CLP 4144 Chapter 12: Tourette’s Syndrome

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Tourette"s y(cid:374)dro(cid:373)e- multiple tics (spasmatic movement: symptoms: Multiple tics (standard or may evolve) around the body. ~50% have vocal tics- sniffing, grunting, throat clearing, clicking (words with hard consonant?) Less ha(cid:448)e (cid:862)(cid:272)oprolalia(cid:863)- (cid:862)fe(cid:272)es (cid:373)outh(cid:863)- involuntary curse words emitted in an explosive way. Buildup of tension they have to let out: diagnosed between ages of 2 and 15- 90% of patients diagnosed by age 10, no change in intelligence. Insidious (slow) onset: fluctuation course patches of remission are possible, exacerbated by anxiety, stimulants, does not occur in sleep, treatment: anti-dopamine traits, runs in families- genetic co-morbidity with ocd, can be nearly undetectable in mind cases. Acute organic brain syndromes: comp- cognition orientation (time/place/person) memory perception problems, all 4 organic brain syndrome. Causes of delirium: acute onset almost immediately (acute) or days (sub-acute, anything that messes with your brain- intoxication/sleep apnea/diabetes/kidney disease/ some infections/certain neurotrophic agents/malaria.

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