突发病和恶性图雷特综合征:评估和管理
José Fidel Baizabal-Carvallo1, Andrea E Cavanna2, Joseph Jankovic3
1Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX, USA; Department of Sciences and Engineering, University of Guanajuato, León, Mexico.
Neuroscience and biobehavioral reviews
|March 6, 2024
概括
图雷特综合征 (TS) 可以导致严重的,残疾的症状和医疗紧急情况在患者的一个子集. 管理包括行为疗法,药物,肉毒素,以及严重病例的深度大脑刺激.
科学领域:
- 神经学 神经学
- 神经发育障碍 神经发育障碍
背景情况:
- 图雷特综合征 (TS) 是一种复杂的神经发育障碍.
- 是主要的症状,经常伴有神经精神病的并发症.
- 一部分TS患者出现严重的致残症状,需要紧急干预.
研究的目的:
- 描述图雷特综合征的严重表现.
- 突出严重TS的医疗紧急情况的潜力.
- 概述严重和恶性图雷特综合征的治疗策略.
主要方法:
- 对严重的图雷特综合征病例和治疗方法的文献综述.
- 临床病例分析患有致残性滴答和相关行为的患者.
- 对严重TS的当前治疗方法的综合分析.
主要成果:
- 严重的运动或声音可以导致医疗紧急情况,如骨髓病变或自我伤害.
- 恶性TS包括自我攻击,不适当的行为,自杀倾向和愤怒发作,通常伴有并发性强迫症.
- 及时的治疗干预对于管理严重的TS症状至关重要.
结论:
- 严重的图雷特综合征需要专门和密集的管理.
- 跨学科的方法对于解决这些患者的复杂需求至关重要.
- 治疗选择范围从行为干预到先进的神经外科手术程序.
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