2026 ECNP Congress
E01.01Tourettes in childhood: important considerations in diagnosis
Dr Hedderly is a children’s Neurologist specialising in movement disorders. This lecture will highlight key challenges in the diagnosis and management of paediatric tic disorders and Tourette syndrome (1). She will highlight some novel work around phenomenology and aspects that have been underexplored such as impact of misophonia and misokinesia in exacerbating childhood tics (2). Using some clinical case examples there will be a section on important differentials in childhood such as complex motor stereotypies and the link with intense imagery and maladaptive daydreaming (3). There will then be a final exploration of what is currently known around the adolescent outbreak of functional tic like behaviours (4) with an important glimpse at some recent lived experience, thematic analysis work from the teenagers and young people affected by the functional tics (5)
- Paediatrics and Child Health, 28. doi:10.1016/j.paed.2018.07.007.
2 Robinson, Sally & Hedderly, Tammy & Conte, Giulia & Malik, Osman & Cardona, Francesco. (2018). Misophonia in Children with Tic Disorders: A Case Series. Journal of Developmental & Behavioral Pediatrics, 39. doi:10.1097/DBP.0000000000000563.
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Hedderly, T et al. Intense Imagery Movements May Lead to Maladaptive Daydreaming: A Case Series and Literature Review. Movement Disorders Clinical Practice, 11. doi:10.1002/mdc3.14011
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Ducroizet et al (2025). Outcomes of functional tics in adolescents: a single-centre tertiary study. Archives of Disease in Childhood. doi:10.1136/archdischild-2024-327408
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Oates, Hedderly et al (2026) ‘how do I explain something I don’t understand ?; Young peoples experiences of Functional tics. Disability and Rehabilitation