Late-life reactivation of obsessive-compulsive disorder associated with lesions in prefrontal-subcortical circuits

J Neuropsychiatry Clin Neurosci. 2009 Summer;21(3):332-4. doi: 10.1176/jnp.2009.21.3.332.

Abstract

The authors describe the reactivation of obsessive-compulsive disorder (OCD) in three patients with lesions in the prefronto-subcortical circuits after decades of being asymptomatic. The patients also reported the emergence of new OCD symptoms and motor/phonic tics as well as mental rituals thematically related to the negative experience of suffering cognitive and motor deficits.

Publication types

  • Case Reports

MeSH terms

  • Age Factors
  • Aged
  • Brain / diagnostic imaging
  • Brain / pathology*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neural Pathways / diagnostic imaging
  • Neural Pathways / pathology
  • Obsessive-Compulsive Disorder / drug therapy
  • Obsessive-Compulsive Disorder / pathology*
  • Prefrontal Cortex / diagnostic imaging
  • Prefrontal Cortex / pathology*
  • Psychiatric Status Rating Scales
  • Psychotropic Drugs / therapeutic use
  • Recurrence
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Psychotropic Drugs