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{
    "pk": 20915,
    "title": "A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Tics in children are commonly diagnosed and not usually a cause for concern. Rarely, they may present as a symptom of underlying intracranial pathology.</p>\n<p><strong>Case Report: </strong>We describe an adolescent with sudden-onset tics following a fall who presented to the emergency department and was diagnosed with an arteriovenous malformation with parenchymal hemorrhage. He underwent a successful embolization, after which his tics resolved.</p>\n<p><strong>Conclusion</strong>: When evaluating a patient with tics, an atypical history or abnormal physical exam findings should raise suspicion for possible secondary etiologies, including arteriovenous malformation and stroke.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Tics"
        },
        {
            "word": "rteriovenous malformation"
        },
        {
            "word": "parenchymal hemorrhage"
        },
        {
            "word": "hemorrhagic stroke"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5n01r24h",
    "frozenauthors": [
        {
            "first_name": "Arino",
            "middle_name": "",
            "last_name": "Neto",
            "name_suffix": "",
            "institution": "Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Emergency Medicine, Chicago, Illinois; Nemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, Florida",
            "department": ""
        },
        {
            "first_name": "Vanessa",
            "middle_name": "",
            "last_name": "Perez",
            "name_suffix": "",
            "institution": "Nemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, Florida",
            "department": ""
        },
        {
            "first_name": "Kim",
            "middle_name": "",
            "last_name": "Manwaring",
            "name_suffix": "",
            "institution": "Nemours Children’s Hospital, Florida, Division of Neurosurgery, Orlando, Florida",
            "department": ""
        },
        {
            "first_name": "Lauren",
            "middle_name": "",
            "last_name": "Averill",
            "name_suffix": "",
            "institution": "Nemours Children’s Hospital, Delaware, Division of Radiology, Wilmington, Delaware",
            "department": ""
        },
        {
            "first_name": "Victoria",
            "middle_name": "",
            "last_name": "Wurster Ovalle",
            "name_suffix": "",
            "institution": "Nemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, Florida",
            "department": ""
        }
    ],
    "date_submitted": "2024-04-18T12:57:22.413000Z",
    "date_accepted": "2024-07-29T15:07:52.368000Z",
    "date_published": "2025-02-11T18:20:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/20915/galley/31522/download/"
        }
    ]
}