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Severe Neurological Complications Associated With Tourette Syndrome
Affiliation:1. Division of Neurology, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee;2. Division of Neurology, Department of Pediatrics, Le Bonheur Children''s Hospital, Memphis, Tennessee;1. Department of Biomedical Engineering, Nanjing University of Aeronautics & Astronautics, Nanjing, Jiangsu 211106, China;2. Department of Radiology, Guangdong Province Traditional Chinese Medical Hospital, Guangzhou 510006, China;1. Florida Hospital Diagnostic Radiology Residency Program, Department of Radiology, University of Central Florida College of Medicine, Florida Hospital, Orlando, Florida;2. Department of Radiology, Florida Hospital, University of Central Florida College of Medicine, Florida State University School of Medicine, Orlando, Florida;1. Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, Trieste, Italy;2. Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
Abstract:BackgroundTics and Tourette syndrome are common problems evaluated by both the general pediatrician and pediatric neurologist. The common comorbidities of tics are well known, but the severe neurological complications are rare and may not be appreciated.MethodsThis is a retrospective case series and literature review.ResultsWe present here four adolescents with Tourette syndrome who had severe neurological complications secondary to motor tics. We provide the history, neurological examination, and radiological findings in addition to a review of previously reported cases of vascular and cervical cord complications associated with violent motor tics.ConclusionsWe highlight the importance of recognizing the presenting signs of these complications early and the need to vigorously treat violent motor tics to prevent significant neurological complications.
Keywords:Tourette syndrome  tics  motor tics  myelopathy
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