Jurnal Ruth

8/13/2019 Jurnal Ruth

1/23

Literature

review

N e u r o l o g i c a l s o f t s i g n s i n f i r s t e p i s o d e p s y c h o s i s

p r e s e n t e d b y :

H e n d r i 0 4 - 1 1 8

M a n u e l m a y e r a r i o 0 6 - 1 6 7

S h a n d y w i l l i a m t u w a n o t a 0 7 - 0 0 !

" o n i p a n o # u s i m b o l o n 0 7 - 0 0 4

M e r i a n i i t a $ a r o l i n a 0 7 - 0 6 4

% & ' ( ) * + ) & + ) + ) m , 0 7 - 0 6

* o b e r t u s a r i s m a h a r y a d i 0 8 - 0 4 6

* u t h n a t a l i a 0 8 - 0 1

. r i n $ i a b u n # a r a n t e a l l o 0 8 - 0 !

/ a m e l a a $ t i n i n a s r i r u m a t a 0 8 - 0

e a s y r i 2 a 0 8 - 0 4


2/23


3/23

&)MS

To review studies that havespecifically investigated NSS asthe time of the first psychotic

episode


4/23

M9H

A review of studies investigatingneurological function in the first

episode psychosis, using a clinical

examination.


5/23

results

The patient with first episode psychosisshow an excess of NSS, particularly in the

areas of motor coordination andsequencing, sensory integration and in

developmental reflexes. urthermore,NSS may be associated with a specific

laterality pattern.


6/23

)S3SS)'Neurological sign in schizophrenia are concentrated in three main

domains!

Sensoryintegration

"otoriccoordination

"otorsequencing

#rimitivereflexes

&udio-visualinte#ration

9andem wal .ist-rin# test 5a2e

stereo#nosis *apid alternatin#movement

.ist-ed#e-palmtest

/almomental

5raphaestesia .in#er thumbopposition

s2eretsi test Snout

eti$ntion .in#er-nose test 5rasp

*i#ht-le;t$on;usion *hythm tappin#


7/23

is$ussionThere were $ studies from %$&$ to '((( using ) different neurologicalclinical examination!

%.Neurological *valuation Scale +uchanan-einrichs, %$&$/

'.0ondensed Neurological *xamination +1ossi et al, %$$(

2.Standard neurological examination

3.Neurological examination +adapted from 4uit5in et al, %$67/

).The Scottish Schizophrenia 1esearch 8roup, %$&6


8/23


9/23

/revalen$e o; 'SS in healthy $ontroluen$in# < in

sensory inte#ration and in developmental re;lees 9hese anomalies are ;ound parti$ularly in males

and in sub=e$ts with lower edu$ation< and possiblyin those with a more severe $lini$al pi$ture,


19/23

$on$lusion

9he presen$e o; neurolo#i$al abnormalities $annot be

eplained away as $onse>uen$es o; neurolepti$ use

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