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Archives de pédiatrie
Volume 21, n° 6
pages 646-651 (juin 2014)
Doi : 10.1016/j.arcped.2014.03.017
Received : 22 August 2013 ;  accepted : 21 Mars 2014
Des tics moteurs au syndrome de Gilles de la Tourette : données actuelles, comorbidités et principes de prise en charge thérapeutique chez l’enfant et l’adolescent
From tic disorders to Tourette syndrome: Current data, comorbidities, and therapeutic approach in children
 

P. Fourneret a, c, , e , H. Desombre a, E. Broussolle b, d, f
a Service de psychopathologie du développement, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 69677 Bron cedex, France 
b Service de neurologie C, centre de compétence Gilles-de-la-Tourette, hôpital neurologique Pierre-Wertheimer, hospices civils de Lyon, 69677 Bron cedex, France 
c Institut des sciences cognitives, CNRS UMR 5304, 67, boulevard Pinel, 69675 Bron cedex, France 
d Centre de neurosciences cognitives, CNRS UMR 5229, 69675 Bron cedex, France 
e Faculté de médecine Lyon-Est, université Claude-Bernard – Lyon 1, 69003 Lyon, France 
f Faculté de médecine Lyon-Sud – Charles-Mérieux, université Claude-Bernard – Lyon 1, 69921 Oullins, France 

Auteur correspondant.
Résumé

Les tics moteurs sont fréquents chez l’enfant au cours du développement. Le plus souvent transitoires et bénins, ils peuvent passer à la chronicité, s’associer à divers troubles morbides (tics vocaux, déficit d’attention et troubles obsessionnels-compulsifs) et évoluer vers un authentique syndrome de Gilles de la Tourette. Dans ce cas, il convient de prévenir les répercussions – essentiellement en termes de qualité de vie et de souffrance affective et relationnelle – par une thérapeutique globale combinant aux approches psychoéducatives, une aide médicamenteuse adaptée.

The full text of this article is available in PDF format.
Summary

Motor tics are frequently observed in children during development. Usually transient and benign, they can become chronic over time, join various morbid disorders (vocal tics, attention deficit and hyperactivity disorder, and obsessive-compulsive disorders) and move toward genuine Tourette syndrome. In this case, it will be necessary to prevent impacts – mainly in terms of quality of life and emotional and relational problems – using a global therapeutic strategy combining psychoeducational approaches with appropriate medication.

The full text of this article is available in PDF format.


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