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Tourette Syndrome

Ravin V. Patel, MD and Dustin Creech, MD Reviewed 06/2020
 


BASICS

DESCRIPTION

Tourette syndrome (TS) is a movement disorder most commonly seen in school-age children; a childhood-onset neurobehavioral disorder characterized by the presence of multiple motor an...

DIAGNOSIS

HISTORY

Diagnosis of TS is based on history and clinical presentation (i.e., observation of tics with/without presence of coexisting disorders). Identify comorbid conditions. 

PHYSICAL EXAM

  • Typ...

TREATMENT

GENERAL MEASURES

  • Many patients require no treatment; patient should play an active role in treatment decisions.

  • Treatment assessment

    • Yale Global Tic Severity Scale

    • Tourette Syndrome Severity Sca...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Observe for associated psychiatric disorders. 

PATIENT EDUCATION

  • Reassurance that many patients with tics do not need medication; often education ...

REFERENCES

1
Kenney C, Kuo SH, Jimenez-Shahed J. Tourette’s syndrome. Am Fam Physician.  2008;77(5):651–658.
2
Huys D, Hardenacke K, Poppe P, et al. Update on the role of antipsychotics in the treat...

ADDITIONAL READING

Curtis A, Clarke CE, Rickards HE. Cannabinoids for Tourette’s syndrome. Cochrane Database Syst Rev.  2009;(4):CD006565. 

CODES

ICD10

F95.2 Tourette’s disorder 

ICD9

307.23 Tourette’s disorder 

SNOMED

  • 5158005 Gilles de la Tourette’s syndrome (disorder)

  • 23772009 Dysphonia of Gilles de la Tourette’s syndrome (disorder)

CLINICAL PEARLS

  • TS is diagnosed by history and witnessing tics; have parent video patient’s tics if not present on exam in your office.

  • Many patients require no treatment; patient should play an active...

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