Title |
Clinical Pearls - how my patients taught me: The fainting lark symptom
|
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Published in |
Journal of Clinical Movement Disorders, November 2016
|
DOI | 10.1186/s40734-016-0045-8 |
Pubmed ID | |
Authors |
A. Kuiper, M.E. van Egmond, M.P.M. Harms, M.D. Oosterhoff, B. van Harten, D.A. Sival, T.J. de Koning, M.A.J. Tijssen |
Abstract |
Compulsive movements, complex tics and stereotypies are frequent, especially among patients with autism or psychomotor retardation. These movements can be difficult to characterize and can mimic other conditions like epileptic seizures or paroxysmal dystonia, particularly when abnormal breathing and cerebral hypoxia are induced. We describe an 18-year-old patient with Asperger syndrome who presented with attacks of tonic posturing of the trunk and neck. The attacks consisted of self-induced stereotypic stretching of the neck combined with a compulsive Valsalva-like maneuver. This induced cerebral hypoperfusion and subsequently dysautonomia and some involuntary movements of the arms. This patient suffered from a complex tic with compulsive respiratory stereotypies. His symptoms contain aspects of a phenomenon described in early literature as 'the fainting lark'. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 50% |
United Kingdom | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Scientists | 1 | 50% |
Members of the public | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 11 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 3 | 27% |
Student > Postgraduate | 2 | 18% |
Student > Bachelor | 1 | 9% |
Lecturer > Senior Lecturer | 1 | 9% |
Student > Ph. D. Student | 1 | 9% |
Other | 1 | 9% |
Unknown | 2 | 18% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 3 | 27% |
Neuroscience | 2 | 18% |
Nursing and Health Professions | 1 | 9% |
Psychology | 1 | 9% |
Biochemistry, Genetics and Molecular Biology | 1 | 9% |
Other | 0 | 0% |
Unknown | 3 | 27% |