Trending Clinical Topics for May 2019

Ryan Syrek

Disclosures

May 31, 2019

Trending Clinical Topic of the Week (May 11-17): Tourette Syndrome

Important new management guidelines and information about a potentially serious associated risk helped make Tourette syndrome this week's top trending clinical topic. The American Academy of Neurology recently released a management guideline and systemic review of the literature that supported its recommendations. Although guidelines were issued previously in Canada and Europe, this is the first guideline for American neurologists providing care to patients with Tourette syndrome and other chronic tic disorders. It has been endorsed by both the Child Neurology Society and the European Academy of Neurology. The authors only considered systematic reviews and randomized controlled trials on the treatment of tics that included at least 20 participants, except for neurostimulation trials. Treatments include not only medications but also holistic care and behavioral strategies designed to help better manage tics over time.

Earlier this year, new research found that individuals with Tourette syndrome and chronic tic disorder are almost twice as likely to develop a cardiometabolic disorder (eg, obesity, diabetes) compared with those who do not have such disorders. That increased risk begins in childhood, and the presence of attention-deficit/hyperactivity disorder may compound the risk. Various factors are believed to contribute, including lifestyle factors, higher genetic risk, and medication use. For now, professionals working with patients who have Tourette syndrome or a similar disorder are encouraged to minimize cardiovascular and metabolic risk through weight management, dietary considerations, and careful medication use. The concerted effort to provide the best, most comprehensive care for these patients has been met with much attention, as is evident by Tourette syndrome being this week's top trending clinical topic.

Read more information on Tourette syndrome.

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