La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática

El comportamiento agresivo es un síntoma grave de enfermedades con etiologías diversas. La estimulación cerebral profunda (DBS) en el núcleo posteromedial del hipotálamo (pHyp) es una terapia alternativa para casos extremos y muestra resultados prometedores. Este estudio investigó la seguridad y el...

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Autores:
Contreras López, William Omar
Navarro Gonzáles, Paula Alejandra
Mateus Almeyda, Julián Enrique
Tipo de recurso:
http://purl.org/coar/resource_type/c_f744
Fecha de publicación:
2021
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/20368
Acceso en línea:
http://hdl.handle.net/20.500.12749/20368
Palabra clave:
Neuroscience
Health sciences
Deep brain stimulation
Investigation
Posteromedial hypothalamus
Assault
Aggressiveness
Intermittent explosive disorder
Neurociencia
Ciencias de la salud
Estimulación cerebral profunda
Investigación
Hipotálamo posteromedial
Agresión
Agresividad
Trastorno explosivo intermitente
Rights
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UNAB2_f0d9b6ed878763de8641bd21a8b6dbb9
oai_identifier_str oai:repository.unab.edu.co:20.500.12749/20368
network_acronym_str UNAB2
network_name_str Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
dc.title.translated.spa.fl_str_mv Medial posterior hypothalamus neuromodulation as a potential target for intractable aggressive behavior: A systematic review
title La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
spellingShingle La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
Neuroscience
Health sciences
Deep brain stimulation
Investigation
Posteromedial hypothalamus
Assault
Aggressiveness
Intermittent explosive disorder
Neurociencia
Ciencias de la salud
Estimulación cerebral profunda
Investigación
Hipotálamo posteromedial
Agresión
Agresividad
Trastorno explosivo intermitente
title_short La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
title_full La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
title_fullStr La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
title_full_unstemmed La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
title_sort La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática
dc.creator.fl_str_mv Contreras López, William Omar
Navarro Gonzáles, Paula Alejandra
Mateus Almeyda, Julián Enrique
dc.contributor.author.none.fl_str_mv Contreras López, William Omar
Navarro Gonzáles, Paula Alejandra
Mateus Almeyda, Julián Enrique
dc.contributor.cvlac.spa.fl_str_mv Contreras López, William Omar [0001549301]
Mateus Almeyda, Julián Enrique [0001979726]
dc.contributor.googlescholar.spa.fl_str_mv Contreras López, William Omar [3mww4qsAAAAJ]
dc.contributor.orcid.spa.fl_str_mv Contreras López, William Omar [0000-0002-3150-0257]
Navarro Gonzáles, Paula Alejandra [0000-0003-2191-033X]
dc.contributor.researchgate.spa.fl_str_mv Contreras López, William Omar [William-Omar-Contreras-Lopez]
dc.contributor.researchgroup.spa.fl_str_mv Semilleros de Investigación UNAB
dc.subject.keywords.spa.fl_str_mv Neuroscience
Health sciences
Deep brain stimulation
Investigation
Posteromedial hypothalamus
Assault
Aggressiveness
Intermittent explosive disorder
topic Neuroscience
Health sciences
Deep brain stimulation
Investigation
Posteromedial hypothalamus
Assault
Aggressiveness
Intermittent explosive disorder
Neurociencia
Ciencias de la salud
Estimulación cerebral profunda
Investigación
Hipotálamo posteromedial
Agresión
Agresividad
Trastorno explosivo intermitente
dc.subject.lemb.spa.fl_str_mv Neurociencia
Ciencias de la salud
Estimulación cerebral profunda
Investigación
dc.subject.proposal.spa.fl_str_mv Hipotálamo posteromedial
Agresión
Agresividad
Trastorno explosivo intermitente
description El comportamiento agresivo es un síntoma grave de enfermedades con etiologías diversas. La estimulación cerebral profunda (DBS) en el núcleo posteromedial del hipotálamo (pHyp) es una terapia alternativa para casos extremos y muestra resultados prometedores. Este estudio investigó la seguridad y el efecto clínico de pHyp DBS para el comportamiento agresivo.
