Movement Disorders (revue)

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The management of tics

Identifieur interne : 002882 ( Main/Merge ); précédent : 002881; suivant : 002883

The management of tics

Auteurs : David Shprecher [États-Unis] ; Roger Kurlan [États-Unis]

Source :

RBID : ISTEX:3E972DED523195D9FB6BCAD9969063A146640CD2

English descriptors

Abstract

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 a 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. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22378

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ISTEX:3E972DED523195D9FB6BCAD9969063A146640CD2

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