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How is Tourette Syndrome in children treated?

Dec 23, 2024 Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
Tourette syndrome has a clear familial genetic component, but its mode of inheritance and gene localization have not yet been clearly defined. This means that if there is a family history of Tourette syndrome, the risk of a child developing the condition is increased. Currently, there are no direct treatments targeting genetic factors, but regular physical examinations and genetic testing may help understand a child's genetic status, allowing for early detection and intervention.

Generally, Tourette syndrome in children may be caused by genetic factors, psychosocial factors, elevated blood lead levels, autoimmune neurological dysfunction, and abnormal neural regulation. The condition can be improved through general treatments and medication. Prompt medical consultation and following the doctor's instructions for treatment are necessary. Detailed information is as follows:

1. Genetic factors: Tourette syndrome has a clear hereditary tendency, although its mode of inheritance and gene location remain unclear. This means that if there is a family history of Tourette syndrome, the child's risk of developing the condition increases. Currently, there are no direct treatment methods targeting genetic factors, but regular physical examinations and genetic testing can help understand the child's genetic status for early detection and intervention.

2. Psychosocial factors: Psychosocial factors, such as emotional excitement, fright, and psychological stress, can all lead to Tourette syndrome in children. A child's nervous system is relatively sensitive, and prolonged exposure to negative psychological states can easily cause abnormal neural regulation, leading to tics. Parents should provide sufficient care and support to the child and avoid excessive criticism and blame.

3. Elevated blood lead levels: Some children with Tourette syndrome have higher than normal blood lead levels, possibly due to environmental pollution, poor dietary habits, and other reasons. High blood lead levels can affect the normal development and function of the nervous system, triggering tics and often accompanied by inattention. Medications such as calcium disodium edetate tablets, glutathione tablets, and ebastine tablets may be used under a doctor's guidance to reduce blood lead levels.

4. Autoimmune neurological dysfunction: Tourette syndrome may be related to post-infection autoimmune damage, commonly seen after group A hemolytic streptococcus infection, and may also be associated with Mycoplasma pneumoniae infection and cytomegalovirus infection. Infection can trigger immune responses in the body, causing damage to the nervous system, resulting in tics, often accompanied by fever. Medications such as tiapride hydrochloride tablets, haloperidol tablets, and methylprednisolone tablets may be used under a doctor's guidance to control tic symptoms.

5. Abnormal neural regulation: Abnormalities may occur during the development of a child's nervous system, such as nonspecific abnormalities in brain waves, which may lead to tics. It may be related to neurotransmitter metabolism disorders, affecting the normal function of the nervous system and causing Tourette syndrome, manifesting as learning difficulties. Medications such as sertraline hydrochloride capsules, methylphenidate hydrochloride tablets, and mecobalamin tablets should be used according to the doctor's instructions to relieve anxiety and nourish the nerves.

Parents should pay attention to their child's emotional changes and environmental factors, creating a harmonious and warm family environment, which helps reduce the occurrence of tics.

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