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Published on: May 27, 2021
Tourette syndrome in children.
Valsamma Eapen1, Tim Usherwood2
1MBBS, PhD, FRCPsych, FRANZCP, Chair, Infant Child and Adolescent Psychiatry, University of New South Wales, NSW; Head, Academic Unit of Child Psychiatry, South West Sydney (AUCS), NSW; Stream Director, Early Life Determinants of Health, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE), NSW; Director, Program 1, Co-operative Research Centre for Autism (CRC), Qld; Director, BestSTART-SW (Systems Transformation and Research Translation @ South West Sydney) Academic Unit, NSW.
Gilles de la Tourette syndrome (GTS) affects about 1% of school-aged children, often with ADHD and OCD. Comprehensive assessment and management, including education and behavioral therapies, are key for improving quality of life.
Area of Science:
- Neurology
- Child Psychiatry
Background:
- Gilles de la Tourette syndrome (GTS) is characterized by motor and vocal tics, affecting approximately 1% of school-aged children.
- Common comorbidities include attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD).
- Genetic factors are significant in GTS etiology, with family members often exhibiting tics or related disorders.
Purpose of the Study:
- To summarize current evidence for assessing and managing GTS in primary care settings.
- To provide guidance for healthcare professionals encountering GTS in pediatric populations.
Main Methods:
- Literature review of current evidence on GTS assessment and management.
- Synthesis of information relevant to primary care practice.
Main Results:
- Comprehensive assessment requires evaluating tics, associated features, and comorbidities.
- The impact of tics on quality of life for children and families can be substantial.
- Management strategies include education, behavioral interventions, and pharmacotherapy when necessary.
Conclusions:
- Effective management of GTS in primary care necessitates a holistic approach.
- Addressing tics, comorbidities, and psychosocial impacts is crucial for improving patient outcomes.
- Early and accurate assessment supports timely and appropriate intervention for children with GTS.
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