Co-occurrence of Body Dysmorphic Disorder and Tourette’ s Disorder: Three Patient Examples

Sverd, Jeffrey; Kerbeshian, Jacob; Montero, G.; Ferrante, Stephen; Donner, Marion

doi:10.1016/s0033-3182(97)71405-1

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…The same can be seen in the association of TS and the savant syndrome, where several cases have already been reported (e.g., Nelson & Pribor, 1993). In addition, several cases of body dysmorphic disorder have been reported (e.g., Sverd, Kerbeshian, Montero, Ferrante, & Donner, 1997).…”

Section: Treatment Issues Related To Neurobiological Extent Of Tssupporting

confidence: 60%

Neuropsychological Evaluation in the Diagnosis and Treatment of Tourette’s Syndrome

Osmon

Smerz

2005

Behav Modif

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The neurobiological basis of Tourette's syndrome is reviewed for the purpose of presenting a clinically relevant account of the neuropsychology of the disorder for the clinician who is behaviorally oriented. The neuropathology and neuropsychological deficits typically found in Tourette's are reviewed, and a neuropsychological test battery is described that can be used to help characterize the clinical presentation of the disorder. Although Tourette's syndrome is ultimately diagnosed by behavioral criteria, characterizing the cognitive deficits (or lack thereof) associated with the disorder is integral to fully appreciating the challenges posed by the disorder in any given case. The variety of cognitive deficits associated with Tourette's is reviewed to show the importance of the neuropsychological evaluation in differential diagnostic, therapeutic, and prognostic decisions.

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Section: Treatment Issues Related To Neurobiological Extent Of Tssupporting

confidence: 60%

Neuropsychological Evaluation in the Diagnosis and Treatment of Tourette’s Syndrome

Osmon

Smerz

2005

Behav Modif

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“…Finally, the link between AN and OCD through the symptom pattern of body dysmorphic disorder as a disturbance of body image is interesting (McElroy et al 1994;Rabe-Jablonska and Sobow 2000). A link between body dysmorphic disorder and TS is also noteworthy (Sverd et al 1997). Associations between AN and AD have also been reported (Gillberg 1983).…”

Section: Is Anorexia a Neuropsychiatric Developmental Disorder 651mentioning

confidence: 99%

“…By age 9, Barbara began to experience what was likely a precursor symptom to her OCD and her pAN, namely her being loathe to swallow her own saliva due to its being dirty, coupled with her concerns that her food was contaminated. At age 11, the spitting tic of her TS may in part have incorporated her sensations and concerns about swallowing her own saliva, and may have presaged the postprandial vomiting of her eating disorder through the intermediary of her vomiting also being a tic (van den Eynde, et al 2007). By age 11, her feeling queasy after eating may have been a sustained echo phenomenon of her TS after seeing her classmate vomiting and/or a triggering element of her OCD symptom of fear of germs and contamination of her food.…”

Section: Is Anorexia a Neuropsychiatric Developmental Disorder 651mentioning

confidence: 99%

Is anorexia nervosa a neuropsychiatric developmental disorder? An illustrative case report

Kerbeshian

Burd

2009

The World Journal of Biological Psychiatry

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We propose the concept that anorexia nervosa is a neuropsychiatric developmental disorder. In support of the concept we present a case report of a 12-year-old girl with high functioning autistic disorder who developed Tourette syndrome and obsessive-compulsive disorder. She subsequently experienced a distinct onset of partial anorexia nervosa characterized by fear of gaining weight, body image distortions, food preference idiosyncrasies including avoidance of fat, dietary restriction, a pursuit of thinness, episodic self-induced vomiting, the missing of her menstrual cycles, and a 10% decrement in expected weight for height. She fell short of the required 15% decrement in expected weight for height to qualify for the full syndrome. Our case presentation emphasizes the longitudinal commonalities and symptomatic overlap of her multiple comorbidities. We discuss treatment approaches typically used with individuals with neuropsychiatric developmental disorders which might benefit higher functioning individuals with eating disorders. We conclude with examples of a neuropsychiatric developmental approach to generate a research agenda for anorexia nervosa.

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“…Among them, a case of subacute sclerosing panencephalitis presenting as a schizophrenia-like state with BDD symptoms was reported. 34 In 1997, Sverd and colleagues, 35 published three cases of BDD and Tourette's syndrome. A variant of pediatric autoimmune neuropychiatric disorder associated with streptacoccal infections and BDD was also reported.…”

Section: Introductionmentioning

confidence: 99%

Neuroanatomical Correlates and Somatosensorial Disturbances in Body Dysmorphic Disorder

Yaryura-Tobias

Neziroglu²,

Torres-Gallegos³

2002

CNS spectr.

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Body dysmorphic disorder (BDD) is a condition characterized by an intense preoccupation with an imagined or slight defect in physical appearance. Although there is a general consensus that psychosocial factors play a major role in the development of BDD, there is some evidence suggesting that an organic somatosensorial disturbance may also exist in this condition. Several psychiatric and neurological disorders, including the interparietal syndrome, Gertsman's syndrome, inferoparietal syndrome, phantom limb syndrome, genital retraction syndrome, panencephalitis, cerebrovascular syndromes, and pharyngeal streptococcia affecting the basal ganglia, can present with somatosensorial disturbances similar to BDD. The cerebral pathology in all these disorders appears to be localized in the parietal-occipital region, indicating that cerebral involvement may also be associated with BDD. An interdependence exists between cerebral regions through integrated neural networks that enable efficient processing of information. Disturbances in these association pathways can lead to an imbalance in the extensive cerebral loops. Therefore, it is possible that a defect in information-processing may play a role in the pathogenesis of BDD.

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Co-occurrence of Body Dysmorphic Disorder and Tourette’ s Disorder: Three Patient Examples

Cited by 7 publications

References 11 publications

Neuropsychological Evaluation in the Diagnosis and Treatment of Tourette’s Syndrome

Neuropsychological Evaluation in the Diagnosis and Treatment of Tourette’s Syndrome

Is anorexia nervosa a neuropsychiatric developmental disorder? An illustrative case report

Neuroanatomical Correlates and Somatosensorial Disturbances in Body Dysmorphic Disorder

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