Frequency of obsessive and compulsive symptoms in patients with blepharospasm and hemifacial spasm

Munhoz, R.P.; Teive, H.A.G.; DellaColletta, M.V.; Germiniani, F.M.B.; Iwamoto, F.M.; Camargo, Carlos Henrique Ferreira; Werneck, L.C.

doi:10.1590/s0004-282x2005000300037

Cited by 5 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As far as we know, this is the first study to evaluate the accuracy of the diagnosis at the first assessment and the time elapsed between the first evaluation and the use of the correct treatment. The general demographic data of the sample presented is consistent with previous HFS series 1,3,4,10,13 , although the mean age of symptoms onset was slightly higher than in another study in a Brazilian population 18 . Tan and cols 19 made a video evaluation among 209 family physicians showing 2 patients with HFS and inquiring about the correct diagnosis and treatment.…”

Section: Discussionsupporting

confidence: 88%

“…Most patients who received one, had a diagnosis of a functional movement disorder (psychogenic) which led to a significant delay in proper treatment. Even though psychiatric symptoms, such as obsessive and compulsive symptoms, have been described in a Brazillian series of HFS patients 13 , a psychogenic etiology was not found in any of our patients.…”

Section: Discussioncontrasting

confidence: 79%

“…Psychiatric disorders such as obsessive symptoms are also associated to HFS 13 . Treatment options vary from surgical with a microvascular decompression procedure to botulinum toxin (BoNT) injections, the last accepted as the first treatment option considering the potential risks of a neurosurgical treatment 1 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting

Martinez

Nunes

Immich

et al. 2014

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Primary hemifacial spasm (HFS) is characterized by irregular and involuntary contraction of the muscles innervated by the ipsilateral facial nerve. Treatment controls symptoms and improves quality of life (QoL). Objective : Evaluate the initial diagnosis and treatment of HFS prior to referral to a tertiary center. Method : We interviewed through a standard questionnaire 66 patients currently followed in our center. Results : Mean age: 64.19±11.6 years, mean age of symptoms onset: 51.9±12.5 years, male/female ratio of 1:3. None of the patients had a correct diagnosis in their primary care evaluation. Medication was prescribed to 56.8%. Mean time from symptom onset to botulinum toxin treatment: 4.34 ±7.1 years, with a 95% satisfaction. Thirty percent presented social embarrassment due to HFS. Conclusion : Despite its relatively straightforward diagnosis, all patients had an incorrect diagnosis and treatment on their first evaluation. HFS brings social impairment and the delay in adequate treatment negatively impacts QoL.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 79%

See 1 more Smart Citation

Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting

Martinez

Nunes

Immich

et al. 2014

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…Patients with blepharospasm had significantly increased OC symptoms compared with controls, as indicated by the Hamburg Obsession/Compulsion Inventory. Munhoz et al 47 found 3.3% comorbid OCD in 30 blepharospasm patients, which was not significantly increased compared with patients with hemifacial spasm (3 out of 30 (10%); p=0.61), or compared with the general population. Hall et al 46 investigated a large sample of patients with blepharospasm (n=159) compared with 91 controls.…”

Section: Resultsmentioning

confidence: 90%

Relationship between movement disorders and obsessive–compulsive disorder: beyond the obsessive–compulsive–tic phenotype. A systematic review

Fibbe

Cath

Heuvel

et al. 2012

J Neurol Neurosurg Psychiatry

View full text Add to dashboard Cite

Background Obsessiveecompulsive disorder (OCD) and symptoms (OC symptoms) are associated with tic disorders and share an aetiological relationship. The extent to which OCD/OC symptoms are correlated with other hyperkinetic movement disorders is unclear. The aim of this review was to investigate this co-occurrence and the extent to which OCD/OC symptoms and hyperkinetic movement disorders share a neurobiological basis. Methods A systematic review was performed, specifically searching for OCD/OC symptom comorbidity in hyperkinetic movement disorders using case control studies, longitudinal studies and family based studies. The literature search was conducted using PubMed and PsycINFO databases. Results Heterogeneity of measurement instruments to detect OCD diagnosis and OC symptoms decreased comparability between studies. The most convincing evidence for a relationship was found between the choreas (Huntington's disease and Sydenham's chorea) and OCD/OC symptoms. Furthermore, elevated frequencies of OC symptoms were found in small case control series of dystonias. Small family based studies in dystonia subtypes modestly suggest shared familial/ genetic relationships between OC symptoms and dystonia. Conclusion Current data indicate a relationship between OCD/OC symptoms and the choreas. As OCD and the choreas have been associated with dysfunctional frontalestriatal circuits, the observed relationships might converge at the level of dysfunctions of these circuits. However, paucity of longitudinal and family studies hampers strong conclusions on the nature of the relationship. Implications The relationship between OCD and movement disorders needs further elaboration using larger family based longitudinal studies and sound instruments to characterise OC symptomatology. This could lead to better understanding of the shared pathology between OCD and hyperkinetic movement disorders.

show abstract

“…Os estudos caso-controle empregaram como grupo controle indivíduos assintomáticos (Bihari et al, 1992a(Bihari et al, , 1992bHeiman et al, 2007;Liu et al, 1998) ou pacientes com síndromes neurológicas com apresentação fenotípica similar à da distonia focal em questão, mas sem o mesmo pressuposto substrato fisiopatológico, por exemplo, como no espasmo hemifacial (Broocks et al, 1998;Munhoz et al, 2005;Scheidt et al, 1996) e na dificuldade para escrever decorrente de neuropatia periférica (Kubota et al, 2001).…”

Section: Resultsunclassified

Distonia primária e transtorno obsessivo-compulsivo

Dias

Hounie

Corrêa³

et al. 2007

J. bras. psiquiatr.

View full text Add to dashboard Cite

Palavras-chavesDistonia primária, transtorno obsessivocompulsivo, núcleos da base. RESUMOObjetivo: Uma maior freqüência de transtorno obsessivo-compulsivo (TOC) em pacientes com distonia primária vem sendo relatada na literatura. O objetivo deste trabalho é revisar os estudos que investigaram a associação entre TOC e distonia primária. Métodos: Artigos que correlacionaram ambas as condições, incluindo estudos caso-controle, descritivos, relatos e série de casos, foram selecionados. As bases de dados avaliadas foram Medline e Lilacs. Resultados: Foram encontrados 12 artigos, sendo 8 estudos caso-controle e 4 séries ou relatos de casos. Metade dos estudos caso-controle observou mais sintomas obsessivo-compulsivos nos pacientes com distonia em relação a controles, enquanto a outra metade não. Conclusão: Os resultados são conflitantes, não sendo possível estabelecer uma conclusão definitiva acerca da associação entre distonia e TOC. ABSTRACT Objective: Patients with primary dystonia have been reported to have a major incidence of obsessive-compulsive disorder (OCD). The objective of the present work is to review the studies that

show abstract

Frequency of obsessive and compulsive symptoms in patients with blepharospasm and hemifacial spasm

Cited by 5 publications

References 0 publications

Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting

Misdiagnosis of hemifacial spasm is a frequent event in the primary care setting

Relationship between movement disorders and obsessive–compulsive disorder: beyond the obsessive–compulsive–tic phenotype. A systematic review

Distonia primária e transtorno obsessivo-compulsivo

Contact Info

Product

Resources

About