Neurological examination in obsessive-compulsive disorder

Recent studies suggest the occurrence of a neurological dysfunction in Obsessive-Compulsive Disorder (OCD). The purpose of the present study was to verify the clinical value of a neurological evaluation in patients with the disease. We submitted 15 patients with OCD (five of whom were under clomipra...

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Detalles Bibliográficos
Autores: Caramelli, Paulo, Lima, Mauro Aranha de, Stip, Emmanuel, Bacheschi, Luiz Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:1996
País:Brasil
Institución:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/2043
Acceso en línea:https://periodicosapm.emnuvens.com.br/spmj/article/view/2043
Access Level:acceso abierto
Palabra clave:Obsessive-Compulsive Disorder
Neurological examination
Clomipramine
Descripción
Sumario:Recent studies suggest the occurrence of a neurological dysfunction in Obsessive-Compulsive Disorder (OCD). The purpose of the present study was to verify the clinical value of a neurological evaluation in patients with the disease. We submitted 15 patients with OCD (five of whom were under clomipramine) and 15 controls in a detailed neurological examination, including assessment of the neurological soft-signs. Eleven patients (73.3 percent) and four controls (26.7 percent) presented abnormalities on examination. The main findings among the patients were: palmomental reflex (six cases); mirror movements (five cases); agraphestesia and dysdiadochokinesia (three cases). Three out of the four patients who had a normal examination were on clomipramine. Palmomental reflex was the main finding among the controls. These results, although preliminary, stress the interest and usefulness of performing a detailed neurological examination in OCD.