Tics and Tourette’s syndrome

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Abstract

Tics and Tourette’s syndrome are common hyperkinetic movement disorders seen mostly in the pediatric age group. Tics are defined as sudden, rapid, recurrent, nonrhythmic motor movements or vocalization, generally preceded by urge. Tourette’s syndrome is defined as the presence of both motor and phonic tics for more than 1 year in patients with onset less than 18 years old. Most of these hyperkinetic movement disorders improve in adulthood. This review emphasizes the clinical pearls in the diagnosis and distinguishing it from other movement disorders. The treatment ranges from behavioral therapies, medical management, and also surgical treatment such as deep brain stimulation that is limited to refractory patients.

Keywords: tics, Tourette Syndrome, hyperkinetic movement disorders, movement disorders.

Citation: Mittal SO. Tics and Tourette’s syndrome. Drugs in Context 2020; 9: 2019-12-2. DOI: 10.7573/dic.2019-12-2

Contributions: The author meets the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, takes responsibility for the integrity of the work as a whole, and has given their approval for this version to be published.

Disclosure and potential conflicts of interest: The author declares that they have no conflicts of interest relevant to this manuscript. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors is available for download at: https://www.drugsincontext.com/wp-content/uploads/2020/03/dic.2019-12-2-COI.pdf

Acknowledgments: None.

Funding declaration: There was no funding associated with the preparation of this article.

Copyright: Copyright © 2020 Mittal SO. https://doi.org/10.7573/dic.2019-12-2. Published by Drugs in Context under Creative Commons License Deed CC BY NC ND 4.0 which allows anyone to copy, distribute, and transmit the article provided it is properly attributed in the manner specified below. No commercial use without permission.

Correct attribution: Copyright © 2020 Mittal SO. Published by Drugs in Context under Creative Commons License Deed CC BY NC ND 4.0.

Article URL: https://www.drugsincontext.com/tics-and-tourette’s-syndrome/

Correspondence: Shivam Om Mittal, MD, Section Head, Parkinson’s Disease & Movement Disorders Division, Neurological Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE. Neurology.Mittal@gmail.com

Provenance: invited; externally peer reviewed.

Submitted: 22 December 2019; Peer review comments to author: 5 February 2020; Revised manuscript received: 6 March 2020; Accepted: 9 March 2020; Publication date: 30 March 2020.

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