Deep-brain stimulation for aggressive and disruptive behavior

Angelo Franzini, Giovanni Broggi, Roberto Cordella, Ivano Dones, Giuseppe Messina

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe our institutional experience with deep-brain stimulation (DBS) used in the treatment of aggressive and disruptive behavior refractory to conservative treatment. Methods: With stereotactic methodology and under general anesthesia, seven patients (from 2002 to 2010) were given DBS in the posterior hypothalamic region, bilaterally, and with the aid of intraoperative microrecording. Results: Six of seven patients presented a clear reduction in the aggression and disruptive bouts, with subsequent simplification of familiar management. Conclusions: DBS of the posterior hypothalamic region could be an effective treatment for patients affected by mental retardation in whom disruptive and drug-refractory aggressive behavior coexists. Although several experimental data are available on this target, further studies are necessary to confirm the long-term efficacy and safety of this procedure.

Original languageEnglish
JournalWorld Neurosurgery
Volume80
Issue number3-4
DOIs
Publication statusPublished - Sep 2013

Keywords

  • Aggressive behavior
  • Deep brain stimulation
  • Posterior hypothalamus

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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