Psychostimulants et tics

Q4 Medicine
E. Deniau , A. Hartmann
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引用次数: 0

Abstract

Chronic tics/Tourette syndrome (TS) are among neurodevelopmental disorders including attention deficit hyperactivity disorder (ADHD), learning disabilities, and autism spectrum disorders. Of these, ADHD is by far the most frequently associated, present in > 50% of individuals with TS. Thus, it would seem useful, if ADHD were to be considered sufficiently disabling so as to offer methylphenidate treatment to the patients concerned. Nevertheless, and alas, this is done far too rarely for fear that methylphenidate can increase tic severity. However, even if this possibility exists, it is an exception easy to correct if necessary. Also, the galenic formula of methylphenidate can play a determining role in its tolerance to tics, and several attempts at treatment are sometimes necessary.

精神兴奋剂和抽搐
慢性抽搐/妥瑞症(TS)属于神经发育障碍,包括注意力缺陷多动障碍(ADHD)、学习障碍和自闭症谱系障碍。其中,注意力缺陷多动障碍(ADHD)是迄今为止最常见的相关疾病,50% 的 TS 患者都患有该病。因此,如果认为多动症足以导致残疾,从而为相关患者提供哌醋甲酯治疗,这似乎是有益的。然而,遗憾的是,由于担心哌醋甲酯会加重抽搐的严重程度,这样做的情况太少了。不过,即使存在这种可能性,也是一种例外情况,必要时很容易纠正。此外,哌醋甲酯的galenic配方也会对其对抽搐的耐受性起到决定性作用,有时需要多次尝试治疗。
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来源期刊
Neuropsychiatrie de l''Enfance et de l''Adolescence
Neuropsychiatrie de l''Enfance et de l''Adolescence Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.60
自引率
0.00%
发文量
61
期刊介绍: Organ of the Société française de psychiatrie de enfant et de adolescent, Neuropsychiatrie de enfance et de adolescence tackles all fields of child-adolescent psychiatry and offers a link between field and clinical work. As a reference and training tool for students and practitioners, the journal publishes original papers in child psychiatry as well as book reviews and conference reports. Each issue also offers a calendar of the main events dealing with the speciality.
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