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Abstract: Tic disorder is common in children or adolescents. In this article, an 8-year-old girl who had just started the first grade was found by her teacher to be making faces in class and affecting the discipline of the class, and after communicating with the child several times, she still could not control it. After the standard treatment, the girl’s symptoms were relieved and her condition was stabilized.
Basic information】Female, 8 years old
Type of disease】Tic disorder
Hospital】Shandong Provincial Third Hospital
Date of Consultation】May 2021
Treatment plan】Medication (Jiu Wei Qu Feng Granules + Colistin Transdermal Patch)
Treatment Period】1 month of outpatient treatment, 1 week and 1 month of outpatient review
Treatment effect】Stable condition, symptoms improved
I. Initial consultation
The girl is only 8 years old, just started the first grade, came to the clinic found that the child always involuntarily appear to make a face movements, facial muscle involuntary twitch, the child is a bit introverted, parents said recently found that the child always make a face, how to say but do not listen, simply can not control. The parents said that they had recently noticed that the child was always making faces and could not control them. The child was advised to improve the cranial MRI examination, no significant abnormalities were seen, the EEG examination was normal EEG, the blood test was not significantly abnormal, and the child’s clinical symptoms were considered to be tic disorder. The parents expressed their understanding and actively cooperated with the treatment.
II. Treatment history
In order to be cautious, the child’s blood tests were completed in the outpatient clinic, including routine blood tests, liver and kidney functions, ion, lipids, blood glucose, and trace elements, and no significant abnormalities were found. The cranial MRI was completed and no significant abnormality was found. The EEG was normal, and the psychological assessment showed that the child was mildly depressed. The child’s parents were very demanding in terms of academic performance and thought that the child could not keep up, so they often scolded him.
The parents communicated in detail with the child’s condition. It was suggested that the child should be given a relaxed environment, be more patient, and avoid overly scolding the child to avoid affecting the child’s mood. At the same time, the child was given Jiu Wei Qu Feng granules orally and Colistin transdermal patch externally, and was advised to develop good habits, ensure good sleep, and not to be picky about food, and to return to the clinic in 1 week.
Third, the effect of treatment
Fortunately, the child’s symptoms were mild and short-lived. After about 1 week of standard treatment, the symptoms were relieved, and the number of facial twitches was reduced, and the amplitude of twitching was less than before. At the same time, the child and the mother were given psychological counseling to relieve the child’s psychological problems from the root. At the follow-up after 1 month of comprehensive treatment, the child’s facial twitching was basically under control, and the child’s face only twitched occasionally, which made both the child and the parents happy.
IV. Notes
We are glad that the child’s tics are under control, but we still need to remind the child and parents to pay attention to a reasonable diet in daily life, not to be picky about food, and to supplement various trace elements in a timely manner. Parents should pay attention to maintain a good state of mind and emotion, avoid excessive anxiety, do not loudly reprimand or blame the child, so as not to cause psychological burden to the child.
It is recommended that the child develop a good resting schedule, rest on time, pay attention to the combination of work and rest, and do more outdoor exercises, as the child grows older, the symptoms of tic disorder will gradually ease.
V. Personal insight
Nowadays, all children are only children, and parents attach great importance to them. Because the child is an only child, the parents pay more attention to the healthy growth of the child, but the parents’ excessive anxiety, on the contrary, exerts pressure on the child, not knowing that this pressure is one of the causes of the child’s tic disorder. Therefore, having a good mood and a relaxed family environment, together with positive parental guidance, can promote the healthy growth of the affected child.