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- Jens Kuhn, Doris Lenartz, Jürgen K Mai, Wolfgang Huff, Joachim Klosterkoetter, and Volker Sturm.
- Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, Germany. Jens.Kuhn@uk-koeln.de
- Neurosurgery. 2008 May 1;62(5):E1182; discussion E1182.
ObjectiveSelf-mutilation is a severe symptom of diseases with varying etiologies. It can be observed in the context of mental retardation and after traumatic brain injury. Pharmacological treatment approaches often prove ineffective.Clinical PresentationWe report the case of a 22-year-old woman with repetitive self-mutilating behavior in the mouth area after severe traumatic brain injury.ResultsBilateral deep brain stimulation of the posterior hypothalamus was conducted and resulted in the complete elimination of self-mutilation during a 4-month observation period.ConclusionThis technical case report indicates that deep brain stimulation of the posterior hypothalamus could be a promising approach in the treatment of severe self-mutilating behavior.
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