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Diepe hersenstimulatie bij obsessieve-compulsieve stoornis

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Handboek diepe hersenstimulatie bij neurologische en psychiatrische aandoeningen

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Samenvatting

Diepe hersenstimulatie (‘deep brain stimulation’, DBS) is een invasieve behandeling die bij de obsessieve-compulsieve stoornis (OCS) therapeutisch effect kan hebben bij patiënten met ernstige en invaliderende symptomen, die niet of onvoldoende reageren op een grondig doorgevoerd behandelalgoritme van farmacotherapie én cognitief-gedragstherapeutische behandeling. Op basis van de beschikbare gegevens uit onderzoeken met een beperkt aantal patiënten lijken de effecten van DBS in de verschillende anatomische regio’s die betrokken zijn bij OCS vergelijkbaar. Hetzelfde geldt voor de bijwerkingen. Op basis van dezelfde onderzoeken manifesteert het effect zich op korte termijn, en blijft behouden op de lange termijn. Diverse aspecten, zoals prognostische factoren voor het effect, onderzoek naar het effect van DBS op de kwaliteit van leven en onderzoek naar adequate stimulusparameters voor een optimaal effect, zijn nog te weinig onderzocht.

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Author information

Authors and Affiliations

  1. Leuvens Universitair Centrum voor obsessieve-compulsieve stoornissen, UPC KU Leuven, Leuven, Belgium

    Chris Bervoets & Loes Gabriëls

  2. Dienst Neurochirurgie, UZ Leuven, Leuven, Belgium

    Bart Nuttin

  3. School for Mental Health and Neuroscience, Universiteit Maastricht, Maastricht, The Netherlands

    Koen Schruers

Authors
  1. Chris Bervoets
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  2. Bart Nuttin
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  3. Koen Schruers
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  4. Loes Gabriëls
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Editor information

Editors and Affiliations

  1. Maastricht University Medical Cente Department of Neurosurgery, Maastricht, The Netherlands

    Y. Temel

  2. Dept. Of Psychiatry, Maastricht Univeristy Medical Centre, Maastricht, The Netherlands

    A.F.G. Leentjens

  3. Afd. Neurologie, Amsterdam Medisch Centrum, Amsterdam, The Netherlands

    R.M.A. de Bie

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© 2016 Bohn Stafleu van Loghum

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Bervoets, C., Nuttin, B., Schruers, K., Gabriëls, L. (2016). Diepe hersenstimulatie bij obsessieve-compulsieve stoornis. In: Temel, Y., Leentjens, A., de Bie, R. (eds) Handboek diepe hersenstimulatie bij neurologische en psychiatrische aandoeningen. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0959-7_17

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  • DOI: https://doi.org/10.1007/978-90-368-0959-7_17

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  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-368-0958-0

  • Online ISBN: 978-90-368-0959-7

  • eBook Packages: Dutch language eBook collection

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