Essenzieller Tremor zwischen Klinefelter-Syndrom und Konflikt

Zusammenfassung

Eine mögliche Assoziation von Klinefelter-Syndrom und essenziellem Tremor legten wenige Kasuistiken nahe. Wir geben eine Übersicht über die Publikationen von Fallberichten zur Prävalenz des essenziellen Tremors bei Patienten mit Klinefelter-Syndrom, zu den tremorverstärkenden Faktoren und zur Substitutionsbehandlung mit Testosteron bei Klinefelter-Syndrom sowie zur Behandlung des Tremors durch Entspannungsverfahren und Biofeedback. Wir stellen den Fall eines Patienten mit essenziellem Tremor vor, der vergesellschaftet ist mit einem von dem Patienten verleugneten Klinefelter-Syndrom und einer Migräne. Eine stationäre psychosomatische Komplexbehandlung mit tiefenpsychologisch fundierter Psychotherapie half dem Patienten, die hinter den tremorverstärkenden Affekten stehende Psychodynamik zu erarbeiten und so mehr Akzeptanz für die Erkrankung und mehr Kontrolle über die Symptomatik zu erreichen, sodass es zu tremorfreien Intervallen von mehreren Stunden kam.

Summary

A possible association of essential tremor and Klinefelter syndrome has been discussed in a few case reports. We give an overview of publications of those case reports, a study about the prevalence of essential tremor in patients with Klinefelter syndrome, publications about factors that intensify the tremor and about the substitution with testosterone and the treatment of the tremor with relaxation techniques and biofeedback. We report the case of a patient with essential tremor that is associated with a Klinefelter syndrome denied by the patient and with migraine. A psychosomatic inpatient treatment with psychodynamic psychotherapy helped the patient to understand the psychodynamic behind the emotions which intensify the tremor and to obtain more control over and acceptance for the symptoms so that we finally observed tremor-free intervals of a few hours.

Schlüsselwörter

Essenzieller Tremor - Klinefelter-Syndrom - Migräne

Keywords

Essential tremor - Klinefelter syndrome - migraine

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