Premonitory sensory phenomenon in Tourette's syndrome

被引:189
作者
Kwak, C
Vuong, KD
Jankovic, J
机构
[1] Baylor Coll Med, Dept Neurol, Parkinsons Dis Ctr, Houston, TX 77030 USA
[2] Baylor Coll Med, Dept Neurol, Movement Disorders Clin, Houston, TX 77030 USA
关键词
premonitory sensation; sensory phenomenon; Tourette's syndrome; urge;
D O I
10.1002/mds.10618
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We administered a questionnaire designed to probe for premonitory sensations associated with motor tics to 50 patients with Tourette's syndrome (TS). Premonitory sensations were reported by 46 (92%) patients, and the most common sensation was an urge to move and an impulse to tic ("had to do it"). Intensification of premonitory sensations, if prevented from performing a motor tic, was reported also in 37 patients (74%), 36 patients (72%) reported relief of premonitory sensations after performing the tic, and 27 of 40 (68%) described a motor tic as a voluntary motor response to an involuntary sensation, rather than a completely involuntary movement. The "just right" sensation correlated with the presence of co-morbid obsessive-compulsive disorder. We conclude that premonitory sensations are an important aspect of motor tics and some patients perceive motor tics as a voluntary movement in response to an involuntary sensation. (C) 2003 Movement Disorder Society.
引用
收藏
页码:1530 / 1533
页数:4
相关论文
共 19 条
  • [1] Sensorimotor integration in movement disorders
    Abbruzzese, G
    Berardelli, A
    [J]. MOVEMENT DISORDERS, 2003, 18 (03) : 231 - 240
  • [2] BLISS J, 1980, ARCH GEN PSYCHIAT, V37, P1343
  • [3] COHEN AJ, 1992, J CLIN PSYCHIAT, V53, P319
  • [4] FAHN S, 1993, ARCH NEUROL-CHICAGO, V50, P1013
  • [5] FRIED I, 1991, J NEUROSCI, V11, P3656
  • [6] Altered cortical excitability in obsessive-compulsive disorder
    Greenberg, BD
    Ziemann, U
    Corá-Locatelli, G
    Harmon, A
    Murphy, DL
    Keel, JC
    Wassermann, EM
    [J]. NEUROLOGY, 2000, 54 (01) : 142 - 147
  • [7] Medical progress: Tourette's syndrome.
    Jankovic, J
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (16) : 1184 - 1192
  • [8] Simple motor tics may be preceded by a premotor potential
    Karp, BI
    Porter, S
    Toro, C
    Hallett, M
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 61 (01) : 103 - 106
  • [9] SENSORY TICS IN TOURETTES SYNDROME
    KURLAN, R
    LICHTER, D
    HEWITT, D
    [J]. NEUROLOGY, 1989, 39 (05) : 731 - 734
  • [10] Botulinum toxin in the treatment of tics
    Kwak, CH
    Hanna, PH
    Jankovic, J
    [J]. ARCHIVES OF NEUROLOGY, 2000, 57 (08) : 1190 - 1193