Tics

Introduction to tic disorder Tourette, also known as tics - Toureetes, is usually a syndrome characterized by multiple involuntary tics, language or behavioral disorders. Clinically short, rapid, sudden, degree Different involuntary movements begin with frequent blinking, eyebrows, nasal sniffing, and pouting. Zhang mouth, tongue extension, nodding, etc. are often characterized by sensation, cognition, communication, behavior and other obstacles and secondary skeletal muscle abnormalities, and may have seizures. This disease usually occurs between the ages of 3 and 15 years. Males are more likely than females. More, the ratio is (3-4): 1. basic knowledge The proportion of sickness: 0.2% Susceptible people: good for children between 3 and 15 years old Mode of infection: non-infectious Complications: ADHD Children with ADHD

Cause of tic disorder

Genetic factors (10%):

A family history of illness will increase the risk of morbidity, and the genetic pattern of tic disorder tends to be autosomal dominant, so boys have a higher prevalence than girls.

Infection factor (16%):

After mumps, rhinitis, various types of encephalitis, hepatitis, pharyngitis, tonsillitis, respiratory infections, chickenpox, severe colds, and other infections, especially streptococcal infections may cause severe tics.

Perinatal injury (15%):

Mothers who smoke or have high fever during pregnancy, or have difficulty in production, suffocation at birth, caesarean section, neonatal hyperbilirubinemia and other medical history have a higher incidence.

Mental factors (15%):

Sad, scared. Emotional excitement. Long-term anxiety is uneasy. Learning is overburdened, frightened, frightening novels, television and stimulating comic strips.

Family factor (10%):

Parents are nervous or divorced, often reprimanding or snoring children, being too disciplined in children, and having a bad family environment.

Drug-induced factors (10%):

Children take long-term central stimulants or antipsychotics. This is also one of the more serious factors of tic disorder.

Tourette prevention

Parents of children should actively cooperate with experts, and should not fight against children; do not focus on the children, especially not to watch the children when they are twitching, which will cause psychological pressure on the children, which is not conducive to The child recovered.

Traumatic complications Complications ADHD children with ADHD

Complications of tic disorder include: ADHD.

Some patients with tic disorder may have tic disorder with ADHD. In addition to limb twitching, facial twitching, and twitching, they also show inattention, distraction, hyperactivity, impulsivity, and decreased performance. These are tics. Symptoms are associated with ADHD.

The complication of tic disorder is obsessive-compulsive disorder.

Patients with tic disorder are often accompanied by obsessive-compulsive disorder. The tic disorder is mainly manifested in physical tics. Obsessive-compulsive disorder is mainly due to the inability to control one's own spirit and thus unable to control one's own behavior. The two may be expressed as: knowing what is wrong and not wanting to stop, I cant get rid of it, sometimes its very painful, and there will be self-harming behaviors, such as biting the tongue, biting my fingers, damaging the skin, disfiguring, etc., often leaving infections or scars, and even revealing the idea of not wanting to live. Be wary of this and prevent accidents. .

Complications of tic disorder also manifest as conduct disorders.

For the phenomenon of dysfunction complicated by conduct disorder, parents and relatives and friends of some patients with tic disorder can criticize the patient without knowing it, and even snoring can cause the behavior disorder of tic disorder patients, and the condition worsens. Childrens antisocial tendencies lead to unpredictable antisocial behavior.

Symptoms of tic disorder Common symptoms Nodding, slang, snoring, limb twitching, children with tic disorder, frequent blinking

The tic disorder experts said that children with tic disorder manifested as short-term, rapid, sudden, and varying degrees of involuntary movements, beginning with frequent blinking, eyebrows, nasal suction, mouth licking, mouth opening, tongue sticking, nodding, and neck twisting. As the disease progresses, the twitching gradually diversifies, and the rotation occurs such as shrugging, twisting the neck, shaking the head, kicking the leg, picking up the hands or pulsing the limbs. The symptoms are more obvious when the emotion is tense or anxious, and the symptoms disappear after falling asleep. There are many kinds of tics, there are explosive repetitive vocalizations, clear scorpions and snoring sounds, individual syllables, unclear words, improper accent or constant slang, irritability, arbitrariness and irritability. Often accompanied by inattention or decreased grades. In severe cases, movement and pronunciation affect learning and classroom order, and the symptoms of tic disorder are volatility, progressive, and chronic.

Clinical symptoms

Clinically, depending on performance, tic disorder is usually divided into exercise tics and vocal tics.

First, vocal tics: actually involves the pulsation of the respiratory muscles, pharyngeal muscles, laryngeal muscles, oral muscles, and nasal muscles. When the muscles in these parts contract and twitch, they will make a sound, such as ", , "Whether, it can also be expressed as clearing, coughing, nasal aspiration, spitting, and barking; complex vocal tics are composed of meaningful words, phrases, or sentences, which are inconsistent with the environment and involuntarily repeat meaningless words. Or swearing for no reason.

