眼睑痉挛和半面痉挛患者中强迫症状的频率。
Frequency of obsessive and compulsive symptoms in patients with blepharospasm and hemifacial spasm.
作者信息
Munhoz Renato P, Teive Helio A G, Della Coletta Marcus V, Germiniani Francisco M B, Iwamoto Fábio M, Camargo Carlos H F, Werneck Lineu César
机构信息
Setor de Distúrbios do Movimento, Serviço de Neurologia do Hospital de Clinicas da Universidade Federal do Paraná, Curitiba PR, Brasil.
出版信息
Arq Neuropsiquiatr. 2005 Jun;63(2A):213-6. doi: 10.1590/s0004-282x2005000200004.
BACKGROUND
Blepharospasm (BS) is a form of central focal dystonia recently associated with psychiatric disorders, particularly obsessive and compulsive symptoms. Hemifacial spasm (HFS) represents a focal myoclonus with peripheral origin in the facial nerve.
OBJECTIVE
To determine the frequency of obsessive and compulsive symptoms in patients with BS in comparison with patients with HFS.
METHODS
30 patients from each group (BS and HFS) followed by the botulinum toxin clinic at the HC-UFPR were evaluated using a structured interview based on the DSM-IV criteria and the Yale-Brown scale. Results were compared by the mean two-tailed t test.
RESULTS
We found obsessive or compulsive symptoms in 20 (66.6%) patients with BE and 21 (70%) with HFS. Yale-Brown scale scores for each group were higher among BS patients; however, diferences were not statisticaly significant.
CONCLUSION
Our study did not show a significant diference in the comparison of the prevalence of obsessive and compulsive symptoms among patients with BS and HFS.
背景
眼睑痉挛（BS）是一种中枢性局灶性肌张力障碍，最近被认为与精神障碍有关，尤其是强迫症状。面肌痉挛（HFS）是一种起源于面神经的局灶性肌阵挛。
目的
确定与面肌痉挛患者相比，眼睑痉挛患者中强迫症状的发生率。
方法
对来自巴拉那联邦大学医院肉毒毒素门诊的每组30例患者（眼睑痉挛组和面肌痉挛组），采用基于《精神疾病诊断与统计手册》第四版标准和耶鲁-布朗量表的结构化访谈进行评估。结果采用双侧t检验进行比较。
结果
我们发现20例（66.6%）眼睑痉挛患者和21例（70%）面肌痉挛患者存在强迫或强迫症状。每组的耶鲁-布朗量表评分在眼睑痉挛患者中更高；然而，差异无统计学意义。
结论
我们的研究未显示眼睑痉挛患者和面肌痉挛患者在强迫和强迫症状患病率比较上有显著差异。
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