Damjanović A, Kostić V S, Sternić N
Clinic for Neurology UCC, Belgrade.
Srp Arh Celok Lek. 1992 May-Jun;120(5-6):197-202.
Gilles de la Tourette's syndrome (GTS) is characterized with motor and vocal tics, initiating before 21 years of age, lasting for over a year and are associated with diverse behavioral disorders. The study analyzes features of 12 our GTS patients with mean age at the onset of the disease of 12.0 years, while the exact diagnosis was established only after 9.5 years (2-33 years). In 11 out of 12 patients the disease started with motor or vocal tics, while in completely developed clinical picture of GTS the permanently present tics were associated with coprolalia (6 patients), echolalia, copropraxia (in 2 patients, respectively), attention deficits (9 patients), obsessive-compulsive disorders (8 patients) etv. The role of neuroleptic therapy was discussed according to our experience and other reported studies. In our study, haloperidol had good therapeutical effect in 64% of the treated patients.
抽动秽语综合征(GTS)的特征是运动性和发声性抽动,起病于21岁之前,持续超过一年,并伴有多种行为障碍。该研究分析了12例GTS患者的特征,这些患者发病时的平均年龄为12.0岁,而确切诊断直到9.5年后(2 - 33年)才得以确立。12例患者中有11例疾病始于运动性或发声性抽动,而在GTS完全发展的临床症状中,持续存在的抽动与秽语症(6例患者)、模仿言语、模仿动作(分别为2例患者)、注意力缺陷(9例患者)、强迫症(8例患者)等相关。根据我们的经验和其他报道的研究,讨论了抗精神病药物治疗的作用。在我们的研究中,氟哌啶醇在64%的接受治疗的患者中具有良好的治疗效果。