Second, exercise tics: refers to the head and face, neck and shoulders, trunk and limbs muscle involuntary, sudden, rapid contraction movement, the performance is blinking, squatting, licking, shrinking nose, stretching tongue, mouth opening, shaking head, nodding, stretching neck , shrug, chest and other actions.

Check for tic disorder

1, repeated multiple, meaningless facial, limbs and trunk twitching or clear voice; children with poor self-control ability, pay attention to concentration, learning difficulties; tongue sharp red, less moss or light stripping, pulse count; History of children with traumatic brain injury, history of production, whether there is premature labor, dystocia, caesarean section caused by cerebral hypoxia, ischemia or asphyxia.

2. Check whether there is a habitual dislocation of the cervical spine on the back of the child, and whether the tender point can be touched near the cervical vertebra.

3, exercise long-term test: check the self-control ability, children because of the lack of true yin, liver fire inflammation, internal heat is too strong and the attention is not concentrated, poor self-control ability.

4, turn the hand test: Let the child sit at the table, put both hands flat on the table, do the palm of the hand down first, the thumb down the table, and the other fingers close together. When you repeatedly turn your hand as quickly as possible, the action is clumsy and even tumbling; if you do not let the elbows swing when you turn your hand, the two little fingers are not close together and the posture is more clumsy.

Tick diagnosis and identification

Prone site

Tic disorder is the simultaneous or sequential twitching of multiple groups of muscles, but the prone areas are not the same. Some people in foreign countries have summarized the percentage distribution of twitching symptoms in more than 600 twitching patients as follows:

Simple twitching: simple facial twitching accounted for 93.1%.

The head and neck twitched 91%.

Upper extremity twitchers were 68.6%.

The lower extremity twitch was 40.7%.

The trunk twitch was 46.5%.

Simple pronunciation twitching 98.5%.

Complex sports twitchers were 68.5%.

The most affected part is the head and neck area.

Identification

The difference between tics-slang syndrome and children with ADHD:

Children with ADHD have a higher incidence than tics-slang syndrome, so people have a deeper understanding of ADHD. Because the names of the two are similar, they are easy to confuse. However, the causes and symptoms and signs of the two are different. They are two different diseases that must be distinguished.

Children with ADHD, also known as mild brain dysfunction syndrome, is a relatively common abnormal behavior in children. His intelligence is normal or basically normal, but there are defects in learning, behavior and temperament. Most children are prone to excitement, poor sleep, difficulty feeding, etc., age is getting older, activity is obviously increased, and movements are not coordinated. Fine movements such as needle insertion, button fastening, etc. are difficult, and attention is not concentrated. Emotion is easy to impulsive, lack of control ability; usually good to quarrel with people, easy to be excited; disobedient, unreasonable, rude, not avoiding danger;

The tics-slang syndrome is mainly caused by muscle twitching caused by mild dysfunction of the brain, and some children have hyperactive symptoms. However, children with ADHD have no tics, which is the key to the identification of the two.

clinical diagnosis

(1) Symptoms begin between 2 and 15 years of age.

(2) Frequent involuntary twitching of the eye muscles, facial muscles, limbs, and trunk muscles.

(3) Abnormal pronunciation of the throat and imitating language, imitating movements.

(4) The above symptoms appear alternately, with colds, diarrhea, nervousness or watching TV for too long, sometimes the symptoms may worsen, and the symptoms may be alleviated or disappeared after falling asleep.

(5) There are no abnormalities in the nervous system examination, and some symptoms can self-inhibit in a short time.

(6) Except for rheumatoid chorea (should be examined for erythrocyte sedimentation rate, anti-chain "O", C-reactive protein), hand-foot-knee disease, hepatolenticular degeneration (hepatic function should be examined, ceruloplasmin) and other similar diseases.

Tourettes are easily misdiagnosed:

1. The doctor is unfamiliar with the disease and is confused by a variety of symptoms. The dry cough caused by laryngeal muscle twitching is misdiagnosed as chronic pharyngitis and bronchitis; the blinking eye and frowning are misdiagnosed as conjunctivitis; the nasal movement is misdiagnosed as chronic rhinitis.

2. Parents disagree with the disease. It is rare to see a doctor because of blinking and shrugging. When I went to the hospital to see other diseases, when I was discovered by the doctor and asked about the situation, the parents did not cooperate with the answer. Many of the defendants said that "nothing is a little problem." After the doctor told the parents, the parents did not trust and opposed the visit, which delayed the diagnosis.

3. The patient has a certain ability to inhibit the symptoms. When the light patient intentionally covers up the tic symptoms, it is difficult for parents and doctors to detect.

4. Some doctors believe that tics - slang syndrome must have slang, but in fact only one third of patients have slang after several years of onset.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.