1/2. An unusual presentation of Tourette's syndrome.STUDY OBJECTIVE: To report an unusual complex motor tic as the presenting symptom in a patient diagnosed with Tourette's syndrome. methods: This case report was compiled via interview with a 9-year-old white female who presented to the private gynecologic practice of the senior author. Additional history was gained from the patient's mother and follow up information was obtained from written and verbal communication with neurology colleagues. MAIN OUTCOME MEASURES: Referral to neurology. diagnosis of persistent perineal touching. RESULTS: diagnosis of Tourette's syndrome. CONCLUSION: In young patients with nonspecific vulval symptoms, Tourette's syndrome should be considered in the differential diagnosis particularly if persistent self touching is a feature of the complaint. Referral to a physician experienced with the syndrome is important since the diagnosis is made on the basis of the clinical symptoms and signs.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/2. A four-step hypnotherapy model for Gilles de la Tourette's syndrome.Hypnotherapy may sometimes be helpful in ameliorating the behavioral characteristics of Tourette's syndrome. This paper presents a case study of an adolescent male with Tourette's syndrome who was referred by his physician for hypnotherapy for his disorder. A four-step treatment model involved progressive relaxation, finger-tip temperature feedback using a biotic finger band, Spiegel's eye-roll procedure, and imagery. The adolescent was in treatment for nine sessions, from October 1985 to March 1986, a period of 6 months. At the end of the nine sessions, his tics and vocalizations were minimal to nonexistent and he was discharged. A follow-up report 6 months later indicated that he had applied for the air Force and had been accepted with no mention of Tourette's syndrome as an issue during his air Force examination.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |