Background: The association of stereotypies and tics is not rare in children with severe autism spectrum disorder (ASD). The differential diagnosis between stereotypies and tics in this patient population can be difficult; however, it could be clinically relevant because of treatment implications. Methods: A total of 108 video recordings of repetitive behaviors in young patients with stereotypies in the context of ASD were reviewed by a movement disorders expert and a trainee, in order to assess the prevalence of possible co-morbid tics. The Modified Rush Videotape Rating Scale (MRVS) was used to rate tic frequency and severity. Results: Out of 27 patients with stereotypies (24 males; mean age 14 years), 18 (67%) reported possible tics. The most frequently observed tics were eye blinking, shoulder shrugging, neck bending, staring, and throat clearing. The mean MRVS score was 5, indicating mild tic severity. The only significant difference between patients with tics and patients without tics was the total number of stereotypies, which was higher in the subgroup of patients without tics (p = 0.01). Conclusions: Expert review of video-recordings of repetitive behaviors in young patients with ASD and stereotypies suggests the possibility of a relatively high rate of co-morbid tics. These findings need to be integrated with a comprehensive clinical assessment focusing on the diagnostic re-evaluation of heterogeneous motor manifestations.

Termine, C., Grossi, E., Anelli, V., Derhemi, L., Cavanna, A. (2021). Possible tics diagnosed as stereotypies in patients with severe autism spectrum disorder: A video-based evaluation. NEUROLOGICAL SCIENCES, 42(4), 1559-1561 [10.1007/s10072-020-04995-1].

Possible tics diagnosed as stereotypies in patients with severe autism spectrum disorder: A video-based evaluation

Cavanna A
2021

Abstract

Background: The association of stereotypies and tics is not rare in children with severe autism spectrum disorder (ASD). The differential diagnosis between stereotypies and tics in this patient population can be difficult; however, it could be clinically relevant because of treatment implications. Methods: A total of 108 video recordings of repetitive behaviors in young patients with stereotypies in the context of ASD were reviewed by a movement disorders expert and a trainee, in order to assess the prevalence of possible co-morbid tics. The Modified Rush Videotape Rating Scale (MRVS) was used to rate tic frequency and severity. Results: Out of 27 patients with stereotypies (24 males; mean age 14 years), 18 (67%) reported possible tics. The most frequently observed tics were eye blinking, shoulder shrugging, neck bending, staring, and throat clearing. The mean MRVS score was 5, indicating mild tic severity. The only significant difference between patients with tics and patients without tics was the total number of stereotypies, which was higher in the subgroup of patients without tics (p = 0.01). Conclusions: Expert review of video-recordings of repetitive behaviors in young patients with ASD and stereotypies suggests the possibility of a relatively high rate of co-morbid tics. These findings need to be integrated with a comprehensive clinical assessment focusing on the diagnostic re-evaluation of heterogeneous motor manifestations.
Articolo in rivista - Articolo scientifico
Autism spectrum disorder; Stereotypies; Tics; Tourette syndrome; Video recording
English
1559
1561
3
Termine, C., Grossi, E., Anelli, V., Derhemi, L., Cavanna, A. (2021). Possible tics diagnosed as stereotypies in patients with severe autism spectrum disorder: A video-based evaluation. NEUROLOGICAL SCIENCES, 42(4), 1559-1561 [10.1007/s10072-020-04995-1].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/401785
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