P. Brieger et S. Bolling, OBSESSIVE-COMPULSIVE DISORDER WITH HOMICIDAL IMPULSES AND PARANOID SYMPTOMS IN A PATIENT WITH VASCULAR ENCEPHALOPATHY, Psychiatrische Praxis, 24(5), 1997, pp. 245-247
We report on the case of a 45-year old man with OCD who had the obsess
ive impulse to kill his 3-year old son. The patient showed signs of va
scular encephalopathy after perinatal brain damage; besides that, he h
ad developed a mild ''explanatory'' delusional system. Under treatment
with SSRI and clozapin he improved remarkably. Presenting this case,
we discuss the connection between organic disorders and OCD, and espec
ially its relationship to perinatal brain damage.