Interview expert: Professor Luo Xiangyang, Director of Pediatric Neurology Department, Sun Yixian Memorial Hospital, Sun Yat sen University

Long Long, 8 years old, always involuntarily growls and swears. At first, his parents thought he was rude, but it was useless to scold or even beat him again and again. The family thought his "soft roar" was a cough, so they went to the hospital to see a doctor and found that the child was suffering from Tourette's syndrome.

Four times more boys than girls

"Preschool and school-age children are at high risk." Professor Luo Xiangyang, director of the Department of Pediatric Neurology of Sun Yat sen Memorial Hospital, Sun Yat sen University, told the New Express that Gilles de la Tourette syndrome, also known as multiple tourette syndrome, is a common behavioral disorder syndrome in children. The onset age is 1 to 21 years old, and 90% of them start before 10 years old, with the most common being 5 to 9 years old. Among them, male patients are significantly more than female patients, at least three times more. At present, the etiology of Gilles de la Tourette's syndrome is unknown in the medical community, and it is estimated that it is related to extrapyramidal diseases.

Professor Luo said that with the increase of social pressure, the acceleration of life rhythm and the change of communication mode, the incidence of the disease has a significant increase trend. At the beginning of school and during the examination period, the disease is at its peak. Parents must be vigilant and pay attention to regulating their children's emotions.

　 Most of the first symptoms are rigid blinking

According to Professor Luo, Gilles de la Tourette syndrome usually starts with twitching of the eyes, face or head, such as rigid blinking, mouth tilting or head shaking, and can also be manifested as twitching of the neck, shoulders, limbs and even the trunk. Blinking is considered to be the most common first symptom of this kind of disease. In addition, repetitive vocal twitches are also common, usually consisting of voice sounds such as clearing the throat, dry coughing, swearing, sniffing or screaming. At the same time, many children will also show emotional disorders such as anxiety, irritability, temper, depression, etc.

It should be noted that various mental stimuli, such as beating, scolding, and frequent reminders, can induce the disease or make the child's condition worse. Therefore, parents must avoid the above situations. In addition, it is best not to let children watch intense martial arts war movies, not to play too many computer games, but also to reduce participation in amateur activities. "Once a child has a seizure, the best way is to divert the child's attention," said Professor Luo.

　 Three misunderstandings in the treatment of parents' cognitive deficiency

"In fact, it is not difficult to treat. The earlier the intervention, the better the prognosis." Luo Xiangyang pointed out that many parents are not aware of the disease at present, and there are three major misunderstandings in the treatment:

　　 Myth 1: It can be controlled completely by taking medicine

　　 wrong ！ In fact, this disease is a combination of nerve, spirit and psychology. It needs three aspects of comprehensive treatment. Although the effect of taking medicine is obvious, it can not rely on drugs completely. Pay attention to the cultivation of children's psychological quality and the formation of good habits.

　 Myth 2: This disease is too serious to be cured

Although the symptoms of this disease are diverse and may affect the child's mood and psychology to a certain extent, it has no impact on life and intelligence. As long as active treatment is taken, the prognosis is good.

　　 Myth 3: Stop taking medicine when the situation improves

The treatment of this disease is a long-term process, in which there may be a tendency to relapse. Discontinuation without following the doctor's advice can lead to recurrence, and the content of twitching will change after recurrence, such as blinking eyes before and shaking neck after drug withdrawal. ■ Yu Jinjing, reporter of New Express, Wang Haifang, correspondent