ABSTRACT
Objective: A first-degree relative affected by obsessive-compulsive disorder (OCD) and obsessive-compulsive symptoms (OCS) in childhood is an important risk factor for developing the disorder in adulthood. The relationship between a family history of OCD and the presence of OCS and its correlates in childhood is not well established. Methods: A total of 66 children whose parents or siblings have been diagnosed with OCD were assessed for the presence of OCS and clinical correlates. Results: Three children (4.5%) were reported to have received an OCD diagnosis and another 26 (39.4%) were identified as having OCS. Children with OCS had higher rates of coercive behavior and came from families with lower socioeconomic status. Contamination/cleaning dimension symptoms in the proband were associated with OCS in the assessed children. Conclusion: OCS are frequent among family members of individuals with OCD and are associated with socioeconomic status, coercive behaviors and proband contamination/cleaning symptoms. Future longitudinal studies should test the risk of developing OCD in association with these characteristics.
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Family/psychology , Child of Impaired Parents/psychology , Obsessive-Compulsive Disorder/epidemiology , Parents/psychology , Socioeconomic Factors , Prevalence , Surveys and Questionnaires , Coercion , Age of Onset , Risk Assessment , Siblings/psychology , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/psychologyABSTRACT
O objetivo é relatar um caso de acidente vascular encefálico isquêmico provocado por dissecção não traumática da artéria carótida interna em uma paciente jovem. Dissecções espontâneas de carótida interna e de artéria vertebral ocasionam aproximadamente 25% dos acidentes vasculares encefálicos isquêmicos em indivíduos com idade inferior a 45 anos. Confirmou-se o diagnóstico dessa entidade com imagens de ressonância magnética e angiotomografia cerebral. Seu tratamento incluiu anticoagulantes, fonoterapia e fisioterapia. Com melhora clínica, recebeu alta para controle ambulatorial, orientada sobre os riscos de anticoncepcionais orais. Relatos de caso podem aumentar o índice desuspeita dessa condição pouco diagnosticada.
The objective of this work is to report a case of ischemic brain stroke due to non-traumatic dissection of the internal carotid artery in a young patient.Spontaneous dissections of the internal carotid and of the vertebral artery cause nearly 25% of all ischemic strokes in individuals younger than 45 years of age. Imaging studies obtained from magnetic resonance and angiotomography of the brain confirmed the diagnosis. Treatment involved anticoagulation drugs, phonotherapy and physiotherapy. Based on herclinical improvement, she was discharged from the hospital and is now receiving outpatient care and has been advised about the risks of oral contraceptives. Case reports may raise the suspicion index about thisunderdiagnosed condition.