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Cingulotomy in a Case of Concomitant Obsessive-Compulsive Disorder and Tourette's Syndrome

Lee Baer, PhD; Robert L. Martuza, MD; Scott L. Rauch, MD; Michael A. Jenike, MD; N. H. Cassem, MD; H. Thomas Ballantine, MD; Peter A. Manzo
Arch Gen Psychiatry. 1994;51(1):73-74. doi:10.1001/archpsyc.1994.03950010073013.
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We recently reported on the extensive uncontrolled experience at Massachusetts General Hospital (MGH), Boston, suggesting the possible efficacy of cingulotomy for treating obsessive-compulsive disorder (OCD).1 Recent evidence suggests a familial link between OCD and Tourette's syndrome (TS),2 yet there is only one previous report regarding the effects of cingulotomy on the symptoms of TS (in two patients at MGH who underwent surgery to treat concomitant severe OCD).3

We now report the case of a man who had concomitant OCD and TS. He underwent two separate bilateral radiofrequency cingulotomies via burr holes, first in December 1989, and again in June 1991, to reduce his OCD symptoms. This patient's experience is instructive because his OCD symptoms appear to have improved following these cingulotomies, while his tics were unchanged or worse.

Report of a Case  A 35-year-old man had been followed up in our OCD clinic between 1987 and 1988

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