Acquired movement disorders in children can present a diagnostic dilemma. Chorea, dystonia, and atypical seizures must be distinguished from simple or complex tics. The combination of chronic motor and vocal tics, Tourette syndrome, may in some children be associated with thought and behavioral disorders, sleep disturbances, headaches, and school difficulties (e.g., attention deficit disorder). The increasing numbers of children recognized as having Tourette syndrome, its broadening clinical spectrum and frequent familial nature are detailed in this review.
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References
1.
Golden GS, Hood OJ, Tics and tremors. Ped Clin North Am1982;29:95.
2.
Shapiro AK, Shapiro ESTics, Tourette syndrome and other movement disorders: a pediatrician's guide . Bayside, NY, Tourette Syndrome Association, 1980.
3.
Golden GSTourette syndrome: the pediatric perspective. Am J Dis Child1977;131:531.
4.
Shapiro AK, Shapiro E.Tourette syndrome: history and present status. In Friedhoff AJ, Chase TN, eds. Gilles de la Tourette Syndrome. New York, Raven Press, 1982, pp 17-23.
5.
Diagnostic and Statistical Manual of Mental Disorders, ed. 3. American Psychiatric Association, Washington, DC, 1980.
6.
Caine, ED: Gilles de la Tourette's Syndrome. Arch Neurol1985;42:393.
7.
Friedhoff AJ, Chase TN, eds. Gilles de la Tourette Syndrome. New York, Raven Press, 1982.
8.
Erenberg G.Tourette syndrome and the diagnosis of seizures. In Gross M, ed: Pseudoepilepsy. The clinical aspects of false seizures. Lexington, 1983, Lexington Books, p 215.
9.
Bergen D., Tanner CM, Wilson R.The electroencephalogram in Tourette syndrome. Ann Neurol1982;11:382.
10.
Krumholz A. , Singer HS, Niedermeyer E., et al. Electrophysiological studies in Tourette's syndrome. Ann Neurol1983;14:638.
11.
Nee LE, Caine ED, Polinsky RJ, et al. Gilles de la Tourette syndrome: clinical and family study of 50 cases. Ann Neurol1980;7:41.
12.
Sleator, EKDeleterious effects of drugs used for hyperactivity on patients with Gilles de la Tourette syndrome. Clin Ped1980;19:453.
13.
O'Quinn AN, Thompson RJTourette's syndrome: An expanded view. Pediatrics1980;66:420.
