Late-Onset Obsessive-Compulsive Disorder Secondary to Caudate Lacunar Infarct: A Case Report

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Orooji Maryam; Khosravi Saeed; Malekpour Farzaneh; Shalbafan Mohammadreza

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Journal: Case Reports in Clinical Practice Year:2018 | Volume:3 | Issue:2 Page(s): 54-57

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Title

Late-Onset Obsessive-Compulsive Disorder Secondary to Caudate Lacunar Infarct: A Case Report

Author(s)

Orooji Maryam | Khosravi Saeed | Malekpour Farzaneh | Shalbafan Mohammadreza | Issue Writer Certificate

Keywords

Obsessive-Compulsive Disorder

Basal Ganglia

Infarction

Abstract

Due to low prevalence of late onset Obsessive-Compulsive Disorder (OCD), it is more likely to have an organic etiology. In this article we present a 59-year-old man, referred for recently developed obsessive compulsive symptoms, with no prior history of OCD in the past. The symptoms were included ego-dystonic recurrent obsessional doubts, leaded him to compulsive checking several times a day and caused a remarkable distress and functional impairment. His neurological exam revealed no deficit. The most prominent finding in MRI was two large areas of focal gliosis and porencephaly located at head of right caudate. The size was 12 mm which is compatible with lacunar infarct. Frontal subcortical areas of signal change were noted. The symptoms were almost recovered only after 2 months treatment with sertraline 100 mg/daily and bupropione 150 mg/daily. It seems that there is a remarkable relationship between Basal Ganglia and frontal lesions, particularly Infarction, with late-onset OCD.

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References

Lcarnosine as an adjuvant to fluvoxamine in treatment of obsessive compulsive disorder: A randomized double-blind study

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APA: Copy

Orooji, Maryam, Khosravi, Saeed, Malekpour, Farzaneh, & Shalbafan, Mohammadreza. (2018). Late-Onset Obsessive-Compulsive Disorder Secondary to Caudate Lacunar Infarct: A Case Report. CASE REPORTS IN CLINICAL PRACTICE, 3(2), 54-57. SID. https://sid.ir/paper/354733/en

Vancouver: Copy

Orooji Maryam, Khosravi Saeed, Malekpour Farzaneh, Shalbafan Mohammadreza. Late-Onset Obsessive-Compulsive Disorder Secondary to Caudate Lacunar Infarct: A Case Report. CASE REPORTS IN CLINICAL PRACTICE[Internet]. 2018;3(2):54-57. Available from: https://sid.ir/paper/354733/en

IEEE: Copy

Maryam Orooji, Saeed Khosravi, Farzaneh Malekpour, and Mohammadreza Shalbafan, “Late-Onset Obsessive-Compulsive Disorder Secondary to Caudate Lacunar Infarct: A Case Report,” CASE REPORTS IN CLINICAL PRACTICE, vol. 3, no. 2, pp. 54–57, 2018, [Online]. Available: https://sid.ir/paper/354733/en

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