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논문 기본 정보

자료유형
학술저널
저자정보
Bin Zhou (Clinical Medical School of Hunan University of Chinese Medicine) Weiping Kuang (Clinical Medical School of Hunan University of Chinese Medicine) Hongxing Huang (Clinical Medical School of Hunan University of Chinese Medicine) Yong Zhu (Clinical Medical School of Hunan University of Chinese Medicine) Xiaofeng Chen (Clinical Medical School of Hunan University of Chinese Medicine) Liang Li (Hunan University of Chinese Medicine) Ping Yang (Clinical Medical School of Hunan University of Chinese Medicine)
저널정보
대한정신약물학회 Clinical Psychopharmacology and Neuroscience Clinical Psychopharmacology and Neuroscience 제18권 제4호
발행연도
2020.1
수록면
636 - 640 (5page)

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Psychiatric symptoms are common after traumatic brain injury (TBI), and some patients have poor drug therapeutic efficacy. We report a successfully treated case of psychiatric symptoms after TBI using deep brain stimulation (DBS) to the anterior limb of internal capsule (ALIC)-nucleus accumbens (NAc) in a 76-year-old woman. The patient suffered from auditory hallucination, mood changes, and insomnia caused by TBI. Psychological test assessment showed the scores of Hamilton Anxiety Scale, Hamilton Depression Scale and Positive and Negative Syndrome Scale were 30, 35, and 96 respectively. Head magnetic resonance imaging scan showed right temporal lobe encephalomalacia. Head magnetic resonance spectroscopy (MRS) showed bilateral basal ganglia choline increased relatively. After DBS to the ALIC-NAc, the target parameters were adjusted. The psychiatric symptoms were completely improved and the result of head MRS was normal in the end. The current report declares that DBS is reversible, adjustable and safe in the treatment of psychiatric symptoms caused by TBI. DBS to the ALIC-NAc should be considered as a possible treatment choice once a patient showed psychiatric symptoms after TBI.

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