Monday, March 10, 2008

Children tic disorder

Overview tic disorder is onset in children and adolescents, mainly manifested as involuntary, non-objective and repeated, and rapid location of one or more parts of muscles and movement Tic Tic audible and can act with the other symptoms, including inattention, hyperactivity, self-injury and forced barriers. Tic disorder still do not understand the causes, different course, such as the long-sustained, can be chronic nerve disorder. Cause pathogenesis l, genetic factors. 2, neurological and biochemical factors. 3, organic factors. 4, psycho-social factors. 5, and other factors. Clinical manifestations of clinical characteristics and different course of tic disorder is divided into the following categories : 1. transient tic disorder called Tourette syndrome : Children customary cramps, is the most common type. Mainly to a simple campaign tic, like winking, wrinkle volume, Yao Zhen, grin, and narrow nose, shaking his head, nodded his head, shrugging and other involuntary twitches; a few cases of simple vocal tic,'m volatility, or gas-hum noise. 2, audible or more joint campaign tic disorders : Tourette syndrome, or the so called Tourette's syndrome. This is a complex and diverse types of symptoms, serious type. TS clinical features of many parts and many types of sports firm, often from the eyes, face, Later, the progressive development of the limbs, as well as with multiple muscle spasm, can be in the form of simple movement like the blink of an eye twitch, crowded brow, eyeball rotation, so odd, Shengua, turn, shrugging, they are abdominal, such as inspiratory. Or the performance of complex campaigns firm, as was impulsive touch someone or surrounding objects and stimulate action, seven-walk roundabout, Squat, kneel down or recurring series of consecutive meaningless action. Most cases simultaneously or successively appeared audible firm, for the simple performance as vocal Qingsang, cough, nasal inspiratory sound, snort or bark, and so on. Recurrent audible as words or repeat words and silly tone, repeat the rigid use of offensive language. 3. Chronic movements or vocal tic disorder : more common in adults, it has the characteristics of tic disorder, But movement and vocal tic tic does not exist, but symptoms relatively unchanged over several years, or even a lifetime. 4. OTHER stereotypes tic disorder. Inspection, according to the history and clinical examination and meticulous direct observation tic symptoms and general behavior, right diagnosis plays an important role. Tic disorder in children before doctors could control tic short, easily overlooked and missed. Another issue because of the symptoms associated with the vulnerability of misdiagnosis, it is necessary to identify the major symptoms and minor symptoms to clear the nature of the disease. First against the treatment of Tourette's symptoms, medication use, clinical drug commonly used mainly as follows : (a) haloperidol. (2) - piperazine crowds. (3) Tiapride. (4) clonidine. Psychotherapy : tic disorder with varying degrees of severity, the children themselves, their families interference damage, Tourette's symptoms themselves are also a lot of psychological distress reasons. Therefore, in addition to medication should tie in psychological treatment, and to help their parents and teachers to understand children with symptoms of involuntary twitch characteristics and the nature and achieve their cooperation and support.

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