Diagnosis and treatment of an obsessive-compulsive disorder following traumatic brain injury: a single case and review of the literature.
A 27-year-old patient with traumatic brain injury and neuropsychiatric symptoms fitting the obsessive-compulsive disorder was investigated. Brain CT-scan revealed left temporal and bilateral fronto-basal parenchymal contusions. Main Outcome Measure was the Yale-Brown Obsessive Compulsive Scale at pre- and post-treatment and at 6 months follow-up. The combination of pharmacotherapy and psychotherapy resulted in lower intensity and frequency of symptoms. Our case illustrates the importance of a detailed diagnostic procedure in order to provide appropriate therapeutic interventions. Further studies are needed to guide the clinician in determining which patients are likely to benefit from a psychotherapeutic intervention in combination with pharmacotherapy.
Department of Neurology, University Hospital, Bern, Switzerland. helene.hofer@insel.ch
Helene
H
Hofer
Susanna
S
Frigerio
Eveline
E
Frischknecht
Daniel
D
Gassmann
Klemens
K
Gutbrod
René M
RM
Müri
D000328:Adult; D001930:Brain Injuries / Q000150:complications*; D002540:Cerebral Cortex / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000209:etiology / Q000628:therapy