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-11
dc.date.accessioned.none.fl_str_mv 2023-06-28T23:11:29Z
dc.date.available.none.fl_str_mv 2023-06-28T23:11:29Z
dc.type.eng.fl_str_mv Conference
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/conferenceProceedings
dc.type.local.spa.fl_str_mv Memoria de eventos
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_f744
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/EC_AC
format http://purl.org/coar/resource_type/c_f744
status_str acceptedVersion
dc.identifier.issn.spa.fl_str_mv ISSN 2344-7079
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/20368
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.unab.edu.co
identifier_str_mv ISSN 2344-7079
instname:Universidad Autónoma de Bucaramanga - UNAB
reponame:Repositorio Institucional UNAB
repourl:https://repository.unab.edu.co
url http://hdl.handle.net/20.500.12749/20368
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.ispartofseries.spa.fl_str_mv Generación Creativa : Encuentro de Semilleros de Investigación UNAB
dc.relation.uri.spa.fl_str_mv http://hdl.handle.net/20.500.12749/20335
dc.relation.references.spa.fl_str_mv (1) Saper CB. Animal behaviour: the nexus of sex and violence. Nature 2011 Feb 10,;470(7333):179-181.
(2) Sopromadze S, Tsiskaridze A. Violent Behavior. Front Neurol Neurosci 2018;42:106-121.
(3) Rizzi M, Marras CE. Deep Brain Stimulation for the Treatment of Aggressive Behaviour: Considerations on Pathophysiology and Target Choice. Stereotact Funct Neurosurg 2017;95(2):114-116.
(4) American Psychiatric Association. American Psychiatric Association Diagnostic and Statisti- cal Manual of Mental Disorders (DSM 5). Washington, DC; 2013.
(5) Toth M, Fuzesi T, Halasz J, Tulogdi A, Haller J. Neural inputs of the hypothalamic "aggression area" in the rat. Behav Brain Res 2010 Dec 20,;215(1):7-20.
(6) Aleyasin H, Flanigan ME, Russo SJ. Neurocircuitry of aggression and aggression seeking behavior: nose poking into brain circuitry controlling aggression. Curr Opin Neurobiol 2018 04;49:184-191.
(7) Haller J. Studies into abnormal aggression in humans and rodents: Methodological and translational aspects. Neurosci Biobehav Rev 2017 05;76(Pt A):77-86.
(8) Blair RJR. The Neurobiology of Impulsive Aggression. J Child Adolesc Psychopharmacol 2016 Feb;26(1):4-9.
(9) Rosell DR, Siever LJ. The neurobiology of aggression and violence. CNS Spectr 2015 Jun;20(3):254-279.
(10) Hagenbeek FA, Kluft C, Hankemeier T, Bartels M, Draisma HHM, Middeldorp CM, et al. Discovery of biochemical biomarkers for aggression: A role for metabolomics in psychiatry. Am J Med Genet B Neuropsychiatr Genet 2016 07;171(5):719-732.
(11) Godar SC, Fite PJ, McFarlin KM, Bortolato M. The role of monoamine oxidase A in aggression: Current translational developments and future challenges. Prog Neuropsychopharmacol Biol Psychiatry 2016 08 01,;69:90-100.
(12) Veroude K, Zhang-James Y, Fernàndez-Castillo N, Bakker MJ, Cormand B, Faraone SV. Genetics of aggressive behavior: An overview. Am J Med Genet B Neuropsychiatr Genet 2016 Jan;171B(1):3-43.
(13) Allen MH, Currier GW, Hughes DH, Reyes-Harde M, Docherty JP. The Expert Consensus Guideline Series. Treatment of behavioral emergencies. Postgrad Med 2001 May(Spec No):1-90.
(14) Iruthayarajah J, Alibrahim F, Mehta S, Janzen S, McIntyre A, Teasell R. Cognitive behavioural therapy for aggression among individuals with moderate to severe acquired brain injury: a systematic review and meta-analysis. Brain Inj 2018;32(12):1443-1449.
(15) Hassiotis A, Robotham D, Canagasabey A, Marston L, Thomas B, King M. Brief report: impact of applied behaviour analysis (ABA) on carer burden and community participation in challenging behaviour: results from a randomised controlled trial. J Intellect Disabil Res 2012 Mar;56(3):285-290.
(16) Sukhodolsky DG, Smith SD, McCauley SA, Ibrahim K, Piasecka JB. Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents. J Child Adolesc Psychopharmacol 2016 Feb;26(1):58-64.
