Doctor insights on:
Tourette Syndrome And Tetrabenazine
Severe tic syndrome: Multiple tics associated with snorting, sniffing, involuntary vocalizations, and troublesome compulsive and aggressive impulses constitute the major features of gilles de la tourette syndrome. It is the rarest and most severe of the tic disorders that begins in childhood, usually as a simple tic. Hyperactivity and disorders of attention and perception are frequent. Intelligence does not decline. ...Read more
Tics: Multiple motor tics & at least one vocal tic that have lasted for at least a year. If there were tic-free periods, they lasted no longer than two months. A triad of tics, adhd & obsessive-compulsive disorders is usually seen. Language-based learning disabilities, habit disorders & mood disorders are common. Autistic disorder can co-occur. ...Read more
Many things: Some studies show that 1/3 of tourette's is result of a strep infection in susceptible people called panda's. Other 2/3 occur in patients with a family history of anxiety, ocd, or tourette's. Occasionally, medications are involved. See my health guides for articles, resources & links for ts. ...Read more
See a doctor: Tourette's disorder is a neurological condition that begins in childhood. Although there's no cure, you can live a normal life span with tourette syndrome, and many people with tourette syndrome don't need treatment when symptoms aren't troublesome. In troublesome cases, you'll need a physician to evaluate you for the available treatment options. ...Read more
Syndromes differ: As opposed to a disease where we understand some basic pathophysiology, a syndrome is a collection of symptoms for which there is no clear underlying mechanism. Therefore a "cure" is harder to come by. That said there is nothing that doesn't benefit from proper nutrition, a clean environment and balanced lifestyle. Check with an environmental or functional doctor near you. ...Read more
Most don't: Inappropriate sexual behaviors would be very rare for somebody with tourette syndrome unless they had a second problem. ...Read more
D/w your doctor:
This is best discussed with your doctor. The guidelines for Tourettes recently changed.
A summary is here:
http://www. Cdc. Gov/ncbddd/tourette/diagnosis. Html ...Read more
Check out this video on youtube:
http://youtu. Be/g7ke5d_115e. ...Read more
Tourette: Most cases are mild & require no medications, can benefit from reassurance & psychobehavioral therapy (cognitive therapy, biofeedback) & education. Medications that are helpful for tics are; clonidine, orap, (pimozide) tenex, and other medications that treat comorbid conditions such as OCD & adhd. ...Read more
Brain disease: Ts is a neurobiologic condition involving the thalamus in the brain, caused by inheritance, but occasionally by panda's. It's main symptoms are complex (several muscle groups moving involuntarily to appease a sensory compulsion) tics or motor movements involving various body areas, including vocalizations (complex vocal motor tics).Occasionally ts is debilitating, but most often it's treatable. ...Read more
Gene mapping in: Families with multi-generational GTS shows many mutant genes, alone or in combination, cause GTS. The complex patterns of inheritance & associated neuropsychiatric & neurodevelopmental disorders are on omim. Org/entry/137580? search=tourette%20gene&highlight=tourette%20gene. Until whole genome testing is affordable, a Chromosomal Microarray is the blood test most likely to detect GTS mutations. ...Read more
Tourette Syndrome: Is an inheritable Neurodevelopmental Disorder, caused by gene mutations yet to be defined. Diagnostic criteria = multiple motor tics & at least 1 vocal tic for at least a year, with no tic-free period > 2 mos. It is often associated with ADHD, OCD & other anxiety disorders. It begins in childhood. See www. Tourettesyndrome. Net for complete information & tsa-usa. Org for resources & support. ...Read more
Motor Movements: First are involuntary motor movements. If there are complex symphonies of movements (arms, head & shoulders moving in stylized fashion) then mm is more serious. If complex movements are above & below waist, it is more severe. Finally if vocalizations are included in the tic complex, you've reached maximum complexity. If these tics disrupt behavior it's more worrisome. See competent expert for dx. ...Read more
Do you mean your: Chronic motor &/or vocal tics have not responded to any medication prescribed by your neurologist or psychiatrist? Contact the Tourette Syndrome Association: tsa-usa. Org/aabout_tsa/aContactTSA. Htm. Icahn School of Medicine at Mt. Sinai & Weill Cornell SOM in NYC have TS centers of excellence. See http://www. Tsa-usa. Org/Medical/medical_main. Html for information on valid treatments vs. Chicanery. ...Read more
