A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics

Introduction: Tics in children are commonly diagnosed and not usually a cause for concern. Rarely, they may present as a symptom of underlying intracranial pathology. Case Report: We describe an adolescent with sudden-onset tics following a fall who presented to the emergency department and was diag...

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Main Authors: Arino Neto, Vanessa Perez, Kim Manwaring, Lauren Averill, Victoria Wurster Ovalle
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-01-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/5n01r24h
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author Arino Neto
Vanessa Perez
Kim Manwaring
Lauren Averill
Victoria Wurster Ovalle
author_facet Arino Neto
Vanessa Perez
Kim Manwaring
Lauren Averill
Victoria Wurster Ovalle
author_sort Arino Neto
collection DOAJ
description Introduction: Tics in children are commonly diagnosed and not usually a cause for concern. Rarely, they may present as a symptom of underlying intracranial pathology. Case Report: We describe an adolescent with sudden-onset tics following a fall who presented to the emergency department and was diagnosed with an arteriovenous malformation with parenchymal hemorrhage. He underwent a successful embolization, after which his tics resolved. Conclusion: When evaluating a patient with tics, an atypical history or abnormal physical exam findings should raise suspicion for possible secondary etiologies, including arteriovenous malformation and stroke.
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institution Kabale University
issn 2474-252X
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publishDate 2025-01-01
publisher eScholarship Publishing, University of California
record_format Article
series Clinical Practice and Cases in Emergency Medicine
spelling doaj-art-2562ff422e264c33bcbd0100aa6713de2025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-0191252710.5811/cpcem.20915cpcem-9-25A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset TicsArino Neto0Vanessa Perez1Kim Manwaring2Lauren Averill3Victoria Wurster Ovalle4Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Emergency Medicine, Chicago, IllinoisNemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, FloridaNemours Children’s Hospital, Florida, Division of Neurosurgery, Orlando, FloridaNemours Children’s Hospital, Delaware, Division of Radiology, Wilmington, DelawareNemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, FloridaIntroduction: Tics in children are commonly diagnosed and not usually a cause for concern. Rarely, they may present as a symptom of underlying intracranial pathology. Case Report: We describe an adolescent with sudden-onset tics following a fall who presented to the emergency department and was diagnosed with an arteriovenous malformation with parenchymal hemorrhage. He underwent a successful embolization, after which his tics resolved. Conclusion: When evaluating a patient with tics, an atypical history or abnormal physical exam findings should raise suspicion for possible secondary etiologies, including arteriovenous malformation and stroke.https://escholarship.org/uc/item/5n01r24h
spellingShingle Arino Neto
Vanessa Perez
Kim Manwaring
Lauren Averill
Victoria Wurster Ovalle
A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics
Clinical Practice and Cases in Emergency Medicine
title A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics
title_full A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics
title_fullStr A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics
title_full_unstemmed A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics
title_short A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics
title_sort tic ing time bomb case report of a unique presentation of sudden onset tics
url https://escholarship.org/uc/item/5n01r24h
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