Última revisão: 30 Out 2020
Última atualização: 08 Nov 2018

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • presença de fatores de risco
  • tiques observados
  • sensação premonitória
  • capacidade de suprimir os tiques
  • os sintomas podem melhorar em caso de distração
  • restante do exame neurológico normal

Outros fatores de diagnóstico

  • os sintomas pioram com estresse, ansiedade ou agitação
  • intensidade variável ao longo do tempo
  • sintomas de transtorno psiquiátrico comórbido

Fatores de risco

  • início com <18 anos de idade
  • sexo masculino
  • história familiar de tiques
  • história familiar de transtorno obsessivo-compulsivo (TOC), TDAH ou depressão
  • tabagismo materno pré-natal
  • história de TOC ou TDAH
  • história de transtorno do espectro autista (TEA)

Exames diagnósticos

Exames a serem considerados

  • ressonância nuclear magnética (RNM) cranioencefálica com e sem contraste
  • eletroencefalograma
  • análise do líquido cefalorraquidiano (punção lombar)
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

JHMACH & USF Maurice A. and Thelma P. Rothman Chair of Developmental Pediatrics

Director, Rothman Center for Neuropsychiatry

Vice-Chair, University of South Florida Pediatrics

Professor, Departments of Pediatrics and Psychiatry

University of South Florida

Johns Hopkins All Children’s Hospital

St. Petersburg

FL

Divulgações

TKM has received research grants from Auspex Pharmaceuticals, the National Institute of Mental Health, Shire Pharmaceuticals, Pfizer Inc., F. Hoffman-La Roche Ltd., AstraZeneca Pharmaceuticals, Centers for Disease Control and Prevention, Massachusetts General Hospital, Sunovion Pharmaceuticals, Neurocrine Bioscience, Psyadon Pharmaceuticals, and PANDAS Network. She is on the advisory board for the International Obsessive Compulsive Foundation. She is also an author of several references cited in this topic.

Forensic Psychiatry Fellowship, PGY-6

Rutgers Robert Wood Johnson Medical School

New Brunswick

NJ

Divulgações

FM declares that she has no competing interests.

Director

National Tourette Centre of Excellence at Northwell Health

Director

Movement Disorders Program in Psychiatry

Professor

Hofstra Northwell School of Medicine

Northwell Health

Manhasset

NY

Divulgações

CLB has received research funding from Otsuka, Psyadon, Auspex, Teva, Neurocrine, and Synchroneuron Pharmaceuticals. She is a consultant for Bracket and a paid speaker for the Centers for Disease Control and Prevention (CDC) - National Tourette Syndrome Association Partnership. She is an author of several references cited in this topic.

Dr Tanya K. Murphy, Dr Fatima Masumova, and Dr Cathy L. Budman would like to gratefully acknowledge Dr Amber Stocco, Dr Migvis Monduy, and Dr Bobbi Hopkins, previous contributors to this topic. AS, MM, and BH declare that they have no competing interests.

Colegas revisoresMOSTRAR TODOS

Chief

Division of Pediatric Neurology

University of Utah School of Medicine

Salt Lake City

UT

Divulgações

FF declares that he has no competing interests.

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