The Management of Tics

被引：53
作者：
Shprecher, David [1 ]
Kurlan, Roger [1 ]
机构：
[1] Univ Rochester, Sch Med & Dent, Dept Neurol, Rochester, NY 14620 USA
来源：
MOVEMENT DISORDERS | 2009年 / 24卷 / 01期
关键词：
Tourette's syndrome; tics; ADHD; OCD; DEEP BRAIN-STIMULATION; LA-TOURETTE-SYNDROME; TRANSCRANIAL MAGNETIC STIMULATION; DOPAMINE TRANSPORTER BINDING; DOUBLE-BLIND; BOTULINUM TOXIN; CLINICAL PRESENTATION; MOTOR CORTEX; TREAT TICS; CHILDREN;
D O I：
10.1002/mds.22378
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A tic is a stereotyped repetitive involuntary movement or sound, frequently preceded by premonitory sensations or Urges. Most tic disorders are genetic or idiopathic in nature, possibly due to a developmental failure of inhibitory function Within frontal-subcortical circuits modulating volitional movements. Currently available oral medications can reduce the severity of tics, but rarely eliminate them. Botulinum toxin injections can be effective if there are it few particularly disabling motor tics. Deep brain stimulation has been reported to be an effective treatment for the most severe cases, but remains unproven. A comprehensive evaluation accounting For secondary causes, psychosocial factors. and comorbid neuropsychiatric conditions is essential to successful treatment of tic disorders. (c) 2009 Movement Disorder Society
引用
收藏
页码：15 / 24
页数：10
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