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A Comprehensive Review of Tic Disorders in Children
Keisuke Ueda1, Kevin J Black1,2,3,4
1Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Insights
Tics are common childhood movement disorders that usually resolve within a year. However, persistent tics and associated neuropsychiatric conditions require understanding for effective patient care.
Area of Science:
- Neurology
- Child Psychiatry
Background:
- Tics are common childhood movement disorders characterized by sudden, rapid, recurrent, nonrhythmic movements or vocalizations.
- While often transient, persistent tics can cause significant social, emotional, and academic challenges.
- Tic disorders frequently co-occur with other neuropsychiatric conditions, which can be more impairing than the tics themselves.
Purpose of the Study:
- To provide a comprehensive overview of tics and tic disorders.
- To discuss recent findings on the history, definition, diagnosis, epidemiology, etiology, and pathophysiology of tic disorders.
- To highlight the importance of understanding comorbidities and differential diagnoses for appropriate patient management.
Main Methods:
- Literature review of existing studies on tics and tic disorders.
- Synthesis of current knowledge regarding clinical presentation, course, and associated conditions.
- Analysis of diagnostic criteria and treatment approaches.
Main Results:
- Tics are prevalent in childhood, with variable trajectories and potential for long-term impact.
- Comorbid neuropsychiatric symptoms are common and often exacerbate the challenges faced by individuals with tic disorders.
- Misconceptions about tic disorders persist, underscoring the need for increased awareness and accurate information.
Conclusions:
- A thorough understanding of tic disorders, their comorbidities, and differential diagnoses is crucial for effective clinical care.
- Further research is needed to fully elucidate the pathophysiology and optimize management strategies for tic disorders.
- Educating the public and healthcare professionals about tic disorders can reduce stigma and improve patient outcomes.
Abstract:
Tics are characterized by sudden, rapid, recurrent, nonrhythmic movement or vocalization, and are the most common movement disorders in children. Their onset is usually in childhood and tics often will diminish within one year. However, some of the tics can persist and cause various problems such as social embarrassment, physical discomfort, or emotional impairments, which could interfere with daily activities and school performance. Furthermore, tic disorders are frequently associated with comorbid neuropsychiatric symptoms, which can become more problematic than tic symptoms. Unfortunately, misunderstanding and misconceptions of tic disorders still exist among the general population. Understanding tic disorders and their comorbidities is important to deliver appropriate care to patients with tics. Several studies have been conducted to elucidate the clinical course, epidemiology, and pathophysiology of tics, but they are still not well understood. This article aims to provide an overview about tics and tic disorders, and recent findings on tic disorders including history, definition, diagnosis, epidemiology, etiology, diagnostic approach, comorbidities, treatment and management, and differential diagnosis.
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