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[Attention deficit/hyperactivity disorder (ADHD) and Tourette disorder (TD): between comorbidity and differential
Germán Casas1,2, Carolina García Santana1, Damaris Cote Martínez1
1Universidad de Los Andes, Facultad de Medicina, Colombia.
Insights
Tourette Disorder (TD) and Attention Deficit Hyperactivity Disorder (ADHD) share neurobiological links, necessitating early diagnosis and intervention. This review offers pediatricians an algorithm for differentiating and treating these common childhood neurodevelopmental disorders.
Area of Science:
- Neuropsychiatry
- Developmental Neuroscience
- Pediatrics
Context:
- Tourette Disorder (TD) and Attention Deficit Hyperactivity Disorder (ADHD) are prevalent pediatric neuropsychiatric conditions often presenting with overlapping symptoms.
- Pediatricians frequently face diagnostic challenges in differentiating TD and ADHD, impacting timely treatment decisions.
Purpose:
- To provide pediatricians with updated epidemiological, bimolecular, and neuroanatomic findings on the shared underpinnings of TD and ADHD.
- To introduce a novel diagnostic algorithm to aid clinicians in managing patients with comorbid or overlapping symptoms of TD and ADHD.
Summary:
- This revision synthesizes current research on the shared neurobiological and epidemiological factors of TD and ADHD.
- It presents a practical algorithm designed to assist clinicians in the differential diagnosis and treatment initiation for pediatric patients presenting with symptoms of both disorders.
Impact:
- Facilitates earlier and more accurate diagnosis of TD and ADHD in children.
- Supports timely intervention, potentially improving long-term outcomes and quality of life for affected individuals.
- Empowers pediatricians with evidence-based tools for managing complex pediatric neurodevelopmental conditions.
Abstract:
Tourette Disorder (TD) and attention deficit hyperactivity disorder (ADHD) are both major neuropsychiatric conditions that usually begin during infancy This revision aims to collaborate with pediatricians, who are often confronted with the question of co-morbidity or differential diagnosis between ADHD and TD. The question becomes urgent when the clinician must decide if he/she can start ADHD or TD treatment. We encourage our colleagues to revise our findings, based in bimolecular and neuroanatomic shared issues in addition to updated epidemiological findings. The clinician will find an original proposed algorithm that they can use when the shared symptoms are present in a little patient. TD and ADHD must be intervened early, so we can get better outcomes. The consequences of letting the symptoms increase can generate sequels and handicaps, that can interfere with the quality of life and functionality not only during infancy and adolescence but also in adult life.
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