Lesioning to the forelimb axons of the internal capsule under guidance of stereotactic techniques for delusional disorder:a case report
JIANG Zhi-feng
DUAN Lei-mei
HUANG Xin
REN Yong-ying
XU Jian-qiang
Abstract：Delusional disorder(DD)is relatively uncommon in clinic.Due to the influence of delusional symptoms,patients with DD often lack insight into their illness,resulting in poor treatment adherence and posing a challenge for clinicians.This paper presented a 34-year-old male patient with an 18-year history of DD.He has received multiple treatments at other psychiatric hospitals,including oral administration of paroxetine,quetiapine fumarate,clozapine,and other medications.However,he was unable to maintain medication compliance due to his belief that the drugs were ineffective for his symptoms and caused side effects.As a result,his symptoms persisted without relief and severely impaired his social functioning;consequently,he dropped out of middle school and relied on family care for long time.After admission to our hospital,we performed lesioning to the forelimb axons of the internal capsule under guidance of stereotactic techniques on the patient after obtaining full informed consent from the patient's family.The patient's delusions and obsessive-compulsive symptoms completely disappeared while experiencing significant improvements in anxiety levels and sleep quality after the operation.
Keywords：Delusional disorderStereotactic techniqueLesioning to the forelimb axons of the internal capsule
Publication Date：2024-01-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 63-64 )