Abstract :
[en] Anorexia nervosa (AN) severely impacts individual’s
mental and physical health as well as quality of life.
In 21% of cases no durable response to conservative
treatment can be obtained. The serious course of the
disease in the most severely affected patients justifies
invasive treatment options. One of the treatment
methods increasingly used in recent years is deep brain
stimulation (DBS). A 42-year-
old
woman suffering from
chronic AN of the bulimic subtype shows a 46.9%
weight gain and a subjective increase in quality of life,
12 months after bilateral nucleus accumbens (NAcc) DBS
implantation. No improvement in comorbid depression
could be achieved. DBS of the NAcc is a treatment
option to be considered in severe AN when conventional
treatment modalities recommended by evidence-based
guidelines have not been able to bring lasting relief to
the patient’s suffering.
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