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Kabakulak Meningoensefaliti Sonrası Gelişen Tourette Sendromu: Bir Olgu Sunumu

Tourette Syndrome after Mumps Meningoencephalitis: A Case Report

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Abstract (2. Language): 
Tourette syndrome (TS) is a neuropsychiatric disorder with an onset in childhood, characterized by sudden, rapid, repetitive, unvoluntary motor-vocal tics. Its known that immunologic, genetic, epigenetic, hormonal and environmental factors may play a role in the etiology of Tourette syndrome. In recent years, it has been reported that some infectious agents such as A group B hemolitic streptococcus, herpes simplex virus, varisella zoster virus, HIV, borrelia burgdorferi may also cause tics. Case: In this case report, we present a twelve year old boy who has motor and vocal tics appeared after forty days following a mump infection. Results: This case report is important because it describes the second patient with mumps-associated TS and significant improvement with aripiprazol treatment. Secondary TS may contribute to the better understanding of this developmental neuropsychiatric disorder in
Abstract (Original Language): 
Tourette sendromu (TS) ani, hızlı, istemsiz ve yineleyici motor-vokal tiklerle karakterize çocukluk çağı başlangıçlı nöropsikiyatrik bir bozukluk olup; etiyolojisinde immünolojik, genetik, epigenetik, hormonal ve çevresel faktörlerin rol oynayabileceği bilinmektedir. Son yıllarda A grubu B hemolitik streptekok, herpes simplex virus, varisella zoster virus, HIV, borrelia burddorferi gibi enfeksiyöz ajanlarla geçirilen enfeksiyonlardan sonra SSS tutulumuna bağlı olarak da tiklerin ortaya çıktığı ya da alevlendiği bildirilmektedir. Olgu: Bu olgu sunumunda kabakulak enfeksiyonundan yaklaşık 40 gün sonra ortaya çıkan, 2 yıldır motor ve vokal tikleri olan 12 yaşında bir erkek hastadan söz edilecektir. Sonuç: Bildirilen kabakulak sonrasında tikler gelişen ikinci olgu olması ve aripiprazol tedavisinden fayda görmesi nedeniyle bu olgu önemlidir. İkincil TS belirtileri bu önemli gelişimsel nöropsikiyatrik bozukluğu daha iyi anlamamıza katkı sağlayabilir.
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