[P3-89] Unusual and/or Misdiagnosed Tics
[Introduction]: According to DSM-V, a tic is a sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. It occurs in any part of our body that can move or make a sound. [Methodology]: In the past 15 years, 4418 children with tic or Tourette disorders were experienced in our Tourette Special Clinics, most of them had tic manifestations as blink, grimace, throat cleaning, smack, nodding, sniff, head shake, utter, shrug, cough, eye roll, pouting, jaw opening, spitting, arm extension, abdomen tensing, sigh, tongue protrusion, trunk jerk, retch, bark, coprolalia, step, palilalia, jump, echolalia, pollakiuria, etc. about 89% to 1.8% in frequency. Those frequency less than 1% was defined to be unusual. They included moving earlobe, moving scalp, and flatus passage (fart) in 5 (0.11%), 3 (0.07%), and 2 (0.05%) children respectively. [Results]: Pollakiuria occurred in 88 (2%) children, all were younger than 5 years in age, except 2 children aging 7 and 10 years respectively. It occurred in awake hours only. The voiding frequency could be as fast as once per 3 minutes. And the urination amount could be a few drips only. Urologists were consulted first, and cystoscopy were performed in 13 of them before 2004, no more after our extensive, public education in Taiwan. [Conclusions]: Here we shared our experience of 3 unusual tics with you, and also the correct management for pollakiuria.