(17) Smeets KC, Leeijen AAM, van der Molen, Mariët J., Scheepers FE, Buitelaar JK, Rommelse NNJ. Treatment moderators of cognitive behavior therapy to reduce aggressive behavior: a meta-analysis. Eur Child Adolesc Psychiatry 2015 Mar;24(3):255-264.
(18) van den Berg, Julia F., Kruithof HC, Kok RM, Verwijk E, Spaans H. Electroconvulsive Therapy for Agitation and Aggression in Dementia: A Systematic Review. Am J Geriatr Psychiatry 2018 04;26(4):419-434.
(19) Isserles M, Daskalakis ZJ, Kumar S, Rajji TK, Blumberger DM. Clinical Effectiveness and Tolerability of Electroconvulsive Therapy in Patients with Neuropsychiatric Symptoms of Dementia. J Alzheimers Dis 2017;57(1):45-51.
20) Adler BA, Wink LK, Early M, Shaffer R, Minshawi N, McDougle CJ, et al. Drug-refractory aggression, self-injurious behavior, and severe tantrums in autism spectrum disorders: a chart review study. Autism 2015 Jan;19(1):102-106.
(21) Faria MA. Violence, mental illness, and the brain - A brief history of psychosurgery: Part 3 - From deep brain stimulation to amygdalotomy for violent behavior, seizures, and pathological aggression in humans. Surg Neurol Int 2013;4:91.
(22) Seijo F, Saiz A, Lozano B, Santamarta E, Alvarez-Vega M, Seijo E, et al. Neuromodulation of the posterolateral hypothalamus for the treatment of chronic refractory cluster headache: Experience in five patients with a modified anatomical target. Cephalalgia 2011 Dec;31(16):1634-1641.
(23) Franzini A, Messina G, Cordella R, Marras C, Broggi G. Deep brain stimulation of the posteromedial hypothalamus: indications, long-term results, and neurophysiological considerations. Neurosurg Focus 2010 Aug;29(2):E13.
(24) May A, Bahra A, Büchel C, Frackowiak RS, Goadsby PJ. Hypothalamic activation in cluster headache attacks. Lancet 1998 Jul 25,;352(9124):275-278.
(25) Sano K, Mayanagi Y. Posteromedial hypothalamotomy in the treatment of violent, aggressive behaviour. Acta Neurochir Suppl (Wien) 1988;44:145-151.
(26) Kuhn J, Lenartz D, Mai JK, Huff W, Klosterkoetter J, Sturm V. Disappearance of self-aggressive behavior in a brain-injured patient after deep brain stimulation of the hypothalamus: technical case report. Neurosurgery 2008 May;62(5):E1182; discussion E1182.
(27) Maley JH, Alvernia JE, Valle EP, Richardson D. Deep brain stimulation of the orbitofrontal projections for the treatment of intermittent explosive disorder. Neurosurg Focus 2010 Aug;29(2):E11.
(28) Giordano F, Cavallo M, Spacca B, Pallanti S, Tomaiuolo F, Pieraccini F, et al. Deep Brain Stimulation of the Anterior Limb of the Internal Capsule May Be Efficacious for Explosive Aggressive Behaviour. Stereotact Funct Neurosurg 2016;94(6):371-378.
(29) Harat M, Rudaś M, Zieliński P, Birska J, Sokal P. Deep Brain Stimulation in Pathological Aggression. Stereotact Funct Neurosurg 2015;93(5):310-315.
(30) Gouveia FV, Hamani C, Fonoff ET, Brentani H, Alho EJL, de Morais, Rosa Magaly Campêlo Borba, et al. Amygdala and Hypothalamus: Historical Overview With Focus on Aggression. Neurosurgery 2019 Jul 01,;85(1):11-30.
(31) Contreras WC, Navarro PA, Vargas MD. Medial posterior hypothalamus neuromodulation as a potential target for intractable aggressive behavior: A systematic review . Available at: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42018100871.
(32) Gordon H. Guyatt, Andrew D. Oxman, Gunn Vist. GRADE guidelines. Journal of Clinical Epidemiology 2011 Jan 20,;64(4).
(33) Oxford Centre for Evidence-based Medicine—Levels of Evidence . 2009; Available at: http://www.cebm.net/index.aspx?o=1025.
