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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Detalhes bibliográficos
Autores: Caramelli, Paulo, Lima, Mauro Aranha de, Stip, Emmanuel, Bacheschi, Luiz Alberto
Formato: artículo
Estado:Versión publicada
Fecha de publicación:1996
País:Brasil
Recursos:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/2043
Acesso em linha:https://periodicosapm.emnuvens.com.br/spmj/article/view/2043
Access Level:acceso abierto
Palavra-chave:Obsessive-Compulsive Disorder
Neurological examination
Clomipramine
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spelling Neurological examination in obsessive-compulsive disorderObsessive-Compulsive DisorderNeurological examinationClomipramineRecent 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.Estudos recentes têm sugerido a existência de disfunção neurológica no Distúrbio Obsessivo-Compulsivo (DOC). O objetivo do presente estudo foi verificar o valor clinico do exame neurológico em pacientes com esta patologia. Quinze pacientes com diagnóstico de DOC (cinco dos quais em uso de clomipramina) e 15 controles foram submetidos a exame neurológico detalhado, incluindo avaliação de sinais neurológicos leves. Onze pacientes (73,3%) e quatro controles (26.7%) apresentaram anormalidades ao exame. No grupo de pacientes, as alterações principais foram reflexo palmomentoniano (seis casos), movimentos em espelho (cinco casos), agrafestesia e disdiadococinesia (três casos). Dos quatro pacientes com exame neurológico normal, três estavam em uso de clomipramine. Entre os controles, o achado principal foi o reflexo palmomentoniano. Estes resultados, mesmo que preliminares, reforçam o interesse e a utilidade de se realizar exame neurológico detalhado no DOC.São Paulo Medical JournalSão Paulo Medical Journal1996-09-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicosapm.emnuvens.com.br/spmj/article/view/2043São Paulo Medical Journal; Vol. 114 No. 5 (1996); 1255-1258São Paulo Medical Journal; v. 114 n. 5 (1996); 1255-12581806-9460reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APMenghttps://periodicosapm.emnuvens.com.br/spmj/article/view/2043/1941https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCaramelli, PauloLima, Mauro Aranha deStip, EmmanuelBacheschi, Luiz Alberto2023-09-21T13:02:57Zoai:ojs.diagnosticoetratamento.emnuvens.com.br:article/2043Revistahttp://www.scielo.br/spmjPUBhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2023-09-21T13:02:57São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Neurological examination in obsessive-compulsive disorder
title Neurological examination in obsessive-compulsive disorder
spellingShingle Neurological examination in obsessive-compulsive disorder
Caramelli, Paulo
Obsessive-Compulsive Disorder
Neurological examination
Clomipramine
title_short Neurological examination in obsessive-compulsive disorder
title_full Neurological examination in obsessive-compulsive disorder
title_fullStr Neurological examination in obsessive-compulsive disorder
title_full_unstemmed Neurological examination in obsessive-compulsive disorder
title_sort Neurological examination in obsessive-compulsive disorder
dc.creator.none.fl_str_mv Caramelli, Paulo
Lima, Mauro Aranha de
Stip, Emmanuel
Bacheschi, Luiz Alberto
author Caramelli, Paulo
author_facet Caramelli, Paulo
Lima, Mauro Aranha de
Stip, Emmanuel
Bacheschi, Luiz Alberto
author_role author
author2 Lima, Mauro Aranha de
Stip, Emmanuel
Bacheschi, Luiz Alberto
author2_role author
author
author
dc.subject.por.fl_str_mv Obsessive-Compulsive Disorder
Neurological examination
Clomipramine
topic Obsessive-Compulsive Disorder
Neurological examination
Clomipramine
description 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.
publishDate 1996
dc.date.none.fl_str_mv 1996-09-09
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/2043
url https://periodicosapm.emnuvens.com.br/spmj/article/view/2043
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/2043/1941
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
dc.source.none.fl_str_mv São Paulo Medical Journal; Vol. 114 No. 5 (1996); 1255-1258
São Paulo Medical Journal; v. 114 n. 5 (1996); 1255-1258
1806-9460
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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