Paediatric tic-like presentations during the COVID-19 pandemic.
adolescent health
child psychiatry
neurology
paediatric emergency medicine
psychology
Journal
Archives of disease in childhood
ISSN: 1468-2044
Titre abrégé: Arch Dis Child
Pays: England
ID NLM: 0372434
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
pubmed:
27
11
2021
medline:
3
3
2022
entrez:
26
11
2021
Statut:
ppublish
Résumé
Clinical centres have seen an increase in tic-like movements during the COVID-19 pandemic. A series of children and adolescents are described. A retrospective chart review of 34 consecutive paediatric patients presenting with sudden onset tic-like movements, seen over 6 months. 94% of patients were female, with an average age of sudden onset or increase of tic-like movements of 13.7 years. 44% had a previous diagnosis of tics, and 47% initially presented to an emergency department. Comorbid psychiatric and neurodevelopmental disorders were reported in 91% with 68% reporting anxiety. We highlight a dramatic presentation of sudden onset functional tic-like movements in predominantly female adolescents to help inform identification and management. There is need to research the neurobiological underpinnings and environmental exacerbating factors leading to these presentations and to explore effective therapeutic strategies.
Sections du résumé
BACKGROUND AND AIM
Clinical centres have seen an increase in tic-like movements during the COVID-19 pandemic. A series of children and adolescents are described.
METHODS
A retrospective chart review of 34 consecutive paediatric patients presenting with sudden onset tic-like movements, seen over 6 months.
RESULTS
94% of patients were female, with an average age of sudden onset or increase of tic-like movements of 13.7 years. 44% had a previous diagnosis of tics, and 47% initially presented to an emergency department. Comorbid psychiatric and neurodevelopmental disorders were reported in 91% with 68% reporting anxiety.
CONCLUSION
We highlight a dramatic presentation of sudden onset functional tic-like movements in predominantly female adolescents to help inform identification and management. There is need to research the neurobiological underpinnings and environmental exacerbating factors leading to these presentations and to explore effective therapeutic strategies.
Identifiants
pubmed: 34824091
pii: archdischild-2021-323002
doi: 10.1136/archdischild-2021-323002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e17Informations de copyright
© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.