Janeiro
Country : Brazil
Introduction: OCD symptoms plus alcohol cessation after OCD surgery is uncommon to respond. Nucleus Accumbens has been advocate to control those symptoms.
Method: A 26 years old man has been followed by our service, with chronic symptoms of OCD, alcohol compulsion since he was 17 years old. He underwent bilateral anterior capsulotomy, twice, with very good result for 3 years. In the last 6 months again, all preoperative symptoms and alcohol dependence became stronger and Psychiatrists, Psychologists and our Neurosurgical department agreed to put electrodes in nucleus accumbens bilaterally. Patient was scored by YBOCs and HAM-A before and after surgery.
Result: Patient was treated with DBS implants bilaterally in the nucleus accumbens. His alcohol compulsion was controlled, his OCD symptoms YBOCS: 37 before surgery changed to 4, and Hamilton Anxiety scale (HAM-A) 18 before to 2 after surgery.
Conclusion: This finding is according to recent articles involving nucleus accumbens and OCD refractory patients. More research is necessary to confirm our observation.
Dr. José Augusto Nasser dos Santos is a Neurosurgeon and a Neuroscientist. He is currently working as Program Director of Advanced Research Center at National Institute INTO – Rio de Janeiro Brazil. He is also Professor of Postgraduation of Ponticia Universidade Católica (PUCRIO) Brazil. He is a Board member Certified by Brazilian Society of Neurosurgery. He has completed his Master degree in Neurosurgery by Federal University of São Paulo and Ph.D. in Neurosurgery by Federal University of São Paulo. He worked as Assistant Professor in Neurosurgery of Estaçio de Sá University – Rio de Janeiro. He was Fellow of College of Physicians and Surgeons of Columbia University - New York -NY – USA. He is a Member of Congress of Neurological Surgeons – USA and Member of American Association of Neurological Surgeons. He is a Member of ASSFN (American Society for Stereotactic and Functional Neurosurgery), Member of WFFN S and Member of Movement Disorders Society and Neurosurgical Task Force