.: Дата публікації 2010-07-19 :: Переглядів: 4 :: 
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Clinical and neurophysiological correlations and differential diagnostics of tic hyperkinetic disorders
S.F. FERNANDEZ DE RIVES
The aim – study clinical and neurophysiological correlations in syndromology of tic hyperkinetic disorders for the purpose of pathogenetical mosaic structure classification, differential diagnosis optimization and therapy functional tics.
Methods and subjects. 77 patients with tics were under examination, during which, apart from somatic and neurological study, there was conducted research of brain bioelectrogenesis with the help of electroencephalogram (EEG), the state of brain ventricular system and intracranial pressure with the help of echo encephalogram (EchoEG) as well as cerebral haemodynamics using the method of transcranial Doppler ultrasonography (TCD).
Results. Complex examination which was carried out has allowed to conclude that 93.51 % of patients had primary tics, including classic Tourrete’s syndrome at 10.39 %, neurotic tics at 15.59 %, and at the overwhelming majority of 67.53 % there were pseudoneurotic or «neurosis-like» tics developing against prenosological premorbid procedural or residual lesions of different aetiology in cerebral structures, striatum system first of all, that were witnessed by considerable lesions in bioelectrogenesis, brain ventricular system and in a number of cases in cerebral haemodynamics that were detected during this research.
Conclusions. Recommended complex examination of all patients with tics, including EEG, the Echo EG and TCD will allow to optimize differential diagnostics and consequently therapy of the given contingent of patients.
Ключові слова: tic hyperkinetic disorders, clinical picture, electroencephalography, еchoencephalogram, tran<
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