最近审阅: 23 十月 2020
最近更新: 21 三月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 幼童时期发病
  • 异常动作
  • 发声
  • 前兆性感觉或“冲动”
  • 其他神经系统检查正常

其他诊断因素

  • 专注于其他任务时症状改善
  • 压力情况下病症会恶化
  • 仪式行为

危险因素

  • 男性
  • 年龄 3 岁至 8 岁
  • TS 或抽搐家族史
  • OCD 或 ADHD 病史
  • OCD 或 ADHD 家族史
  • 孕妇产前吸烟
  • 孕早期母体压力和严重恶心/呕吐
  • 低出生体重

诊断性检查

需考虑的检查

  • 脑部 MRI
  • 脑电图 (EEG)
  • 抽搐先兆冲动量表 (PUTS)
更多 需考虑的检查

治疗流程

撰稿人

Clinical Director

Associate Professor of Psychiatry and Behavioral Sciences

Department of Psychiatry and Behavioral Sciences

Division for Child and Adolescent Psychiatry

Johns Hopkins Medicine

Baltimore

MD

利益声明

MAG is a member of the Medical Advisory Board and has received grant support from Cornelia de Lange Syndrome Foundation. MAG has a contract with Palo Alto Health Sciences Inc. for a biofeedback device trial.

Dr Marco Grados would like to gratefully acknowledge Dr Blanca Garcia-Delgar, Dr Barbara J. Coffey, Dr Victoria Chang and Dr Steven Frucht, the previous contributors to this monograph.

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Specialised Registrar

Paediatric Neurology

Honorary Clinical Lecturer

Newcastle General Hospital

Newcastle-upon-Tyne

UK

利益声明

AB declares that she has no competing interests.

Professor of Neurology, Neurobiology, Anatomy and Pediatrics

Chief Child Neurology

University of Rochester

Rochester

NY

利益声明

JM is an author of a number of references cited in this monograph.

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