Tic disorder in children

Introduction Child tic disorder is a sporty or vocal muscle spasm that occurs mostly in childhood. It is mainly characterized by involuntary, stereotypical movements such as frequent blinking, making faces, shaking your head, shrugging, coughing, clearing, etc. . Because these symptoms of tic disorder have some similarities with a slight episode of epilepsy, the people know less about tic disorder, and when they see a child twitching, they mistakenly think it is a seizure. The treatment is not in the formal medical institutions, and the long-term misdiagnosis and mistreatment, resulting in great harm to the child's physical and mental health.

Cause

Constitutional factor

Some neuropsychiatric types of children are prone to this disease, such as nervousness, timidity, hyperactivity, emotional instability, sensitivity to people and stubbornness. Moreover, this disease is often accompanied by unexplained headache, abdominal pain and constipation, enuresis, etc. Therefore, it is speculated that childhood tic disorder is related to the physical factors of the child.

2. Mental factors

Some mental stimuli can induce the disease, such as excessive learning requirements, excessive blame, family disharmony, emotional neglect, or certain tensions in the environment. These factors can cause children to have ambivalence, and tics are The external manifestation of psychological conflicts. In addition, excessive restrictions on children's activities can also be the cause of the disease.

3. Habits and imitation

The tics of children's tics may be due to conditional escape reactions, such as blinking in the eyes, or mimicking the tics of others, forming a habit.

4. Other

Certain sudden illnesses, such as upper respiratory tract infections and minor damage to the brain, can also be a cause. Some people think that the disease is a transient bad habit in the development of children.

an examination

Mainly manifested as involuntary movements, the affected parts and duration vary from person to person. The most common is a sudden, short-lived, repetitive, rigid group of muscles or groups of muscles with small twitches, which are expressed as blinking, eyebrows, and fangs. Do grotesque, shrug, turn neck, nod, turn the body, shake the arm and other sports twitches, but also vocal stimuli like coughing, clearing, and so on. It usually worsens when the mood is tense, decreases when the concentration is concentrated, and disappears when you sleep. In a certain period of time, the same symptom is often used, and sometimes it can be converted into twitching of another group of muscles, that is, the variability of symptoms. Children are often accompanied by psychological problems such as hyperactivity, difficulty in concentration, and poor sleep.

Differential diagnosis

Tourettes and epilepsy are two completely different diseases. Epilepsy, commonly known as sheep epilepsy, is a chronic disease in which sudden abnormal discharge of brain neurons leads to transient brain dysfunction. Because of facial muscle twitching during epileptic seizures, it is a phenomenon that treats tic disorder as epilepsy.

The difference between the two is that epilepsy is caused by the inhibition of the cerebral cortex, a transient loss of consciousness, and the child cannot be correctly described after the recovery of consciousness, and more often at night. Tic disorder is a motor neurological problem. It is fine at night, and it will never stun or fall to the ground. Going to the hospital for EEG examination, the majority of children with tic disorder are normal, and children with epilepsy have EEG abnormalities. This is the key to diagnosing the difference.

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