We present a challenging case of a 9-year-old female with a background of perinatal adversity and pervasive developmental delays, who manifested atypical genital tics concurrent with additional motor and vocal tics, attentional impairments, and behavioral disturbances. Diagnostic delays arose from the initial misattribution of symptoms. Following a detailed psychiatric assessment, pharmacotherapy comprising risperidone, clonidine, and ginkgo biloba was commenced, yielding substantial and enduring amelioration of tic severity, as quantified by validated instruments. This report illuminates the intricacies of diagnosing uncommon tic variants in childhood, advocating for meticulous evaluation, interdisciplinary collaboration, and comprehensive therapeutic strategies to mitigate associated neurodevelopmental and psychosocial sequelae.
Pant et al. (Wed,) studied this question.