Sandbox/Persistent (chronic) Motor or Vocal Tic Disorder: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
*Abnormal movements that may accompany other medical conditions and stereotypic movement disorder
*Abnormal movements that may accompany other medical conditions and [[stereotypic movement disorder]]
:*Repetitive hand waving/rotating,arm flapping
:*Repetitive hand waving/rotating,arm flapping
:*Finger wiggling
:*Finger wiggling
*[[Myoclonus]]
*[[Myoclonus]]
*[[Obsessive compulsive disorder|Obsessive-compulsive and related disorders]]
*[[Obsessive compulsive disorder|Obsessive-compulsive and related disorders]]
*Substance-induced and paroxysmal [[dyskinesias]]
*Substance-induced and paroxysmal dyskinesias
:*Choreoathetoid movements
:*Choreoathetoid movements
:*[[Dystonic movement]]<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
:*Dystonic movement<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
 
 


==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 13:27, 10 November 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]


Diagnostic Criteria

DSM-V Diagnostic Criteria for [1]

“
  • A.Single or multiple motor or vocal tics have been present during the illness, but not both motor and vocal.

AND

  • B.The tics may wax and wane in frequency but have persisted for more than 1 year since first tic onset.

AND

  • C.Onset is before age 18 years.

AND

AND

  • E.Criteria have never been met for Tourette’s disorder.

Specify if:

  • With motor tics only
  • With vocal tics only


 ”

Natural History,Prognosis and Complications

Prognosis

  • Good prognostic factors include:[1]
  • Focused activities
  • Calm
  • Engaged in schoolwork
  • Tasks at work


  • Poor Prognostic factors include:[1]
  • Anxiety
  • Excitement
  • Exhaustion
  • Lower birth weight
  • Maternal smoking during pregnancy
  • Obstetrical complications
  • Older paternal age
  • tasks at work
  • Stressful/exciting events


Differential Diagnosis

  • Repetitive hand waving/rotating,arm flapping
  • Finger wiggling
  • Choreoathetoid movements
  • Dystonic movement[1]

References

  1. ↑ 1.0 1.1 1.2 1.3 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
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