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Comportamientos funcionales como garrapatas en jóvenes con disforia de género: una serie de casos
Christopher Paul Manbeck1, Debopam Samanta1
1Division of Child Neurology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Pediatric neurology
|February 10, 2026
Resumen
Los comportamientos funcionales similares a los tics (FTLB) en adolescentes con disforia de género a menudo se presentan con síntomas motores y vocales complejos. La atención integrada de salud mental condujo a la resolución completa de los FTLB y mejoró la estabilidad psiquiátrica en esta serie de casos.
Área de la Ciencia:
- Neurología Neurología.
- La psiquiatría es la psiquiatría.
- Medicina de la Adolescencia y la Adolescencia
Sus antecedentes:
- Los comportamientos funcionales similares a los tics (FTLB) son distintos del síndrome de Tourette, que se caracteriza por un inicio abrupto y fenómenos complejos.
- Se produjo un aumento en los FTLB durante la pandemia de COVID-19, particularmente en adolescentes asignados femeninos al nacer y en aquellos con disforia de género.
- Existen datos limitados sobre las FTLB en adolescentes con disforia de género coexistente.
Objetivo del estudio:
- Describir las características clínicas, comorbilidades, tratamientos y resultados de los adolescentes con FTLB y disforia de género.
- Para resaltar la intersección de los FTLB y la disforia de género en una población pediátrica.
Principales métodos:
- Revisión retrospectiva de pacientes menores de 18 años con comportamientos complejos similares a los tics de aparición repentina y disforia de género.
- Los datos recopilados incluyeron datos demográficos, fenomenología, comorbilidades, tratamientos y resultados.
- Estudio realizado en los Centros de Excelencia Tourette entre enero de 2022 y diciembre de 2023.
Principales resultados:
- Nueve pacientes (edad media de 15) cumplieron con los criterios; 89% fueron asignadas a mujeres al nacer, todas Blancas/Caucásicas.
- La fenomenología de FTLB incluyó comportamientos motores y vocales dependientes del contexto con fluctuación de síntomas.
- Se observó comorbilidad psiquiátrica universal (ansiedad, depresión, TDAH, ideación suicida); todos los pacientes lograron una resolución completa o casi completa de FTLB con el tratamiento.
Conclusiones:
- Las FTLB y la disforia de género en adolescentes presentan una intersección clínica única.
- La atención multidisciplinaria e integrada de salud mental es crucial para esta población.
- El reconocimiento temprano y el tratamiento psiquiátrico integral están vinculados a resultados favorables a largo plazo.
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