PPG Neurology and Neuroscience, Universidade Federal de Sao Paulo, Escola Paulista de Medicina, São Paulo, Brazil.
Instituto de Ciencias Biomédicas, Universidade de São Paul, São Paulo, Brazil.
Perm J. 2022 Jun 29;26(2):132-137. doi: 10.7812/TPP/20.260. Epub 2022 Jun 15.
Introduction Essential tremor (ET) is a common movement disorder in the elderly. Bilateral postural tremor usually involves the hands and forearms; the primary diagnostic criteria can be with or without a kinetic tremor. Anticonvulsants are frequently prescribed as a primary medication, and botulinum toxin and deep brain stimulation as secondary options. In this case report, a patient with ET received medical painting therapy guided by the principles of anthroposophy and the work of Liane Collot d´Herbois. Case Presentation A 78-year-old woman presented ET, depression and bipolar symptoms. Additionally, she reported insomnia, constipation, lumbar pain, and sciatic pain. Current medications included lithium carbonate, folic acid, levothyroxine, and zinc, and she had refused to take propranolol for her ET. She agreed to begin medical painting therapy. Over 5 months, she had 16 sessions of medical painting therapy, carried out in 2 stages. The first stage consisted of 6 free painting sessions for patient evaluation, followed by the second stage of 10 therapeutic sessions. Conclusion The patient reported an increased quality of life (including emotional aspects) and a decrease in her ET, as evidenced by the patient's handwriting. Further research is needed to understand the strengths and limitations of this therapy for ET and related conditions.
引言
特发性震颤(essential tremor,ET)是老年人常见的运动障碍。双侧姿势性震颤通常累及手和前臂;主要的诊断标准可以是有或没有运动性震颤。抗惊厥药常被作为首选药物,肉毒杆菌毒素和深部脑刺激作为二线选择。在本病例报告中,一名 ET 患者接受了基于人智学原则和 Liane Collot d´Herbois 工作的医学绘画治疗。
病例介绍
一名 78 岁女性患有 ET、抑郁症和双相情感障碍。此外,她还报告有失眠、便秘、腰痛和坐骨神经痛。目前的药物包括碳酸锂、叶酸、左甲状腺素和锌,她拒绝服用普萘洛尔治疗 ET。她同意开始接受医学绘画治疗。在 5 个月的时间里,她进行了 16 次医学绘画治疗,分为两个阶段。第一阶段包括 6 次自由绘画评估,然后是第二阶段的 10 次治疗。
结论
患者报告生活质量(包括情绪方面)提高,ET 减轻,这可以从患者的笔迹中得到证明。需要进一步研究来了解这种治疗方法对 ET 和相关疾病的优势和局限性。