(34) National heart, lung and blood institute. Study Quality Assessment Tools. Available at: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.
(35) Hernando V, Pastor J, Pedrosa M, Peña E, Sola RG. Low-frequency bilateral hypothalamic stimulation for treatment of drug-resistant aggressiveness in a young man with mental retardation. Stereotact Funct Neurosurg 2008;86(4):219-223.
(36) Torres CV, Sola RG, Pastor J, Pedrosa M, Navas M, García-Navarrete E, et al. Long-term results of posteromedial hypothalamic deep brain stimulation for patients with resistant aggressiveness. J Neurosurg 2013 Aug;119(2):277-287.
(37) Benedetti-Isaac JC, Torres-Zambrano M, Vargas-Toscano A, Perea-Castro E, Alcalá-Cerra G, Furlanetti LL, et al. Seizure frequency reduction after posteromedial hypothalamus deep brain stimulation in drug-resistant epilepsy associated with intractable aggressive behavior. Epilepsia 2015 Jul;56(7):1152-1161.
(38) Franzini A, Broggi G, Cordella R, Dones I, Messina G. Deep-brain stimulation for aggressive and disruptive behavior. World Neurosurg 2013 Sep-Oct;80(3-4):S29.e11-14.
(39) Mayanagi Y, Sano K, Suzuki I, Kanazawa I, Aoyagi I, Miyachi Y. Stimulation and coagulation of the posteromedial hypothalamus for intractable pain, with reference to beta-endorphins. Appl Neurophysiol 1982;45(1-2):136-142.
(40) Tarnecki R, Mempel E, Fonberg E, Lagowska J. Some electrophysiological characteristics of the spontaneous activity of the amygdala and effect of hypothalamic stimulation on the amygdalar units responses. Acta Neurochir (Wien) 1976(23 Suppl):135-140.
(41) Lammers JH, Kruk MR, Meelis W, van der Poel, A. M. Hypothalamic substrates for brain stimulation-induced attack, teeth-chattering and social grooming in the rat. Brain Res 1988 May 24,;449(1-2):311-327.
(42) Zrinzo L. Pitfalls in precision stereotactic surgery. Surg Neurol Int 2012 -1-14;3(Suppl 1):S53-S61.
(43) Park HR, Kim IH, Kang H, Lee DS, Kim B, Kim DG, et al. Nucleus accumbens deep brain stimulation for a patient with self-injurious behavior and autism spectrum disorder: functional and structural changes of the brain: report of a case and review of literature. Acta Neurochir (Wien) 2017 01;159(1):137-143.
(44) Sturm V, Fricke O, Bührle CP, Lenartz D, Maarouf M, Treuer H, et al. DBS in the basolateral amygdala improves symptoms of autism and related self-injurious behavior: a case report and hypothesis on the pathogenesis of the disorder. Front Hum Neurosci 2012;6:341.
45) Farmer CA, Arnold LE, Bukstein OG, Findling RL, Gadow KD, Li X, et al. The treatment of severe child aggression (TOSCA) study: Design challenges. Child and adolescent psychiatry and mental health 2011 Nov 10,;5(1):36.
(46) Fava M. Psychopharmacologic treatment of pathologic aggression. Psychiatr Clin North Am 1997 Jun;20(2):427-451.
(47) Hannestad J, Gallezot J, Planeta-Wilson B, Lin S, Williams WA, van Dyck CH, et al. Clinically relevant doses of methylphenidate significantly occupy norepinephrine transporters in humans in vivo. Biol Psychiatry 2010 Nov 01,;68(9):854-860.
(48) Morrissette DA, Stahl SM. Treating the violent patient with psychosis or impulsivity utilizing antipsychotic polypharmacy and high-dose monotherapy. CNS Spectr 2014 Oct;19(5):439-448.
(49) Yu X, Correll CU, Xiang Y, Xu Y, Huang J, Yang F, et al. Efficacy of Atypical Antipsychotics in the Management of Acute Agitation and Aggression in Hospitalized Patients with Schizophrenia or Bipolar Disorder: Results from a Systematic Review. Shanghai archives of psychiatry 2016 Oct 25,;28(5):241-252.
