Tic disorders / Tourette's

Transient tic disorder

• 5% of school age children
• Lasts <1 year
• Usually motor
• No therapy, reassurance

Tourette’s Syndrome

• Motor AND vocal tics for >1 year
• Onset usually < age 7, Males > female
• 50% have ADHD and/or OCD
• Treatment:
  • Risperdal - side effects: extrapyramidal sx’s, tardive dyskinesia
  • Clonidine - side effects: drowsiness, hypotension
  • Exacerbation of tics is NOT a contraindication to starting/continuing ADHD meds

CHLA Board Review 2005