Yes: If you are concerned about Tourette's, see your doctor. There are other types of tic disorders which may be very common, and may resolve on their own. Tourette's is a particular type of tic disorder which also involves involuntary vocalizations. ...Read more
Usually, no.: Tourette's syndrome usually peaks in mid-adolescence and improves in the late teens and adulthood. 10-15% of affected individuals will continue to have symptoms into adulthood. ...Read more
Tics: Patients with tourette have uncontrolled motor movements. When this involves the diaphram and chest it can cause barking, grunting, and expression of words. Often other motor behaviors are also occurring with head, face, throat, and neck involvement. This can be very disruptive and embarrassing. However, many learn to control and manage this even without the need for medication. ...Read more
A dx in progress:
From the Tourette Association of America comes the following definition:
“Tourette Syndrome is one type of Tic Disorder. Tics are involuntary, repetitive movements and vocalizations. They are the defining feature of a group of childhood-onset, neurodevelopmental conditions known collectively as Tic Disorders and individually as Tourette Syndrome, Chronic Tic Disorder (Motor or Vocal Type), and Provisional Tic Disorder. The three Tic Disorders are distinguished by the types of tics present (motor, vocal/ phonic, or both) and by the length of time that the tics have been present.
Individuals with Tourette Syndrome (TS) have had at least two motor tics and at least one vocal/ phonic tic in some combination over the course of more than a year. By contrast, individuals with Chronic Tic Disorder have either motor tics or vocal tics that have been present for more than a year, and individuals with Provisional Tic Disorder have tics that have been present for less than a year”.
Most state there is no cure but-
As we learn more about the role of strep and other infections in Paediatric autoimmune Neuropsychiatric Disease we must consider that every child with Tourette deserves an evaluation to rule out this treatable cause of illness. Review this site for relevant information.
https://www. Nimh. Nih. Gov/labs-at-nimh/research-areas/clinics-and-labs/pdnb/web. Shtml ...Read more
Not enough info:
Unfortunately you have not given enough information to answer your question. I would discuss this with your pediatrician.
Tics are common in children - approximately 15% of children will have a tic at some time. To have tourette syndrome a person should have tics that exist for at least one year and change form or become multiple, changing in form over time. Tics also wax and wane over time. ...Read more
Compare to Seizures: One way to explain tourette's to folks you are around and interact with is to "compare" it to another neurologic disorder like seizure disorder. Make the analogy that you have movements that are beyond your control, they are involuntary, "like a seizure" Here is a good web link to share... http://www. Ninds. Nih. Gov/disorders/tourette/detail_tourette. Htm ...Read more
Why are people with tourette syndrome often represented as having an uncontrollable need to swear?
Because coprolalia: Is shocking, people tend to notice it. It's derived from Greek words for "dung" & " babble" because the obscenities are often scatalogical, related to feces. It is an obsessive-compulsive behavior found in 10-20% of kids & adults with Gilles de la Tourette Syndrome. Copropraxia, complex motor tics, are obscene or scatalogical gestures that occur in ~6% of people with GTS. ...Read more
Yes.: Nothing about either disorder protects an indvidiaul from having both. In fact, some have suggested that risk of tourette's disorder may be slightly higher among patients with asperger's disorder than in the general population, although I'm not aware of studies demonstrating this. ...Read more
Severe worsening: Tic disorders are usually benign. In rare cases they can accumulate, involve vocalizations, disrupt social settings and worsen over more than a year. They are then referred to as tourette syndrome. This is named after gilles de la tourette who was a character in a french novel with similar features. This is rare and hard to manage. Tic disorders can respond to distraction and calming. ...Read more
No: I am unaware of specific known genetic relationships. Reaarch points to abnormalities in certain brain regions (including the basal ganglia, frontal lobes, and cortex), the circuits that interconnect these regions, and the neurotransmitters (dopamine, serotonin, and norepinephrine) which are associated with these circuits. ...Read more