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Tourette Syndrome

Reviewed 06/2018
 


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 S...

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. [View Abstract on OvidMedline]
2
Huys D, Hardenacke K, Poppe P, et al. Update on the rol...

ADDITIONAL READING

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

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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