Anesthetic management for cesarean delivery in a woman with Gilles de la Tourette’s syndrome

Şener, Elif Bengi; Kocamanoglu, Serhat; Üstün, E.; Tür, Ayla

doi:10.1016/j.ijoa.2005.07.004

Cited by 13 publications

(23 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In one case, a positive family history of disorders predisposing to TS was reported . In three cases, no family history was found, and in three cases the family history was not mentioned …”

Section: Resultsmentioning

confidence: 95%

“…In total, seven TS cases were identified in six studies . All the included studies were case reports or case series and involved patients living on three continents (Asia, Europe, and North America; Table ).…”

Section: Resultsmentioning

confidence: 99%

“…All the included studies were case reports or case series and involved patients living on three continents (Asia, Europe, and North America; Table ). The year of publication varied by 20 years, with two papers from 1986, one from 2002, one from 2003, one from 2005, and one from 2006 …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Tourette syndrome and procedures related to dental treatment: a systematic review

Hansen

Jacobsen

Simonsen

et al. 2014

Special Care in Dentistry

View full text Add to dashboard Cite

show abstract

“…In one case, a positive family history of disorders predisposing to TS was reported . In three cases, no family history was found, and in three cases the family history was not mentioned …”

Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Tourette syndrome and procedures related to dental treatment: a systematic review

Hansen

Jacobsen

Simonsen

et al. 2014

Special Care in Dentistry

View full text Add to dashboard Cite

show abstract

“…In practice this is unknown to the authors, although a case in this situation of general anaesthesia for caesarean delivery rather than regional techniques being used is reported. 9 Our patients were selected from a tertiary referral cohort and so would be expected to have greater than average severity. In fact two had only mild tics reflecting the great range seen.…”

Section: Discussionmentioning

confidence: 99%

Gilles de la Tourette syndrome in pregnancy: a retrospective series

2009

View full text Add to dashboard Cite

Summary: Tourette syndrome is a neuropsychiatric syndrome characterized by motor and vocal tics with further co-morbidities, e.g. obsessive -compulsive disorder and attention deficit hyperactivity disorder. There is only a single prior case report in pregnancy in addition to a postal questionnaire study including 10 pregnancies. In a series of 11 pregnancies in patients assessed by the authors, there were no adverse effects on the pregnancy, although some obstetricians were unduly concerned. There was no consistent effect on the severity of the tics, although in some women there seemed to be a significant improvement during pregnancy. Keywords: Tourette, pregnancy, ticsTourette syndrome (TS) is defined by multiple motor and one or more vocal tics, lasting longer than a year, usually with onset in childhood. Apart from the involuntary twitch-like movements and noises, patients may have echolalia (copying what other people say), coprolalia (inappropriate and involuntary use of swear words) and self-injurious behaviours. Also, the majority of individuals seeking medical attention have additional co-morbid disorders, including attention deficit hyperactivity disorder, obsessive-compulsive behaviours/disorder and depression. The prevalence of TS is now recognized to be around 1% in school children, but the range of severity is very wide. 1Tics are characteristically situational and fluctuate in severity over time. The prognosis is better than previously thought with many individuals improving substantially by the age of 18 years so that the media stereotype of an adult with very severe TS applies to a small proportion of patients. The tics are often treated with neuroleptics or clonidine and co-morbidities generally need to be treated in their own right.There are well-known examples of an effect of the pregnant state on neurological disorders: for instance improvement of preexisting migraine, 2 or reduced relapse frequency in women with multiple sclerosis (with an increase in relapses after delivery), 3 and issues relating to anticonvulsant metabolism and teratogenesis in pregnancy. 4 There is no clinical link between TS and these examples, but its behaviour during pregnancy may be of interest as sex hormones have been implicated in the expression of TS, albeit only speculatively. 5 The prevalence of TS is 2-4 times greater in boys than in girls. 6 There has been a case report of the successful use of pimozide in a pregnant woman with TS with a normal pregnancy outcome.7 A postal questionnaire survey of 1000 TS Association (in the USA) members yielded 349 respondents, of whom 74 were women with medically diagnosed TS. Of those, 47 were of reproductive age and 26% experienced a premenstrual increase in tics, which in some cases was predicted by an increase in tics at menarche, a time when for most patients TS symptoms often decline. Menopause was not associated with a change in tics. Ten women recorded having had a pregnancy, with nine saying that there was no effect on their tics. 6 We investigated our own cohort of ...

show abstract

“…Bu nedenle ajitasyon veya istemsiz hareketleri önlemek için öncelikli olarak genel anestezi tercih edilmesi daha uygun olabilir. Hastanin hareketi ve ajitasyonu sedasyon ile kontrol edilebiliyorsa ancak o zaman bölgesel anestezik teknikler düşünülebilir [6]. Dolayisi ile motor tiklerin kontrolü ve anksiyetenin azaltilmasina yönelik yaklaşimlar anestezi yönteminin belirlenmesinde önemli rol oynar.…”

Section: Olgu Sunumuunclassified

Anesthesic approach of the patient with Gilles De La Tourette syndrome and early postoperative delirium

Bayındır¹,

Koçyiğit²

2017

Pau Med J

View full text Add to dashboard Cite

Gilles de la Tourette Sendromu (GTS) motor ve vokal tiklerle karakterize kronik nöropsikiyatrik bir bozukluktur. Motor tiklerin kontrolü peroperatif dönemde cerrahi strese ve anksiyete bozukluğuna bağli olarak zorlaşabilir. Deliryum bilinç, algi, düşünce ve uyku-uyaniklik döngüsünü değiştiren, fonksiyonel ve kognitif kapasiteyi azaltan karmaşik nöropsikiyatrik bir bozukluktur. Genel anestezi sonrasi riskli hastalarda bilinç ve serebral fonksiyonlarda bozulma sonucu oluşabilir. Deliryumun tani ve tedavisi güç olmakla birlikte, tedavide en sik kullanilan ajanlardan birisi haloperidoldur. Postoperatif deliryum gelişen GTS hastasinin anestezik yaklaşimi ve başarili tedavisi sunulmuştur.

show abstract

Anesthetic management for cesarean delivery in a woman with Gilles de la Tourette’s syndrome

Cited by 13 publications

References 15 publications

Tourette syndrome and procedures related to dental treatment: a systematic review

Tourette syndrome and procedures related to dental treatment: a systematic review

Gilles de la Tourette syndrome in pregnancy: a retrospective series

Anesthesic approach of the patient with Gilles De La Tourette syndrome and early postoperative delirium

Contact Info

Product

Resources

About