患儿女,10岁。主因头肩部不自主抽动、伴喉部发“(?)”音月余,于1986年11月17日入院。病前元明显诱因出现摇头耸肩样抽动,一天发作数十次,睡眠时发作停止,注意力集中时或受到指责时,间隔期可稍延长,但终久不能自控,有时喉部发出“(?)”音,与抽动无明显关系。近一周来发作频 Children with children, 10 years old. Mainly because of head and shoulders involuntary twitching, with throat hair “(?)” Yin Yue Yu, November 17, 1986 admission. Presymptomatic element obvious incentive shook his head shrugs, dozens of times a day attack, seizures sleep stop, concentration or accusations, the interval may be slightly longer, but in the end can not be controlled, and sometimes the throat issued “(?) ”Tone, and no significant relationship with tic. Almost a week to attack frequency