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The management of tics.

David Shprecher1, Roger Kurlan

  • 1Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14620, USA.

Movement Disorders : Official Journal of the Movement Disorder Society
|January 27, 2009
PubMed
Summary
This summary is machine-generated.

Tic disorders involve involuntary movements or sounds, often genetic. While medications help, comprehensive evaluation and treatments like botulinum toxin or deep brain stimulation are key for managing these complex neurological conditions.

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Area of Science:

  • Neurology
  • Neuroscience
  • Movement Disorders

Background:

  • Tics are involuntary, repetitive movements or sounds.
  • Tic disorders are often genetic or idiopathic, linked to frontal-subcortical circuit dysfunction.
  • Current treatments offer limited efficacy, rarely eliminating tics.

Purpose of the Study:

  • To summarize the current understanding of tic disorders.
  • To outline available and emerging treatment options.
  • To emphasize the importance of comprehensive patient evaluation.

Main Methods:

  • Review of existing literature on tic disorders.
  • Analysis of current pharmacological and interventional treatments.
  • Discussion of diagnostic considerations including secondary causes and comorbidities.

Main Results:

  • Oral medications can reduce tic severity but seldom eliminate them.
  • Botulinum toxin is effective for specific disabling motor tics.
  • Deep brain stimulation shows potential for severe cases but requires further validation.

Conclusions:

  • Comprehensive evaluation is crucial for effective tic disorder management.
  • A multidisciplinary approach is necessary, considering neurological, psychosocial, and comorbid factors.
  • Further research is needed to establish definitive treatments for severe tic disorders.