Diagnosis and treatment of an obsessive–compulsive disorder following traumatic brain injury: A single case and review of the literature

Hofer, Helene; Frigerio, Susanna; Frischknecht, Eveline; Gassmann, Daniel; Gutbrod, Klemens; Müri, René M.

doi:10.1080/13554794.2012.690423

Cited by 11 publications

(9 citation statements)

References 55 publications

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“…As a result, all obsessivecompulsive patients were referred to a psychosomatic clinic, and if indicated, a brain magnetic resonance imaging (MRI) was performed. 15 All patients were tested for diabetes at least twice, and because they had chronic LUTS, the initial examinations included a urinalysis; blood glucose, urea, and creatinine levels were also measured. Those with hormonal disorders had thyroid function tests and cystometric bladder capacity (CBC) examinations performed.…”

Section: Methodsmentioning

confidence: 99%

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Association between lower urinary tract symptoms (LUTS) and obsessive‐compulsive disorders (OCD) in women: A study based on urodynamic findings and micturition problem

Rezaeimehr

Zargham

Jahanabadi

et al. 2021

Neurourology and Urodynamics

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This study focused on women with chronic lower urinary tract symptoms (LUTS) who simultaneously suffered from obsessive-compulsive disorder (OCD) to evaluate the association between micturition abnormality and OCD.Methods: A cohort case study was conducted on 128 women with chronic LUTS who visited the academic clinic from 2012 to 2018. The participants with a history of OCD were grouped together, whereas the other group consisted of those with no psychiatric issues. Data were analyzed using the Kolmogorov-Smirnov test and also the nonparametric Kruskal-Wallis and χ 2 tests. Results:The participants with OCD had a lower mean age (41.7 vs. 48.8 years) and longer symptom duration than the control group. Moreover, voiding phase problems were more prevalent among OCD patients (mean voiding score: 9.3 vs. 6.9). Urge urinary incontinence (UUI) was the most common type of urinary incontinence in OCD patients, and the most important urodynamic study finding was bladder outlet obstruction (45% and 17% in the OCD and control groups, respectively). Voiding disorders resulted in chronic renal failure in two patients (3.12%). It was shown that bladder outlet obstruction (odds ratio (OR) 4.43, 95% confidence interval [CI] 1.53-12.78, p = 0.006] was the strongest predictor of OCD and stress urinary incontinence (OR 0.20, 95% CI 0.07-0.53, p < 0.001) was the best protector against OCD. Conclusion:The findings revealed that chronic LUTS was related to voiding dysfunction and urodynamic abnormality in OCD patients. These disorders may be categorized as somatoform disorder that requires appropriate treatments.

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Section: Methodsmentioning

confidence: 99%

“…Some detrusor overactivity (DO) patients have a history of upper motor neuron disease, and some OCD patients may have underlying neuropathic diseases and brain mass. As a result, all obsessive‐compulsive patients were referred to a psychosomatic clinic, and if indicated, a brain magnetic resonance imaging (MRI) was performed 15 …”

Section: Methodsmentioning

confidence: 99%

Association between lower urinary tract symptoms (LUTS) and obsessive‐compulsive disorders (OCD) in women: A study based on urodynamic findings and micturition problem

Rezaeimehr

Zargham

Jahanabadi

et al. 2021

Neurourology and Urodynamics

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“…Obsessive-compulsive disorder (OCD) is estimated to occur in the general population at a prevalence rate of 1%–3% and involves repeated, distressing unwanted thoughts and related compulsions intended to reduce accompanying anxiety 1. OCD symptoms are time-consuming and are often identified as intrusive by patients 2.…”

Section: Introductionmentioning

confidence: 99%

Obsessive-compulsive disorder following severe traumatic brain injury

Wilson,

King,

Debert

2024

BMJ Case Rep

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Obsessive-compulsive disorder (OCD) as a consequence of severe traumatic brain injury (TBI) has been reported in a limited number of case studies. Informed by CARE guidelines, we present the case of a boy in his late adolescence who sustained a severe TBI from a motor vehicle crash. His injuries required a prolonged stay in the hospital, including 3 weeks in the intensive care unit and a craniotomy to evacuate a large subdural haematoma. Obsessive-compulsive behaviours were first observed on discharge from the hospital and became worse over time. Compulsive behaviours were considered in light of a neuropsychological examination, and a diagnosis of OCD was attained. Sertraline was prescribed and effectively reduced the severity of OCD symptoms. Given the challenges comorbid conditions can pose to neurorehabilitation, a better understanding of patterns in OCD symptoms and brain lesions among reported cases will help guide the diagnosis of OCD among individuals with severe TBI.

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“…Although not the most prevalent clinical presentation post-TBI, obsessive-compulsive symptoms have been reported after TBI. [5][6][7][8][9][10][11][12][13][14]16 However, the relationship between TBI and obsessive-compulsive phenomena remains poorly understood. What is currently known about this complex area of neuropsychiatry?…”

mentioning

confidence: 99%

“…A few case reports of OCD after TBI also exist, 7,10,12 including, for example, the interesting case of a male with contamination concerns and ritualistic behavior (eg, counting, motor compulsions, praying) to alleviate anxiety associated with obsessions. 6 Not much is known about the temporal relationship between TBI and OCD. Obsessions and compulsions have been reported to emerge during the very early post-acute phase 12,16 (ie, 1 week-2 months post-TBI), as well as up to 2 years post-injury.…”

mentioning

confidence: 99%

What do we know about obsessive-compulsive disorder following traumatic brain injury?

Rydon-Grange

Coetzer

2015

CNS Spectr.

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In addition to the well-known cognitive impairment following traumatic brain injury (TBI), neuropsychiatric sequelae are often reported as well. Although not the most common neuropsychiatric consequence of TBI, obsessive-compulsive disorder (OCD) has been associated with TBI. However, diagnosing new onset OCD secondary to TBI is complicated by the potential for cognitive impairment secondary to TBI masquerading as OCD. In particular, memory difficulties and executive dysfunction may be confused as representing obsessions and compulsions. Research in this area, which could guide clinical practice, remains limited. In addition to using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria, neuropsychological testing and collateral interviews may help clinicians when considering differential diagnoses in this complex area of neuropsychiatry.

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Diagnosis and treatment of an obsessive–compulsive disorder following traumatic brain injury: A single case and review of the literature

Cited by 11 publications

References 55 publications

Association between lower urinary tract symptoms (LUTS) and obsessive‐compulsive disorders (OCD) in women: A study based on urodynamic findings and micturition problem

Association between lower urinary tract symptoms (LUTS) and obsessive‐compulsive disorders (OCD) in women: A study based on urodynamic findings and micturition problem

Obsessive-compulsive disorder following severe traumatic brain injury

What do we know about obsessive-compulsive disorder following traumatic brain injury?

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