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Chapter 93 dementia and related disorders
Chapter 93 dementia and related disorders
Chapter 93 dementia and related disorders
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In 1885 French neurologist, Dr. Georges Gilles de la Tourette discovered Tourette’s syndrome, commonly abbreviated as TS. Tourette’s syndrome is a neurological disorder that is signified as presenting repetitive stereotyped, involuntary movements and vocalizations called tics (National Institute of Neurological Disorders and Stroke [NIH], 2012). TS is three to four times more common in males than in females, but can occur in people of all types of ethnic, racial, culture and social groups (National Institute of Neurological Disorders and Stroke [NIH], 2012). Symptoms of the condition are typically noticed in early childhood, between the ages of three to nine. People diagnosed with TS usually experience their worst tic symptoms in their teens, with the biggest improvement seen throughout childhood (National Institute of Neurological Disorders and Stroke [NIH], 2012).
Tourette’s syndrome is characterized by both a motor and/or one or more phonic tics (Robertson, 2000). Initial symptoms of Tourette’s begins with motor tics followed by the onset of phonic tics at a later age (National Institute of Neurological Disorders and Stroke [NIH], 2012). Tics can be categorized as either simple or complex. Simple motor tics include eye blinking, facial grimacing, shoulder shrugging, head or shoulder jerking. Simple phonic tics include repetitive throat clearing, sniffing or grunting sounds (Robertson, 2000).Complex motor tics involve a wider range of group muscles and are usually coordinated patterns of movement comprising of touching, licking, spitting, jumping and squatting. Some motor tics can become self-injurious, as a result of punching oneself or head banging (Robertson et al., 2000). A study done at University College and Middlese...
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...6. National Institute of Neurological Disorders and Stroke (NINDS). (2012, January 1).National Institute of Neurological Disorders and Stroke (NINDS
7. Piacentini, J., Woods, D. W., Scahill, L., Wilhelm, S., Peterson, A. L., Chang, S. Walkup, J. T. (2010). Behavior Therapy for Children With Tourette Disorder: A Randomized Controlled Trial. Jama-journal of The American Medical Association.
8. Robertson, M (2000) Tourette syndrome, associated conditions and the complexities of treatment. Brain, 425-462.
9. Robertson., Trimble., & Lees. (2009). Self-injurious behaviour and the Gilles de la Tourette syndrome: a clinical study and review of the literature. Cambridge Journal, 19(03).
10. Yuen., Saldivar., Sommer., & Picker.(2008).Familial deletion within NLGN4 associated with autism and Tourette syndrome. European Journal of Human Genetics, , 614-618.
...e in the brain to deliver electrical stimulation to targeted areas that control movement (mayoclinic.com, 2013).
WORLD HEALTH ORGANISATION, 1997. Tabular list of neurological and related disorders. In: WORLD HEALTH ORGANISATION, ed. Application of the International Classification of Diseases to Neurology. Canada: World Health Organisation, p. 153.
Neurodegeneration is used mainly for diseases that are characterised by progressive loss of structure and function of neurons. There are many neurodegenerative diseases including amyotrophic lateral sclerosis that...
In recent years researchers have made significant advances in the field and have come up with many neuroleptic (antipsychotic) medications to treat the disorder. However along with these medical breakthroughs problems have occurred. The most severe side effect is called Tardive Dyskinesia, literally meaning "late movement disorder." (1) Coined in 1964, it is identified by the involvement of numerous "abnormal, involuntary movements of the orofacial area or extremities." . (2) More specifically, it is characterized by rocking, twisting, jerking, toe tapping, lip smacking, blinking, and most commonly an unusual movement of the tongue. . (1) (2)(3). Interestingly enough, these side effects disappear during sleep. (3)
Tan, C.S. (2007). Test Review Behavior assessment system for children (2nd ed.). Assessment for Effective Intervention, 32, 121-124.
“Treatment of Autism in Young Children: Behavioral Intervention and Applied Behavior Analysis:Infants & Young Children, by Jensen, VK, and Sinclair LV, published in 2002, summarized Oct 19, 2006
Rowland, L. P., ed. Merritt’s Textbook of Neurology. 7th ed. Lea and Febiger. Philadelphia: 1984.
Autism was first presented in 1943 by Leo Kanner when he was conducting a several children study; he later described the children as having withdrawn behaviour. Throughout the 1970s and 1980s the suitable treatments used in behavioural therapy were focused on medications such as LSD and electrical shock as a form of pain and punishment (WebMD Medical Reference, 2014).
