Clinical manifestations of tic disorders

First, the clinical manifestations of transient TIC disorder
Transient TIC disorder first symptom of mostly simple motor TIC, are more limited. Simple movement sexual TIC are limited Yu a a group muscle, General to eye, and surface muscle TIC for more see, in number week or number months within symptoms fluctuations or parts transfer, can to neck or Shang lower limb development, common performance for blink, and crowded eyebrow, and turned eye, and wrinkle amount, and bite lip, and dew tooth, and mouths, and nod, and shook his head, and stretch neck, and shrugs, action. Of minorities may appear simple vocal TIC, like similar snore, dogs barking, inspiratory sound or noise, such as sound, throat, or cough. TIC symptoms varying frequency and severity of symptoms, mostly in children on their daily learning and adapt to the environment is no clear impact. Body checks, including checks of the nervous system, usually without exception found. Symptoms for 2 weeks at least, not more than 1 year.
Second, the clinical manifestations of sound with a variety of exercise combined vocal and multiple motor tics
(A) the range of symptoms
Symptoms of TS range, mainly has following several aspects:
1. Sport
(1) of the simple motor TIC: performance for rapid, sudden, repetitive, pointless exercise to twitch.
(2) complexity movement TIC: slow attack, for what purpose. Including indecency and imitation.
2. Sound production
(1) simple vocal TIC: fast and meaningless sound, repeated vocal.
(2) complex vocal TIC: speech seem meaningful, vocal expressions such as such as speech, obscene speech, imitate speech.
3. Behavior and development, including attention deficit hyperactivity disorder (ADHD), forced obstacles (obsessions and compulsions,OCD), emotional instability, irritable, impulsive aggression, self-inflicted Act, various learning disorders.
(B) type of disease
Usually TS disease mostly starts from the eyes, facial muscles twitch, blink, a wry mouth action and then gradually to the proximal limb development, involving multiple parts muscle twitch, development for complexity from simple motor TIC TIC. General multi-facial development from scratch to neck, shoulder, upper limbs, torso and lower extremities. TIC forms may change, you can change from one form to another form. Voice from first symptoms motor TIC or twitch may have occurred, or appeared. These symptoms tend to stress or after you somatic diseases increased attention focused interest activity may temporarily relieve, subjective efforts to have the effects with restraint, symptoms disappear during sleep.
(C) performance of TIC symptoms
1. Motor TIC symptoms varied, of simple motor TIC common appear to blink, eye rotation, warping projecting nose, tongue, head, and nod, and stretch neck, mouth, and shrugs, abdominal breathing etc. Complexity TIC is strange and varied postures, mow ugly forms, such as the impulse sexual touching someone or something, Prod actions, stamping, like electric shock-like body stirred up, walk and swing, rotation to hip, squatting to kneel or recurring series of continuous pointless action.
2. Vocal TIC of can be expressed as a simple sound, such as clearing throat, cough, nasal breathing, spitting sound, humming sound, barking sounds, calls, etc. Complexity can also be expressed as sound production, such as speech or meaningless tone of voice, boring, repeat stereotypical Tourette of the same, at least there is 30%TS in children with Tourette Syndrome. Vocal TIC symptoms can be the first symptom, or in sport occurs after TIC, or both occur. A variety of TIC symptoms in children with TS can occur. According to Cui Lijun 1992 analysis of 88 cases in children with TS, that each case of TIC appears on average 3. 38, 2~5 symptoms to more.
3. With release for TS symptoms other than TIC symptoms, most common with attention is not focused, hyperactivity, forced movements, forced thoughts, impulses, assault, self-inflicted behaviour, learning difficulties and emotional disorders. With release for symptoms can cause psychological disturbance in children in different degrees, affect the ability to adapt to the community in children.