[Gilles de la tourette syndrome: clinical spectrum and management].

Abstract:

OBJECTIVE:To present the current concepts of the clinical phenomenology and natural history of Gilles de la Tourette syndrome (GTS), differential diagnosis with other involuntary movements, its pathogenesis and current management. DEVELOPMENT:GTS is a disorder characterized by a spectrum of both motor and sonic tics, and a spectrum of behavioral disorders. There is not a biological marker that confirms or refutes the diagnosis of GTS, so this diagnosis remains purely clinical. It has been found to be present in 1 to 3% of school population. An specific cause for GTS is unknown, though most cases appear to occur on an hereditary polygenetic basis. Observations that drugs increasing dopamine neurotransmission, including levodopa and the dopamine receptor agonist pergolide lessen tics, have called into question the dopamine receptor supersensibility hypothesis. The hypothesis proposing basal ganglia and frontostriatal pathways involvement in the pathophysiology of the disorder is the most likely. Frequently, disruption due to tics is overshadowed by comorbid conditions, like obsessive compulsive behaviors, attention deficit hyperactivity disorder, other behavioral disorders and learning disabilities, so the management should be targeted to them. CONCLUSION:The knowledge about the basic mechanisms and the integral definition of the clinical spectrum of tics and neurobehavioral manifestations, and its natural history in a patient with GTS, allow us to establish a more rational approach for management and prognosis

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Calderón González R,Calderón Sepúlveda RF

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

679-88

issue

7

eissn

0210-0010

issn

1576-6578

pii

rn2002254

journal_volume

36

pub_type

杂志文章,评审
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  • [High pressure neurological syndrome].

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    pub_type: 杂志文章

    doi:

    authors: Ferrando-Lucas MT,Banús-Gómez P,Hoz-Rosales AG

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  • [Educational intervention for the expression of cognitive excellence].

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    doi:

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    doi:

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  • [Guillain Barre syndrome].

    abstract:OBJECTIVE:To review about this disorder, with emphasis on the intensive care of severe Guillain Barr syndrome (GBS). DEVELOPMENT:GBS is an acute immune mediated inflammatory polyneuropathy that may lead to quadriparesis, ventilatory failure, and autonomic dysfunction but also to many general medical problems that have...

    journal_title:Revista de neurologia

    pub_type: 历史文章,杂志文章,评审

    doi:

    authors: Tellería-Díaz A,Calzada-Sierra DJ

    更新日期:2002-05-16 00:00:00

  • [Early infantile epileptic encephalopathy and glycine encephalopathy].

    abstract:INTRODUCTION:Early infantile epileptic encephalopathy (EIEE) with suppression burst activity in EEG (Ohtahara syndrome) is a rare type of epileptic encephalopathy in infancy and represents the earliest type of age-related symptomatic generalized epilepsy. The main etiologic factors associated to EIEE are cerebral dysge...

    journal_title:Revista de neurologia

    pub_type: 杂志文章

    doi:

    authors: González de Dios J,Moya M,Pastore C,Izura V,Carratalà F

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章,评审

    doi:

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    更新日期:2019-12-01 00:00:00

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    更新日期:1998-07-01 00:00:00

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    abstract:: TITLE:Utilidad de la resonancia magnetica craneal para el diagnostico de la distrofia miotonica de tipo 1. : ...

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  • [Schizencephaly associated with porencephaly in a girl with congenital cytomegalovirus infection].

    abstract:INTRODUCTION:At the present time it is perfectly clear that schizencephaly is an anomaly of neuronal migration and porencephaly is the result of destruction of the cerebral cortex. Schizencephaly is the final result of a variety of lesions which occur during a critical period of the development of the brain. Imaging st...

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    doi:

    authors: Tomás-Vila M,García-Tamarit P,García-Colino A,Torregrosa-Pascual P,Martínez-Salinas P

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  • [Neurological anthropology among the Kamayura Indians of the Alto Xingu].

    abstract:INTRODUCTION:The Kamayura tribe is made up of 300 persons living in the Alto Xingu in Mato Grosso, Brazil. Their traditional system of health care is based on the pajé, a witch doctor who uses plants and prayers for treatment. MATERIAL AND METHODS:Field work was done in the Kamayura village holding successive intervie...

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    authors: Baena-Diéz JM,Tomàs-Pelegrina J,Merino-Audi M,Arboix A,Ellacuría-Torres A,García-Lareo M,Liste-Salvador V

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  • [Instrumental gait analysis in stroke patients].

    abstract:INTRODUCTION:The motor control deficits after stroke affect the gait pattern. There is a significant variability between subjects. AIMS:To analyse, by using a capture motion system, the gait pattern in stroke patients with different levels of motor function, and to establish, despite the participants heterogeneity, wh...

    journal_title:Revista de neurologia

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    doi:

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  • [Cerebral palsy: prenatal risk factors].

    abstract::Prenatal risk factors causing cerebral palsy (CP), here defined as a non-progressive motor abnormality of tone or posture, are much more numerous than once believed, when a great deal of brain injury was attributed to factors surrounding delivery. Scientific advances in genetics and biochemistry, as well as clinical t...

    journal_title:Revista de neurologia

    pub_type: 杂志文章,评审

    doi:

    authors: Pascual JM,Koenigsberger MR

    更新日期:2003-08-01 00:00:00

  • [Analysis of the aetiologies of headaches in a paediatric emergency service].

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    doi:

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    更新日期:2004-08-01 00:00:00

  • [Congenital hydrocephalus].

    abstract:INTRODUCTION:Congenital hydrocephalus or ventriculomegaly is a disorder that now can be diagnosed in uterus with ultrasonography, this gives the chance of being able to give a treatment the earliest as possible. DEVELOPMENT:The clinical manifestations are reviewed, the diagnosis, the frequent treatment and causes of c...

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    pub_type: 杂志文章,评审

    doi:

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    更新日期:2006-04-10 00:00:00

  • [The most frequent causative agents of Guillain-Barre syndrome in a Mexican general hospital].

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    pub_type: 杂志文章

    doi:

    authors: Del Carpio-Orantes L,Pola-Ramirez MR,Garcia-Mendez S,Mata-Miranda MP,Perfecto-Arroyo MA,Solis-Sanchez I,Trujillo-Ortega BM,Gonzalez-Flores EE

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    authors: Dale RC

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