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Paediatric tic-like presentations during the COVID-19 pandemic
Sarah Buts1, Morvwen Duncan2, Tamsin Owen1
1Evelina London Children's Hospital Neurosciences Department, London, UK.
Archives of Disease in Childhood
|November 26, 2021
Summary
During the COVID-19 pandemic, clinical centers observed a rise in tic-like movements, particularly among adolescent females. This study details 34 pediatric cases, highlighting the need for further research into causes and treatments for these functional tic-like movements.
Area of Science:
- Neurology
- Psychiatry
- Pediatrics
Background:
- Observed increase in tic-like movements in pediatric patients during the COVID-19 pandemic.
- Focus on a series of children and adolescents presenting with these symptoms.
Purpose of the Study:
- To describe the characteristics of pediatric patients with sudden onset tic-like movements.
- To inform the identification and management of functional tic-like movements.
Main Methods:
- Retrospective chart review of 34 consecutive pediatric patients.
- Data collected over a 6-month period.
Main Results:
- 94% of patients were female, with an average age of 13.7 years at onset/increase of tics.
- 44% had prior tic diagnoses; 47% initially presented to the emergency department.
- High rates of comorbid psychiatric (91%) and neurodevelopmental disorders (68% anxiety).
Conclusions:
- Dramatic presentation of sudden onset functional tic-like movements in predominantly female adolescents.
- Need for research into neurobiological underpinnings and environmental factors.
- Exploration of effective therapeutic strategies is required.
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