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Tourette syndrome in children: An update
Kallol K Set1, Jacqueline N Warner2
1Pediatric Neurologist, Dayton Children's Hospital, Clinical Assistant Professor, Pediatrics, Boonshoft School of Medicine, Wright State University, One Children's Plaza, Dayton, Ohio, 45404-1815, USA.
Tourette syndrome (TS) is a neurological disorder causing significant challenges. Management focuses on behavioral therapies, psychoeducation, and emerging treatments for tics and associated conditions.
Area of Science:
- Neurology
- Neuroscience
- Genetics
Background:
- Tourette syndrome (TS) presents with tics and frequently co-occurs with other neuropsychological conditions.
- These conditions lead to academic, social, emotional, physical, and functional impairments.
Purpose of the Study:
- To offer clinicians updated insights into Tourette syndrome (TS).
- This review covers phenomenology, epidemiology, comorbidities, pathophysiology, and management of tics and TS.
Main Methods:
- Literature review of recent findings on Tourette syndrome (TS).
- Synthesis of information on genetic and environmental factors.
- Overview of current and investigational treatment strategies.
Main Results:
- Emerging evidence suggests TS results from combined genetic and environmental influences.
- The cortical-basal ganglia-thalamocortical circuit and neurotransmitter systems are implicated.
- Behavioral therapy and psychoeducation are primary management strategies.
Conclusions:
- First-line TS management involves psychoeducation and behavioral therapy.
- Advancements in non-pharmacological tic treatments are expanding access.
- Pharmacotherapy and novel agents are under investigation for severe cases.
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