Goldring, Stacy; Herrera, Adriana M.; Hepburn, Susan; Laura Greiss-Hess; Suzanne Macari; Sally J. Rogers; Sally Ozonoff; Joel Steele; Gregory S. Young. "Gross Motor Development, Movement Abnormalities, and Early Identification of Autism". The Journal of Autism and Developmental Disorders, 2008, 38 (4): 644-656.
There is no known single cause of autism. Researchers are investigating a number of possible theories including genetics, heredity, medical problems, problems during pregnancy or delivery, as well as environmental influences. It is widely accepted that it is caused by abnormalities in the brain structure or function. There is evidence from neuropathological studies that autism has its origins in abnormal brain development early in prenatal life which continues postnatally, showing acceleration in brain growth measured by head circumference (Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P., 2005). The disorder also seems to have a genetic basis, although researchers have yet to find the specific genes that link to the onset of autism. There could be a cluster of genes that have somehow interfered with normal brain development and function. Studies show that twins of children with autism were more likely to be autistic themselves than the regular population, demonstrating there is a heredity lin...
Autism is a rare disorder that primarily affects the nervous system and psychic emotion system. It causes the abnormality or incapability to complete, on the normal level, skills in language, sensory, communicative, and social perspectives. Depending on the individual's severity, the disability can manifest itself in a very wide range of symptoms. One of the universal symptoms is an infatuation with inanimate objects or objects that spin. Although the disorder encompasses many different symptoms and effects, it is very common for children with autism to develop other disorders throughout their development. In many cases, children will develop hyperactivity, obsessive-compulsive disorder, and/or Tourette's syndrome. Autism is still a disorder that is under continuous study by many people in an attempt to determine exactly how the brain is being affected. The disorder is not a form of retardation, although some children with the disorder are born with mental retardation. Even though autistic children lack the normal skills in...
According to Elias, Binit, and Shah (2014) it is estimated the 10 million to 20 million Americans suffers from ET and 6.3 % of the population is affected worldwide. The average age of onset is 52, but can present at ages greater than 60 and as young as 8 years old. Males are minimally affected more than women and there is no discrimination related to the patients’ race. ETs is a progressive disease that can negatively impact patients’ gross motor skill such as writing, getting dressed, cooking meals, fine motor skills such as writing thus causing distress at home and in the work environment. This disease can have a great impact on the patient mental health resulting from co...
Rett’s disorder is a disorder that involves repetitive, constant hand movements. People with this disorder have noticeably smaller head growth than people with other forms of autism. This disorder is associated wit...
Obsessive-Compulsive Disorder (OCD) is a mental illness that traps people in endless cycles of repetitive thoughts and behaviors. Pierre Janet described obsessive-compulsive disorder by using the term psychasthenia. Sigmund Freud described obsessions and compulsions as psychological defenses used to deal with sexual and aggressive conflicts in the unconscious mind (Bruce Bower: 1987). OCD is also known as “The Doubting Disease,” because it’s as though the mind doesn’t register when the person does a certain action, which triggers the source of the obsession (USA Today:1995). Unlike most people with anxiety disorders, those diagnosed with OCD are more obsessed with what will happen to others instead of themselves (Edna Foa: 1995). Obsessive-Compulsive Disorder occurs in a spectrum from mild to severe. At some point the person will see the actions or thoughts as unreasonable and senseless. All people have habits and routines, but what makes obsessive-compulsive people different is the fact that their obsessions and compulsions interfere with their daily lives (American Family Physician: 2000). They spend large amounts of time doing odd rituals. The rituals can take hours a day and make the sufferers miserable and doesn’t allow them for much of a business or social life (Harvard Mental Health Letter). At one OCD clinic, many had lost years of work to their symptoms. Seventy-five percent said the disorder interfered with their family lives and thirteen percent had attempted suicide (Harvard Mental Health Letter: 1998). Phebe Tucker, a psychiatrist at the University of Oklahoma Health Sciences Center, explained, the most common obsession is washing hands for fear of contamination. Other acts are counting over and over, checking locks, hoarding items such as newspapers or cartons, repeatedly dressing and undressing, and walking in and out of doorways. The thought and behavior patterns are senseless and distressing. They can make it very difficult for a person to function properly at work, school, or even at home. Obsessions take the form of doubts, fears, images, or impulses. (Harvard Mental Health Center: 1998)
Sullivan, S. J., Hammond-Tooke, G. D., Schneiders, A. G., Gray, A. R., & McCrory, P. (2012). The diagnostic accuracy of selected neurological tests. Journal of Clinical Neuroscience, 19. 423-427. doi:10.1016/j.jocn.2011.09.011