극심한 두통과 불면을 호소하는 만성 운동 틱 장애 환자1례 보고
One Case Report of Chronic Motor Tic Disorder Patient with Extreme Headache and Insomnia.
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Tics are sudden, painless, nonrhythmic behaviors that are either motor or vocal. As to DSM-Ⅵ diagnostic criteria, chronic tic disorder is either single or multiple motor or phonic tics, but not both, which are present for more than a year. In this case, a male patient was diagnosed tics disorder at 8 years old. He has suffered for 15 years and his symptom was simple motor tics of neck, both arms and both legs, not vocal tics. So we diagnosed him as the chronic tic disorder. The severity score headache was assessed using the Visual Analog Scales. The severity score tics was assessed at baseline using the Yale Global Tic Severity Scale(YGTSS) and we compared score of before with after treatment. We treated him with oriental medication( herbal medicine, acupuncture, cry cupping) and progressive muscle relaxation. After this treatment, chronic insomnia and extreme headache were disappeard and the symptoms of tics were mildly decreased.
Abstract
Tics are sudden, painless, nonrhythmic behaviors that are either motor or vocal. As to DSM-Ⅵ diagnostic criteria, chronic tic disorder is either single or multiple motor or phonic tics, but not both, which are present for more than a year. In this case, a male patient was diagnosed tics disorder at 8 years old. He has suffered for 15 years and his symptom was simple motor tics of neck, both arms and both legs, not vocal tics. So we diagnosed him as the chronic tic disorder. The severity score headache was assessed using the Visual Analog Scales. The severity score tics was assessed at baseline using the Yale Global Tic Severity Scale(YGTSS) and we compared score of before with after treatment. We treated him with oriental medication( herbal medicine, acupuncture, cry cupping) and progressive muscle relaxation. After this treatment, chronic insomnia and extreme headache were disappeard and the symptoms of tics were mildly decreased.
참고문헌 (19)
- 미국정신의학회, "정신장애의 진단 및 통계 편람", pp.140~141 (1995), 하나의학사
- 정선주, "한국어판 예일 틱 증상 평가척도:신뢰도 및 타당도 연구", 신경정신의학, 37(5), pp.942~944 (1998)
- Leckman JF, "Course of tic severity in tourette syndrome:the first two decades", Pediatrics, 102, pp.14~19 (1998)
- 정효창, "뚜렛장애 환자 1례에 대한 증례보고", 동의신경정신과학회지, 14(2), pp.1~6 (2003)
- 윤지연, "불면을 동반한 틱장애 환아 1례에 대한 증례보고", 대한 한방 소아과학회지, 18(2), pp.251~261 (2004)
- 정희연, "눈깜박임을 주소로 내원한 아동에서의 틱 장애", 대한안과학회지, 43(2), pp.15~331 (2002), 대한안과학회
- 김붕년, "틱 장애의 진단과 치료", 가정의학회지, 25(5), pp.359~370 (2004), 대한가정의학회
- 심민, 강형원, 류영수, 이종화, 김태헌, "틱(Tic)障碍의 韓醫學的 理解에 關한 文獻的 考察", 동의신경정신과학회지, 18(2), pp.1~12 (2007), 대한한방신경정신과학회
- 김유진, "성인기에 재발한 복합성 운동 틱 장애에서 Aripiprazole로 치료한 1예", 신경정신의학, 46(4), pp.398~400 (2007), 대한신경정신의학회
- 이근후, "Gilles de la Tourette씨 증후군의 정신역동적 고찰", 신경정신의학, 12(3), pp.214~219 (1973)
- 이주리, "틱 장애 아동과 정상 아동의 어머니 양육 태도의 비교 연구", 상명대학교논문집, 27, pp.527~541 (1991)
- 김자성, "뚜렛 및 만성 틱 아동의 출생순위에 따른 특성 비교", 소아 청소년정신의학, 4(1), pp.124~132 (1993)
- 이근매, "모-자 가족 미술치료가 Tic장애아동의 문제행동 및 정서에 미치는 효과", 미술치료연구, 9(2), pp.111~138 (2002), 한국미술치료학회
- 송현지, "놀이치료를 병행한 틱장애 환아 치험 1례", 대한한방소아과학회지, 20(2), pp.115~128 (2006), 대한한방소아과학회
- 김종우, "마음을 치유하는 한의학 정신요법", pp.144~145 (2006), 학지사
- 이성준, "초단 강의록", pp.232~ (2007), 도서출판 초락당
- 李載熙, "도설한방진료요방", pp.433~436 (2004), 의방출판사
- 김관우, "사암침 수상록", pp.94~ (2006), 도서출판 초락당
- 이승희, "틱장애를 주소로 하는 환아의 증례보고", 대한한방소아과학회지, 15(2), pp.115~116 (2002)