One Case Report of Chronic Motor Tic Disorder Patient with Extreme Headache and Insomnia.

극심한 두통과 불면을 호소하는 만성 운동 틱 장애 환자1례 보고

  • Kim, Ja-Young (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Kang, Hyun-Sun (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Lee, Jin-Hwan (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Sung, Woo-Yong (Dept. of Oriental Neuropsychiatry, National Medical Center) ;
  • Jeong, Da-Un (Dept. of Korean Acupuncture and Moxibustion, National Medical Center)
  • 김자영 (국립의료원 한방신경정신과) ;
  • 강현선 (국립의료원 한방신경정신과) ;
  • 이진환 (국립의료원 한방신경정신과) ;
  • 성우용 (국립의료원 한방신경정신과) ;
  • 정다운 (국립의료원 침구과)
  • Published : 2008.11.30

Abstract

Tics are sudden, painless, nonrhythmic behaviors that are either motor or vocal. As to DSM- VI diagnostic criteria, chronic tic disorder is either single or multiple motor or phonic tics, but not both, which are present for more than a year. In this case, a male patient was diagnosed tics disorder at 8 years old. He has suffered for 15 years and his symptom was simple motor tics of neck, both arms and both legs, not vocal tics. So we diagnosed him as the chronic tic disorder. The severity score headache was assessed using the Visual Analog Scales. The severity score tics was assessed at baseline using the Yale Global Tic Severity Scale (YGTSS) and we compared score of before with after treatment. We treated him with oriental medication( herbal medicine, acupuncture, cry cupping) and progressive muscle relaxation. After this treatment, chronic insomnia and extreme headache were disappeard and the symptoms of tics were mildly decreased.

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