Causes Repeated Movements Or Speech?
Good afternoon, I have a 10 year old sister. At the end of 2017, my sister began to undergo treatment with a neurologist at a local hospital. The initial suspicion is epilepsy. Then do a blood check and eeg. When asked about the results, the doctor could not provide certainty about what illness was suffered by my sister. My sister often blinked out of control, her eyelids seemed to throb many times, so her eyes could not open perfectly. This frequent blink of an eye is accompanied by an itch on the head. Occasionally also followed lip movements such as chewing, biting the tongue or singing. When my younger brother was in this condition, he could not respond to anything, he even repeated his words many times, like … “Sis, yesterday, sister, Mega asked … (silent)” A few moments later repeated, “Sis, yesterday, sister mega … “Seizures also often occur when my sister experiences the above conditions. If his eyes won’t stop blinking normally due to fatigue, my sister will have a seizure at night. Two weeks ago my sister dropped. Seizures up to more than 5 times overnight. When taken to the hospital, and the lab results were in hand, the doctor said that everything was normal. I and my family were confused about what to do. Should my sister undergo therapy? Treatment from doctors continues to run until now, the medicines given are not far from piracetam and luminal. Is continuing this treatment the best way? Yesterday I read an article about tourette syndrome, is it possible with conditions like this that my sister had tourette syndrome? If not, what are the possibilities that my sister is experiencing? Is this condition dangerous? Thank you. Greetings 🙏🏻
Hello, Thank you for the question.
Tourette's syndrome is a disorder of the nervous system that is characterized by symptoms in the form of the appearance of movements or speech sounds that are repeated, typical, and uncontrolled, or known as tic. There are two types of tics, namely:
tic motor, which is a repetitive and uncontrolled movement such as flashing, nodding, moving the mouth, kissing an object, imitating the motion of an object, jumping. bent down
vocal tic, which makes repeated sayings or suras such as clearing throat, coughing, barking, repeating one's own words or others
On the other hand, some of the causes of seizures are:
epilepsy: In one study, people with Tourette's syndrome had a higher risk of having epilepsy
impaired heart, liver or kidney function
To ascertain the cause of your sister's complaint, of course, further examination by a doctor is needed. Discuss with family to bring your sister to consult with other neurologists to ask for a second opinion. Don't forget to bring all the results of the examination that has been done before. The doctor needs to ask about your sister's complaints and examine your sister. The doctor may perform a repeat examination or other tests such as blood tests, lumbar puncture, EEG, CT scan, MRI. Further treatment will be determined after ascertaining the cause. Discuss with your neurologist about the possibility of your sister experiencing Tourette's syndrome. In the meantime, please continue the treatment recommended by the doctor.
I hope this helps.