|
EGGERS, C., SCHEPKER, R. OADES, R. D.,
Case report : Exacerbation and
provocation of tics by imipramine and sulpiride.
European Child and Adolescent Psychiatry, 2, 169 - 176. (pdf
file)
This paper deals with the problem
of overlapping clinical effects of neurotropic agents in treating children
with complex comorbidity.
Case: An
8-year old boy suffering from a complexity of symptoms such as chronic
motor tics, compulsions, phobias, anxious inhibition, and stuttering
displayed the totality of Tourette's syndrome while taking imipramine.
- Sulpiride also enhanced motor and vocal tics.
In the discussion, a review
on the neurometabolic mechanisms in tic disease actually known
is given, and on drugs proven to precipitate tics, which is the case
in a number of neurotropic agents.
Psychodynamics and family dynamics are another issue that is discussed
independently.
1/ Introduction: a) Case Report, b) Therapy and
Development, c) Further Comments on the Background of the Cource of
Illness:
2/ Discussion: a) Family History, b) Perinatal Risk Factory, c) Comorbidity,
d) Provocation of Tics by Sulpiride and Imipramine:
3/ Conclusions .
|
|