Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia
Myoclonus dystonia is a rare movement disorder that often causes significant disability. Deep brain stimulation of the internal pallidum (GPi DBS) is a recommended treatment for those who do not respond to pharmacotherapy or who have intolerable side effects. This paper reports on the case of a 17-y...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2019/1947962 |
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| author | Graciela Kriegel Melanie I. Stuckey |
| author_facet | Graciela Kriegel Melanie I. Stuckey |
| author_sort | Graciela Kriegel |
| collection | DOAJ |
| description | Myoclonus dystonia is a rare movement disorder that often causes significant disability. Deep brain stimulation of the internal pallidum (GPi DBS) is a recommended treatment for those who do not respond to pharmacotherapy or who have intolerable side effects. This paper reports on the case of a 17-year-old male who was admitted to a tertiary level mental healthcare facility for treatment of psychiatric and behavioral symptoms thought to be related to GPi DBS. Prior to GPi DBS insertion, the patient was diagnosed with anxiety and mild obsessive compulsive disorder (OCD). Following insertion, his OCD became severe and he developed depression, Tourette syndrome, and stuttering. His first admission to a psychiatric unit was for management of a manic episode following treatment for depression with fluoxetine, and he began to exhibit severe aggressive behavior. GPi DBS was turned off, but there were neither changes in dystonic movements nor improvement in aggressive behavior or psychiatric symptoms, though stuttering improved. The patient was transferred to a secure treatment centre where he was able to gain control over his behaviors with intense dialectical behavior therapy, but the aggressive behavior and safety concerns continue to persist today. |
| format | Article |
| id | doaj-art-da564a3270fc4a8f86a331e540e3df5a |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-da564a3270fc4a8f86a331e540e3df5a2025-02-03T06:13:08ZengWileyCase Reports in Psychiatry2090-682X2090-68382019-01-01201910.1155/2019/19479621947962Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus DystoniaGraciela Kriegel0Melanie I. Stuckey1Ontario Shores Centre for Mental Health Sciences, Whitby, CanadaOntario Shores Centre for Mental Health Sciences, Whitby, CanadaMyoclonus dystonia is a rare movement disorder that often causes significant disability. Deep brain stimulation of the internal pallidum (GPi DBS) is a recommended treatment for those who do not respond to pharmacotherapy or who have intolerable side effects. This paper reports on the case of a 17-year-old male who was admitted to a tertiary level mental healthcare facility for treatment of psychiatric and behavioral symptoms thought to be related to GPi DBS. Prior to GPi DBS insertion, the patient was diagnosed with anxiety and mild obsessive compulsive disorder (OCD). Following insertion, his OCD became severe and he developed depression, Tourette syndrome, and stuttering. His first admission to a psychiatric unit was for management of a manic episode following treatment for depression with fluoxetine, and he began to exhibit severe aggressive behavior. GPi DBS was turned off, but there were neither changes in dystonic movements nor improvement in aggressive behavior or psychiatric symptoms, though stuttering improved. The patient was transferred to a secure treatment centre where he was able to gain control over his behaviors with intense dialectical behavior therapy, but the aggressive behavior and safety concerns continue to persist today.http://dx.doi.org/10.1155/2019/1947962 |
| spellingShingle | Graciela Kriegel Melanie I. Stuckey Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia Case Reports in Psychiatry |
| title | Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia |
| title_full | Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia |
| title_fullStr | Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia |
| title_full_unstemmed | Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia |
| title_short | Psychiatric and Behavioral Complications of GPi DBS in an Adolescent with Myoclonus Dystonia |
| title_sort | psychiatric and behavioral complications of gpi dbs in an adolescent with myoclonus dystonia |
| url | http://dx.doi.org/10.1155/2019/1947962 |
| work_keys_str_mv | AT gracielakriegel psychiatricandbehavioralcomplicationsofgpidbsinanadolescentwithmyoclonusdystonia AT melanieistuckey psychiatricandbehavioralcomplicationsofgpidbsinanadolescentwithmyoclonusdystonia |