(50) Older J. Psychosurgery. American Journal of Orthopsychiatry 1974;44(5):661-674.
(51) Poolman RW, Swiontkowski MF, Fairbank JCT, Schemitsch EH, Sprague S, de Vet, Henrica C. W. Outcome Instruments: Rationale for Their Use. J Bone Joint Surg Am 2009 -5-1;91(Suppl 3):41-49.
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dc.coverage.temporal.spa.fl_str_mv 2021
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dc.publisher.grantor.spa.fl_str_mv Universidad Autónoma de Bucaramanga UNAB
dc.publisher.faculty.spa.fl_str_mv Facultad Ciencias de la Salud
dc.publisher.deparment.spa.fl_str_mv Sistema de Investigación SIUNAB
dc.source.spa.fl_str_mv Contreras, W. O., Navarro, P. A. & Mateus, J. E. (2021). La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática. Recuperado de: http://hdl.handle.net/20.500.12749/20368.
institution Universidad Autónoma de Bucaramanga - UNAB
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spelling Contreras López, William Omarb7670af9-43cb-4fbe-99bb-2e0ff9fc9d92Navarro Gonzáles, Paula Alejandra2fed58c1-c7f2-4204-905f-5cb5bc3f2f19Mateus Almeyda, Julián Enrique9332972c-3b13-42ac-bdff-763ea29284cdContreras López, William Omar [0001549301]Mateus Almeyda, Julián Enrique [0001979726]Contreras López, William Omar [3mww4qsAAAAJ]Contreras López, William Omar [0000-0002-3150-0257]Navarro Gonzáles, Paula Alejandra [0000-0003-2191-033X]Contreras López, William Omar [William-Omar-Contreras-Lopez]Semilleros de Investigación UNABBucaramanga (Santander, Colombia)2021UNAB Campus Bucaramanga2023-06-28T23:11:29Z2023-06-28T23:11:29Z2021-11ISSN 2344-7079http://hdl.handle.net/20.500.12749/20368instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coEl comportamiento agresivo es un síntoma grave de enfermedades con etiologías diversas. La estimulación cerebral profunda (DBS) en el núcleo posteromedial del hipotálamo (pHyp) es una terapia alternativa para casos extremos y muestra resultados prometedores. Este estudio investigó la seguridad y el efecto clínico de pHyp DBS para el comportamiento agresivo.Aggressive behavior is a severe symptom of diseases with varying etiologies. Deep brain stimulation (DBS) in the posteromedial nucleus of the hypothalamus (pHyp) is an alternative therapy for extreme cases and shows promising results. This study investigated the safety and clinical effect of pHyp DBS for aggressive behavior.Modalidad Presencialapplication/pdfspaGeneración Creativa : Encuentro de Semilleros de Investigación UNABhttp://hdl.handle.net/20.500.12749/20335(1) Saper CB. Animal behaviour: the nexus of sex and violence. Nature 2011 Feb 10,;470(7333):179-181.(2) Sopromadze S, Tsiskaridze A. Violent Behavior. Front Neurol Neurosci 2018;42:106-121.(3) Rizzi M, Marras CE. Deep Brain Stimulation for the Treatment of Aggressive Behaviour: Considerations on Pathophysiology and Target Choice. Stereotact Funct Neurosurg 2017;95(2):114-116.(4) American Psychiatric Association. American Psychiatric Association Diagnostic and Statisti- cal Manual of Mental Disorders (DSM 5). Washington, DC; 2013.(5) Toth M, Fuzesi T, Halasz J, Tulogdi A, Haller J. Neural inputs of the hypothalamic "aggression area" in the rat. Behav Brain Res 2010 Dec 20,;215(1):7-20.(6) Aleyasin H, Flanigan ME, Russo SJ. Neurocircuitry of aggression and aggression seeking behavior: nose poking into brain circuitry controlling aggression. Curr Opin Neurobiol 2018 04;49:184-191.(7) Haller J. Studies into abnormal aggression in humans and rodents: Methodological and translational aspects. Neurosci Biobehav Rev 2017 05;76(Pt A):77-86.(8) Blair RJR. The Neurobiology of Impulsive Aggression. J Child Adolesc Psychopharmacol 2016 Feb;26(1):4-9.