An Adolescent with Incapacitating Tics

Introduction: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS), also known as a pediatric acute-onset neuropsychiatric syndrome (PANS), are the sudden development of mainly obsessive–compulsive disorder (OCD) symptoms, tics, or other symptoms among ch...

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Main Authors: Kamal Nath, Subho Panja
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2023-02-01
Series:Indian Journal of Private Psychiatry
Subjects:
Online Access:https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0133
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author Kamal Nath
Subho Panja
author_facet Kamal Nath
Subho Panja
author_sort Kamal Nath
collection DOAJ
description Introduction: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS), also known as a pediatric acute-onset neuropsychiatric syndrome (PANS), are the sudden development of mainly obsessive–compulsive disorder (OCD) symptoms, tics, or other symptoms among children and adolescents. Case description: This case is about a male of age 15 years with a history of fever 3 years back, after which symptoms such as abnormal sounds and body movements gradually started, which were involuntary. After many trials with different antipsychotics, the patient started responding but symptoms persist along with anxiety and irritability at times. Conclusion: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections occur in about 1 in 1,000 children, which is a rare disorder and is difficult to diagnose. The treatment is challenging as a suitable antipsychotic has to be picked in terms of efficacy and dosing.
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spelling doaj-art-5c6e2ee8917f46ecb37f8e51989070e62025-08-20T02:27:56ZengJaypee Brothers Medical PublisherIndian Journal of Private Psychiatry2319-53632583-40102023-02-01171474810.5005/jp-journals-10067-013310An Adolescent with Incapacitating TicsKamal Nath0Subho Panja1https://orcid.org/0000-0003-4204-6851Department of Psychiatry, Silchar Medical College, Silchar, Assam, IndiaSubho Panja, Department of Psychiatry, Silchar Medical College, Silchar, Assam, India, Phone: +91 9051454841Introduction: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS), also known as a pediatric acute-onset neuropsychiatric syndrome (PANS), are the sudden development of mainly obsessive–compulsive disorder (OCD) symptoms, tics, or other symptoms among children and adolescents. Case description: This case is about a male of age 15 years with a history of fever 3 years back, after which symptoms such as abnormal sounds and body movements gradually started, which were involuntary. After many trials with different antipsychotics, the patient started responding but symptoms persist along with anxiety and irritability at times. Conclusion: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections occur in about 1 in 1,000 children, which is a rare disorder and is difficult to diagnose. The treatment is challenging as a suitable antipsychotic has to be picked in terms of efficacy and dosing.https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0133brain imagingobsessive–compulsive disorderpediatric autoimmune neuropsychiatric disorder is associated with streptococcal infectionsstreptococcal infectionsudden onset
spellingShingle Kamal Nath
Subho Panja
An Adolescent with Incapacitating Tics
Indian Journal of Private Psychiatry
brain imaging
obsessive–compulsive disorder
pediatric autoimmune neuropsychiatric disorder is associated with streptococcal infections
streptococcal infection
sudden onset
title An Adolescent with Incapacitating Tics
title_full An Adolescent with Incapacitating Tics
title_fullStr An Adolescent with Incapacitating Tics
title_full_unstemmed An Adolescent with Incapacitating Tics
title_short An Adolescent with Incapacitating Tics
title_sort adolescent with incapacitating tics
topic brain imaging
obsessive–compulsive disorder
pediatric autoimmune neuropsychiatric disorder is associated with streptococcal infections
streptococcal infection
sudden onset
url https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0133
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