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Clinical assessment of tics
1Division of Nuclear Medicine, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. brasic@jhmi.edu
Psychological Reports
|December 4, 2001
Summary
Comprehensive clinical evaluation of tics involves diagnosing related movement disorders and behavioral issues. It also includes detailed descriptions and precise localization of tic symptoms for accurate assessment.
Area of Science:
- Neurology
- Clinical Psychiatry
Background:
- Tics are complex neurological disorders.
- Accurate diagnosis requires differentiating tics from other movement disorders and identifying associated behavioral conditions.
Purpose of the Study:
- To outline a comprehensive framework for the clinical evaluation of tics.
- To emphasize the importance of assessing both motor and behavioral aspects of tics.
Main Methods:
- Clinical assessment for differentiating tics from other dyskinesias (e.g., akathisia, myoclonus, stereotypies).
- Evaluation of frequent behavioral concomitants (e.g., attention deficits, compulsions, obsessions).
- Gathering detailed descriptions of movement parameters from multiple informants and precise topographical localization of tics.
Main Results:
- A structured approach to tic evaluation is crucial.
- Identifying associated psychopathologic manifestations is key to comprehensive care.
- Detailed patient and informant descriptions aid in understanding tic severity and impact.
Conclusions:
- Comprehensive tic evaluation necessitates a multi-faceted approach.
- Accurate diagnosis and management depend on detailed assessment of motor symptoms, behavioral comorbidities, and their precise localization.