What are the symptoms of Gilles de la Tourette syndrome?
summary
Gilles de la Tourette syndrome (TS) is a kind of Tourette disorder, which is characterized by involuntary and sudden Tourette and accompanied by fulminant vocalization and Gilles de la Tourette. The ratio of male to female is 3:1. More than 90% of the patients are between 2 and 12 years old. What are the symptoms of Gilles de la Tourette syndrome? Let's talk about it
What are the symptoms of Gilles de la Tourette syndrome?
The onset age of the disease is more than 2-18 years old. It starts at 4-12 years old and gradually decreases after puberty. The symptoms are fluctuating and may change within a few weeks or months. The longer course of disease is chronic, lasting for at least one year. Multiple twitch is the main symptom in the early stage, which usually starts on the face and gradually develops to the upper limbs, trunk or lower limbs. The symptoms are characterized by repeated and rapid irregular twitch (spasm), such as blinking, pouting and frowning, twitching nose, grimacing face, shaking head, nodding, neck extension and shrugging. The symptoms are aggravated, and sudden involuntary movement of limbs and trunk occurs, For example, the upper limb throwing movement, turning kick, stopping foot, trunk bending and twisting movements are frequent, which can reach more than 10 times or even hundreds of times every day. Emotional excitement, mental tension aggravate, mental relaxation lighten, and pulse disappear during sleep.
Vocal spasm is another characteristic of the disease. 30% - 40% of the children give out repeated, fulminant and meaningless monotonous abnormal laryngeal sounds due to laryngeal muscle twitch, such as dog barking, roaring, hahaha, smacking and throat chirping, as well as "click", "squeak" and "quack". Some children unconsciously and rigidly swear, speak vulgar and obscene language (obscene language), imitate other people's language and action (imitate language and action), and often repeat words or phrases (repeat language).
About 85% of the children had mild to moderate behavioral disorders, and the mild ones were restless, restless and irritable. About half of the children had attention deficit hyperactivity disorder, inattention, learning disability, hyperactivity, upset and sitting restlessness. Some patients had compulsive behaviors such as repeatedly washing hands and checking door locks, and self mutilation behaviors such as severe nail biting, pulling hair, digging nostrils and biting lips or tongue, Sensory spasm can occur, such as pressure, itching, heat and coldness, obscene behavior, excessive provocation and violence. 4. Children's intelligence is generally not affected, sometimes their learning ability is decreased, reading, writing and writing are difficult, and even they can't complete their normal studies. Learning is related to ADHD. Patients have a certain degree of control can curb involuntary twitch for several minutes or longer, examination usually can not find other abnormal signs, the course of disease has remission and recurrence.
matters needing attention
Supportive psychotherapy: for patients with Tourette's syndrome, the purpose of psychotherapy is not to directly eliminate the symptoms of Tourette's syndrome, but mainly to support and help patients eliminate psychological distress, reduce anxiety and depression, and adapt to the real environment. At the same time of drug treatment, we should pay attention to the learning and living environment of patients, timely solve the stress in the environment, and give psychotherapy and psychological education.
