Anorexia nervosa has been considered a compulsive obsessive disorder (
OCDS). We present a case report of two patients, male and female, suff
ering from an extremely severe, chronic and refractory anorectic syndr
ome. Both patients underwent bilateral stereotactic thalamotomy with i
nvolvement of the lamella medialis. Follow-up was 4 year and 2 year, r
espectively. Both patients have regained weight and improved significa
ntly in terms of their obsessive-compulsive symptoms and in their qual
ity of life. The results suggest that anorexia nervosa may be consider
ed in the OCDS.