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抽动障碍中位于舌部的先兆冲动:两例病例报告及文献综述

Premonitory urges located in the tongue for tic disorder: Two case reports and review of literature.

作者信息

Li Ying, Zhang Ji-Shui, Wen Fang, Lu Xiao-Yan, Yan Chun-Mei, Wang Fang, Cui Yong-Hua

机构信息

National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.

出版信息

World J Clin Cases. 2019 Jun 26;7(12):1508-1514. doi: 10.12998/wjcc.v7.i12.1508.

Abstract

BACKGROUND

Premonitory urges (PUs) was defined as the uncomfortable physical sensations of inner tension that can be relieved by producing movement responses. Nearly 70%-90% patients with Tourette syndrome reported experiences of PUs.

CASE SUMMARY

In this paper, we present two cases of young patients with PUs located in their tongue, which is very rare and easily misdiagnosed in clinical work. Both two young patients complained of an itchy tongue and cannot help biting their tongue. These two cases were worth reporting because it was rare that PUs was the initial symptom and located in the tongue. The results indicated that PUs seem to play an important role in the generation of tics.

CONCLUSION

Thus, PUs may be the first process, and an essential part, of the formation of tics.

摘要

背景

先兆冲动(PU)被定义为一种内在紧张的不舒服身体感觉,通过产生运动反应可得以缓解。近70%-90%的抽动秽语综合征患者报告有先兆冲动体验。

病例摘要

在本文中,我们呈现了两例年轻患者,其先兆冲动位于舌部,这非常罕见且在临床工作中容易误诊。两名年轻患者均主诉舌头瘙痒且忍不住咬舌。这两例值得报告,因为先兆冲动作为首发症状且位于舌部的情况很罕见。结果表明,先兆冲动似乎在抽动的产生中起重要作用。

结论

因此,先兆冲动可能是抽动形成的首要过程及重要组成部分。

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