(9) Rosell DR, Siever LJ. The neurobiology of aggression and violence. CNS Spectr 2015 Jun;20(3):254-279.(10) Hagenbeek FA, Kluft C, Hankemeier T, Bartels M, Draisma HHM, Middeldorp CM, et al. Discovery of biochemical biomarkers for aggression: A role for metabolomics in psychiatry. Am J Med Genet B Neuropsychiatr Genet 2016 07;171(5):719-732.(11) Godar SC, Fite PJ, McFarlin KM, Bortolato M. The role of monoamine oxidase A in aggression: Current translational developments and future challenges. Prog Neuropsychopharmacol Biol Psychiatry 2016 08 01,;69:90-100.(12) Veroude K, Zhang-James Y, Fernàndez-Castillo N, Bakker MJ, Cormand B, Faraone SV. Genetics of aggressive behavior: An overview. Am J Med Genet B Neuropsychiatr Genet 2016 Jan;171B(1):3-43.(13) Allen MH, Currier GW, Hughes DH, Reyes-Harde M, Docherty JP. The Expert Consensus Guideline Series. Treatment of behavioral emergencies. Postgrad Med 2001 May(Spec No):1-90.(14) Iruthayarajah J, Alibrahim F, Mehta S, Janzen S, McIntyre A, Teasell R. Cognitive behavioural therapy for aggression among individuals with moderate to severe acquired brain injury: a systematic review and meta-analysis. Brain Inj 2018;32(12):1443-1449.(15) Hassiotis A, Robotham D, Canagasabey A, Marston L, Thomas B, King M. Brief report: impact of applied behaviour analysis (ABA) on carer burden and community participation in challenging behaviour: results from a randomised controlled trial. J Intellect Disabil Res 2012 Mar;56(3):285-290.(16) Sukhodolsky DG, Smith SD, McCauley SA, Ibrahim K, Piasecka JB. Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents. J Child Adolesc Psychopharmacol 2016 Feb;26(1):58-64.(17) Smeets KC, Leeijen AAM, van der Molen, Mariët J., Scheepers FE, Buitelaar JK, Rommelse NNJ. Treatment moderators of cognitive behavior therapy to reduce aggressive behavior: a meta-analysis. Eur Child Adolesc Psychiatry 2015 Mar;24(3):255-264.(18) van den Berg, Julia F., Kruithof HC, Kok RM, Verwijk E, Spaans H. Electroconvulsive Therapy for Agitation and Aggression in Dementia: A Systematic Review. Am J Geriatr Psychiatry 2018 04;26(4):419-434.(19) Isserles M, Daskalakis ZJ, Kumar S, Rajji TK, Blumberger DM. Clinical Effectiveness and Tolerability of Electroconvulsive Therapy in Patients with Neuropsychiatric Symptoms of Dementia. J Alzheimers Dis 2017;57(1):45-51.20) Adler BA, Wink LK, Early M, Shaffer R, Minshawi N, McDougle CJ, et al. Drug-refractory aggression, self-injurious behavior, and severe tantrums in autism spectrum disorders: a chart review study. Autism 2015 Jan;19(1):102-106.(21) Faria MA. Violence, mental illness, and the brain - A brief history of psychosurgery: Part 3 - From deep brain stimulation to amygdalotomy for violent behavior, seizures, and pathological aggression in humans. 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CNS Spectr 2014 Oct;19(5):439-448.(49) Yu X, Correll CU, Xiang Y, Xu Y, Huang J, Yang F, et al. Efficacy of Atypical Antipsychotics in the Management of Acute Agitation and Aggression in Hospitalized Patients with Schizophrenia or Bipolar Disorder: Results from a Systematic Review. Shanghai archives of psychiatry 2016 Oct 25,;28(5):241-252.(50) Older J. Psychosurgery. American Journal of Orthopsychiatry 1974;44(5):661-674.(51) Poolman RW, Swiontkowski MF, Fairbank JCT, Schemitsch EH, Sprague S, de Vet, Henrica C. W. Outcome Instruments: Rationale for Their Use. J Bone Joint Surg Am 2009 -5-1;91(Suppl 3):41-49.http://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Contreras, W. O., Navarro, P. A. & Mateus, J. E. (2021). La neuromodulación del hipotálamo posterior medial como un objetivo potencial para el comportamiento agresivo intratable: una revisión sistemática. 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