Parkinson’s disease after psychosurgery for the treatment of cocaine addiction
DOI:
https://doi.org/10.20882/adicciones.1614Keywords:
Cocaine, Parkinson's disease, psychosurgery, side effects, psychoses.Abstract
In 2018 we published a clinical case (Haro et al., 2018) of a 32-year-old patient who began to use cocaine at the age of 14 and was diagnosed with “limbic dysfunction syndrome” at 17. The treatment recommended by his psychiatrist was psychosurgery. It was performed in two separate interventions in which radiofrequency-induced thermal coagulation lesions were performed with the aim of deactivating the anterior cingulate cortex (AC), disconnecting it from the ventral striatum and the amygdala in both hemispheres. Shortly after the surgery, the patient began to have delusions and was diagnosed with paranoid schizophrenia. At 27 years of age he was showing cognitive deficits and negative psychotic symptoms.With this letter, two years after the first publication of the case, the authors present the evolution of the patient after the appearance of a probable late complication of psychosurgery. New neuroimaging data, neurological evaluation and discussion conducted from a translational point of view are included.References
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