与抽动秽语综合征相关的严重神经并发症
Severe Neurological Complications Associated With Tourette Syndrome.
作者信息
Patterson Amy L, Choudhri Asim F, Igarashi Masanori, McVicar Kathryn, Shah Namrata, Morgan Robin
机构信息
Division of Neurology, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee; Division of Neurology, Department of Pediatrics, Le Bonheur Children's Hospital, Memphis, Tennessee.
Division of Neurology, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee; Division of Neurology, Department of Pediatrics, Le Bonheur Children's Hospital, Memphis, Tennessee.
出版信息
Pediatr Neurol. 2016 Aug;61:99-106. doi: 10.1016/j.pediatrneurol.2016.05.008. Epub 2016 May 24.
BACKGROUND
Tics and Tourette syndrome are common problems evaluated by both the general pediatrician and pediatric neurologist. The common comorbidities of tics are well known, but the severe neurological complications are rare and may not be appreciated.
METHODS
This is a retrospective case series and literature review.
RESULTS
We present here four adolescents with Tourette syndrome who had severe neurological complications secondary to motor tics. We provide the history, neurological examination, and radiological findings in addition to a review of previously reported cases of vascular and cervical cord complications associated with violent motor tics.
CONCLUSIONS
We highlight the importance of recognizing the presenting signs of these complications early and the need to vigorously treat violent motor tics to prevent significant neurological complications.
背景
抽动秽语综合征是普通儿科医生和儿科神经科医生都会评估的常见问题。抽动的常见共病是众所周知的，但严重的神经系统并发症很少见，可能未得到重视。
方法
这是一项回顾性病例系列研究及文献综述。
结果
我们在此报告4例患有抽动秽语综合征的青少年，他们因运动性抽动继发严重的神经系统并发症。除了回顾先前报道的与剧烈运动性抽动相关的血管和颈髓并发症病例外，我们还提供了病史、神经系统检查和影像学检查结果。
结论
我们强调早期识别这些并发症的表现迹象的重要性，以及积极治疗剧烈运动性抽动以预防严重神经系统并发症的必要性。
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