2014/09/07 by Debra L. Byler, Lisa Chan, Erik Lehman +3
paper · doi:10.1177/0009922814550396
crossref issued 2014/09/07 · crossref published 2014/09/07 · crossref published-online 2014/09/07 · crossref created 2014/09/09 · crossref published-print 2015/02/01 · crossref deposited 2025/03/01 · crossref indexed 2026/07/25
A retrospective analysis of a 35-year single-center experience with pediatric tics and Tourette syndrome was conducted. 482 charts from 1972 to 2007 were reviewed. Follow-up surveys were mailed to last known address and 83 patients responded (17%). Response rate was affected by long interval from last visit; contact information was often incorrect as it was the address of the patient as a child. Males constituted 84%. Mean tic onset was 6.6 years. At first visit, 83% had multiple motor tics and >50% had comorbidities. 44% required only 1 visit and 90% less than 12 visits. Follow-up showed positive clinical and social outcomes in 73/83 survey responses. Of those indicating a poor outcome, mean educational level was lower and attention deficit/hyperactivity disorder and learning disabilities were significantly higher. Access to knowledgeable caregivers was a problem for adult patients. A shortage of specialists may in part be addressed by interested general pediatricians.