Turkish Neurosurgery 2014 , Vol 24 , Num 4
Gamma Knife for Obsessive Compulsive Disorder: Can It be Detrimental?
Manjul TRIPAT HI, Kanchan MUKHERJEE, Rajesh CHHABRA , Ishan RADOTRA, Apinder P SINGH, Bishan RADOTRA
Postgraduate Institute of Medical Education and Research, Department of Neurosurgery, Chandigarh, India DOI : 10.5137/1019-5149.JTN.9244-13.0 Functional neurological disorders (FND) have been a challenge to treat both for neurologists and neurosurgeons. Various ablative as well as non-ablative techniques have been used to treat these disorders. Gamma knife radiosurgery (GKRS) is also being practised to treat refractory obsessive- compulsive disorder (OCD). The subsequent complications of GKRS reported have been variable, with headache being the most common. We discuss here a rare complication of ‘late onset radiation necrosis in bilateral caudate nuclei’ in a patient after receiving GKRS three years back. This case highlights the need to be more cautious before administering ablative procedures in patients suffering with functional disorders. Keywords : Gamma knife radiosurgery, Caudate nucleus, Radiation necrosis, Obsessive compulsive disorder
Corresponding author : Kanchan Kumar Mukh Erjee, kk_mukherjee@hotmail.com