By Michele Casoli-Reardon, MD, Medical Director of MCPAP Team at North Shore Medical Center
Pediatric Neuropsychiatric disorder associated with strep: knowing when to screen in children who present with OCD and Tic disorders.
Case: The PCP of a 6 year old boy, DM, called because of recent onset of tics and insomnia. On the phone, the PCP reported that he had no history of prior psychiatric or neurological issues. Two months before the call, he had presented with repetitive movements of neck, eyebrows, hips andfeet. These movements were noted by family to begin suddenly and lasted throughout the day, interfering with sleep.