4 research outputs found
Kardeşlerinin saçını yolan farklı bir trikotillomani olgusu
Trikotillomani, çocukluk çağı alopesi nedenlerinden biridir. Sunmuş olduğumuz olgu, 8 yaşında olup, yaklaşık 4 yıldır süren saç yolma, tırnak yeme, burun karıştırma, tırnak yolma ve saç derisini koparma yakınmaları ile getirilmiştir. Saç bölgesinin özellikle frontal ve verteks kısmının etkilendiği gözlenmiştir. Olgunun saçlarını infantil dönemde yolmaya başladığı ve kronik, düzelmeyen bir gidişinin olduğu öğrenilmiştir. Son 2 yıldır, kendisinden küçük iki kardeşinin saçını yolmaya başladığı ve sıklıkla birlikte oyun oynarken veya kardeşleri uyurken saçlarını yolduğu belirtilmiştir. Her iki erkek kardeşinin saçlı derisinde alopesi gözlenmiştir. Evde sıklıkla kavga, şiddet ve olumsuz davranışların olduğu öğrenilmiştir. Literatürde kardeşlerinin saçını yolan vaka sayısı oldukça seyrektir. Çocukluk çağında yaşanan travma, fiziksel ve duygusal ihmalin ve olumsuz etkilenmiş olan anne-çocuk ilişkisinin bu vakada ortaya çıkan trikotillomani için önemli etmenler olduğu düşünülmüştür. Çocukluk çağı trikotillomani olgularında kardeşler üzerinde herhangi bir belirtinin olup olmadığının araştırılması önemlidir.Trichotillomania (TTM) is a relatively common cause of childhood alopecia. We report our observations of 8 year old boy referred for consultation for a 4 year history of hair pulling, nail-biting, nose picking, nail picking and scalp-picking. The most commonly affected sites on the scalp were frontal region and vertex. He had started pulling his hair when he was an infant and had a very chronic, unremitting course. During the last two years, he began to pull his two little brothers hair when they were playing together or when they were sleeping. Both of his both brothers had alopecia on their scalp. It was discovered that there were frequent arguments, violence and negative behaviors at home. Few cases are reported in the literature about children who pull their siblings hair. We considered that impaired affective interpersonal communication between mother and child, physical and emotional neglect and childhood trauma might have played a role in the development of TTM for this case. In childhood trichotillomania cases, it is important to investigate whether the siblings have hair loss
Anxiety and depression in primary and secondary dystonia: A burden on health related quality of life
Dystonia is a reason of visible chronic motor and/or psychological disability that may influence the quality of life. Our aim was to investigate depression and anxiety in patients with primary and secondary dystonia, and to evaluate their effects on the quality of life. Patients with primary and secondary dystonia, and age-matched healthy volunteers were enrolled in the study. Anxiety and depression was evaluated with Hospital Anxiety Depression (HAD) scale. Short Form-36 was used to assess the quality of life in both study groups. Both mean anxiety and depression subscales scores were found to be increased in the patients with dystonia, when compared with the control group (p 0.05). When compared with controls, all domains of SF-36 were found to be decreased in patients with dystonia contributing to a deterioration in the HR-QoL (p < 0.05). Among dystonia patients, a statistically significant decrease was found in all domains of SF-36, except vitality and mental health in secondary dystonia (p < 0.05). Multiple regression analysis revealed that secondary dystonia, long term disease, depression and anxiety have a great impact on quality of life of patients with dystonia. Dystonia can be considered as an important risk factor for anxiety and depression which leads to a deterioration in the quality of life of patients. © 2013 Elsevier GmbH
Bir psikojenik hareket bozukluğu olgusu: Nöroloji ve nöropsikiyatrinin karanlık yüzü
Bu yazıda, baskın tremor kliniği ile karşımıza çıkan bir psikojenik hareket bozukluğu (PHB) olgusunun tartışılması ve doğru tanı koymamıza yardımcı olacak klinik ipuçlarının vurgulanması amaçlanmıştır. Kırk sekiz yaşında erkek hasta yürüyüş ve konuşma bozukluğu ile nöroloji polikliniğimize başvurdu. Yürüyüş, istemli hareket ve dinlenme sırasında ortaya çıkabilen sıçrayıcı, tremor benzeri istemsiz hareketleri mevcuttu. İzlem sürecinde hastada yapay bozukluk tanısı düşünüldü ve PHB olarak değerlendirildi. Risperidon tedavisi ve destekleyici görüşmelerden anlamlı yarar gören hastanın istemsiz hareketlerinin kaybolduğu görüldü. PHB kompleks bir bozukluktur. Doğru tanı koyarak uygun tedaviyi belirlemek için nöroloji ve psikiyatri uzmanlarının sıkı işbirliği ile birlikte, multidisipliner bir yaklaşım ve sık izlem gereklidir.Our aim was to describe a patient with psychogenic movement disorder (PMD) who presented with tremor dominant involuntary movements, as well as to emphasize the clinical features important for establishing a correct diagnosis. A 48-year-old man presented to our outpatient neurology clinic with gait and speech disturbance. He had jerky, tremor-like involuntary movements occurring during gait, voluntary movements and/or at rest. The involuntary movements of the patient, who benefited from risperidone treatment and supportive interviews, substantially disappeared. Since PMDs are complex disorders, a multidisciplinary approach with cooperation of neurologistand psychiatrist is needed for proper diagnoses and treatment
A Case of Psychogenic Movement Disorders: Dark Side of Neurology and Neuropsychiatry
WOS: 000309102600015Our aim was to describe a patient with psychogenic movement disorder (PMD) who presented with tremor dominant involuntary movements, as well as to emphasize the clinical features important for establishing a correct diagnosis. A 48-year-old man presented to our outpatient neurology clinic with gait and speech disturbance. He had jerky, tremor-like involuntary movements occurring during gait, voluntary movements and/or at rest. The involuntary movements of the patient, who benefited from risperidone treatment and supportive interviews, substantially disappeared. Since PMDs are complex disorders, a multidisciplinary approach with cooperation of neurologistand psychiatrist is needed for proper diagnoses and treatment. (Archives of Neuropsychiatry 2012; 49: 235-237