Severe motor tics causing cervical myelopathy in Tourette's syndrome
Identifieur interne : 005579 ( Main/Exploration ); précédent : 005578; suivant : 005580Severe motor tics causing cervical myelopathy in Tourette's syndrome
Auteurs : Joachim K. Krauss [États-Unis] ; Jankovic [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1996-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Association, Homme.
English descriptors
- KwdEn :
- Adult, Association, Botulinum Toxins (administration & dosage), Botulinum Toxins (therapeutic use), Botulinum toxin, Case study, Cervical Vertebrae (physiopathology), Cervical myelopathy, Cervical spine, Complication, Gilles de la Tourette syndrome, Human, Humans, Injections, Intramuscular, Intervertebral Disc Displacement (physiopathology), Magnetic Resonance Imaging, Male, Muscular Atrophy, Spinal (diagnosis), Muscular Atrophy, Spinal (drug therapy), Muscular Atrophy, Spinal (etiology), Spinal Canal (physiopathology), Tic, Tic Disorders (complications), Tics, Tourette Syndrome (complications), Tourette's syndrome.
- MESH :
- chemical , administration & dosage : Botulinum Toxins.
- chemical , therapeutic use : Botulinum Toxins.
- complications : Tic Disorders, Tourette Syndrome.
- diagnosis : Muscular Atrophy, Spinal.
- drug therapy : Muscular Atrophy, Spinal.
- etiology : Muscular Atrophy, Spinal.
- physiopathology : Cervical Vertebrae, Intervertebral Disc Displacement, Spinal Canal.
- Adult, Humans, Injections, Intramuscular, Magnetic Resonance Imaging, Male.
Abstract
We describe two patients with Tourette's syndrome in whom severe motor tics involving the neck were complicated by cervical myelopathy. The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.
Url:
DOI: 10.1002/mds.870110512
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1996-09">1996-09</date><biblScope unit="vol">11</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="563">563</biblScope><biblScope unit="page" to="566">566</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">F62B558F3E58A2D1D439B952B90E634A78EE1BFB</idno><idno type="DOI">10.1002/mds.870110512</idno><idno type="ArticleID">MDS870110512</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Association</term><term>Botulinum Toxins (administration & dosage)</term><term>Botulinum Toxins (therapeutic use)</term><term>Botulinum toxin</term><term>Case study</term><term>Cervical Vertebrae (physiopathology)</term><term>Cervical myelopathy</term><term>Cervical spine</term><term>Complication</term><term>Gilles de la Tourette syndrome</term><term>Human</term><term>Humans</term><term>Injections, Intramuscular</term><term>Intervertebral Disc Displacement (physiopathology)</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Muscular Atrophy, Spinal (diagnosis)</term><term>Muscular Atrophy, Spinal (drug therapy)</term><term>Muscular Atrophy, Spinal (etiology)</term><term>Spinal Canal (physiopathology)</term><term>Tic</term><term>Tic Disorders (complications)</term><term>Tics</term><term>Tourette Syndrome (complications)</term><term>Tourette's syndrome</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Botulinum Toxins</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Botulinum Toxins</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Tic Disorders</term><term>Tourette Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Muscular Atrophy, Spinal</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Muscular Atrophy, Spinal</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Muscular Atrophy, Spinal</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cervical Vertebrae</term><term>Intervertebral Disc Displacement</term><term>Spinal Canal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Injections, Intramuscular</term><term>Magnetic Resonance Imaging</term><term>Male</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Association</term><term>Complication</term><term>Etude cas</term><term>Gilles de la Tourette syndrome</term><term>Homme</term><term>Myélopathie cervicale</term><term>Rachis cervical</term><term>Tic</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Association</term><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe two patients with Tourette's syndrome in whom severe motor tics involving the neck were complicated by cervical myelopathy. The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. Krauss</name></region><name sortKey="Jankovic" sort="Jankovic" uniqKey="Jankovic" last="Jankovic">Jankovic</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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