Current Paediatrics
Volume 13, Issue 1 , Pages 42-46, February 2003

Tourette syndrome and tics

  • Uttom Chowdhury (Consultant in Child and Adolescent Psychiatry, Bedfordshire and Luton Community NHS and Honorary Consultant in Child Psychiatry)

      Affiliations

    • Great Ormond Street Hospital NHS Trust, Child and Adolescent Mental Health Service, Academic Unit, Dunstable Health Centre, Bedfordshire, UK
  • ,
  • Deborah Christie (Consultant Clinical Psychologist and Honorary Senior Lecturer)

      Affiliations

    • Department of Child and Adolescent Psychological Services, University College London and Middlesex Hospitals, London, UK

Article Outline

Abstract 

Tic disorders are not uncommon in children. The classification of the disorders includes transient tic disorders, chronic motor or vocal tic disorders and Tourette syndrome. Tourette syndrome consists of the presence of motor and vocal tics and occurs in 0.5–1.85% of school children. The tics range from blinking and shoulder shrugging to more complex tics such as jumping and the use of inappropriate words. The condition may be associated with other disorders, such as attention deficit hyperactivity disorder and obsessive compulsive disorder. A detailed history is essential in making the diagnosis, and an assessment of the child's functioning and self-esteem is also important in relation to management. A full explanation of the condition to the child and family may be all that is required in mild forms of the disorder. Various forms of management include psychological techniques and medication as well as liaison with the school.

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

    REFERENCES
  1. The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD-10). Geneva: WHO; 1992;
  2. Robertson MM. Annotation: Gilles de la Tourette's syndrome—an update [review]. J Child Psychol Psychiatry. 1994;35:597–611
  3. Hornsey H, Banerjee S, Zeitlin H, Robertson MM. The prevalence of Tourette syndrome in 13–14 year-olds in mainstream schools. J Child Psychol Psychiatry. 2001;42:1035–1039
  4. Leckman JF, Peterson BS, Anderson GM, Arnsten AFT, Pauls DL, Cohen DJ. Pathogenesis of Tourette syndrome. J Child Psychol Psychiatry. 1997;38:119–142
  5. Eapen V, Pauls DL, Robertson MM. Evidence for autosomal dominant transmission in Tourette syndrome. United Kingdom cohort study. Br J Psychiatry. 1993;162:593–596
  6. Rapoport JL, Inoff-Germain G. Practitioner review: treatment of obsessive compulsive disorder in children and adolescents. J Child Psychol Psychiatry. 2000;41:419–431
  7. Dulcan M. Practice parameters for the assessment and treatment of children, adolescents and adults with ADHD. J Am Acad Child Adolesc Psychiatry. 1997;36 (Suppl): 85–121
  8. Kumar R, Lang AE. Tourette syndrome. Secondary tic disorders. [review]. Neurol Clin. 1997;15:309–331
  9. Swedo SE, Leonard HL, Mittleman BB. Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections: clinical description of the first 50 cases. Am J Psychiatry. 1998;155:264–271
  10. Giedd JN, Rapoport JL, Garvey MA, Perlmutter S, Swedo SE. MRI assessment of children with obsessive compulsive disorder or tics associated with streptococcal infections. Biol Psychiatry. 2000;45:1564–1571
  11. Singer HS, Giuliano JD, Hansen BH. Antibodies against a neuron-like (HTB-10 neuroblastoma) cell in children with Tourette syndrome. Biol Psychiatry. 1999;46:775–780
  12. Peterson BS, Cohen DJ. The treatment of Tourette syndrome: multimodal, developmental Intervention. J Clin Psychiatry. 1998;59:62–72
  13. O'Conner KP, Brault M, Robillard S, Loiselle J, Borgeat F, Stip E. Evaluation of a cognitive-behavioural program for the management of chronic tic and habit disorders. Behav Res Ther. 2001;39:667–681
  14. Azrin NM, Peterson AL. Habit reversal for the treatment of Tourette syndrome. Behav Res Ther. 1988;26:347–351
  15. Erenberg G, Cruse PR, Rothner AD. Tourette syndrome. Cleveland Clin Q. 1986;53:127–131
  16. Abwender DA, Como PG, Kurlan R. School problems in Tourette syndrome. Arch Neurol. 1996;53:509–511
    FURTHER READING
  1. Carroll A, Robertson MM. Tourette Syndrome. A Practical Guide for Teachers, Parents and Carers. London: David Fulton; 2000;
  2. Robertson MM. Invited review: Tourette syndrome, associated conditions and the complexities of treatment. Brain. 2000;123:425–462
  • f1 Correspondence to: Tel.: +44 (0) 1582 707634; Fax: +44 (0) 1582 705080; E-mail: uttomc@hotmail.com

PII: S0957-5839(03)90405-2

doi:10.1054/cupe.2003.0405

Current Paediatrics
Volume 13, Issue 1 , Pages 42-46, February 2003