最近审阅: 1 十一月 2020
最近更新: 08 十一月 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
  • 可见抽搐
  • 先兆感觉
  • 抑制抽搐的能力
  • 注意力分散能缓解症状
  • 其他神经系统检查正常

其他诊断因素

  • 压力、焦虑或兴奋时症状加重
  • 严重程度随着时间而变
  • 并发精神障碍的症状

危险因素

  • 发病时 < 18 岁
  • 男性
  • 抽动家族史
  • 强迫症 (OCD)、ADHD 或抑郁症家族史
  • 孕妇产前吸烟
  • OCD 或 ADHD 病史
  • 孤独症谱系障碍病史

诊断性检查

需考虑的检查

  • 脑部 MRI,注射或未注射造影剂
  • 脑电图检查
  • 脑脊液分析(腰椎穿刺)
更多 需考虑的检查

治疗流程

撰稿人

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

利益声明

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

利益声明

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

利益声明

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.

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Chief

Division of Pediatric Neurology

University of Utah School of Medicine

Salt Lake City

UT

利益声明

FF declares that he has no competing interests.

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