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"Attention-deficit hyperactivity disorder Case studies Juvenile literature."
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\"Tyler's brain is different. Unlike his friends, he has a hard time paying attention in class. He acts out in goofy, over-the-top ways. Sometimes, he even does dangerous things--like cut up a bus seat with a pocketknife or hang out of an attic window. To the adults in his life, Tyler seems like a troublemaker. But he knows that he's not. Tyler is curious and creative. He's the best artist in his grade, and when he can focus, he gets great grades. He doesn't want to cause trouble, but sometimes he just feels like he can't control himself.\"-- Publisher's webpage.
Book
Tics as an initial manifestation of juvenile Huntington's disease: case report and literature review
Huntington's disease (HD) is an autosomal dominant disorder, typically characterized by chorea due to a trinucleotide repeat expansion in the HTT gene, although the clinical manifestations of patients with juvenile HD (JHD) are atypical.
A 17-year-old boy with initial presentation of tics attended our clinic and his DNA analysis demonstrated mutation in the HTT gene (49 CAG repeats). After treatment, his symptoms improved. Furthermore, we performed literature review through searching the databases and summarized clinical features in 33 JHD patients.
The most prevalent symptoms are ataxia, and two cases reported that tics as initial and prominent manifestation in JHD. Among them, 88% patients carried CAG repeats beyond 60 and most of them have family history. This case here illustrates the variable range of clinical symptoms of JHD and the necessity of testing for the HD mutation in young patients with tics with symptoms unable to be explained by Tourette's syndrome (TS).
Journal Article