Tourette Syndrome

Marvin Sineath Jr and Chandler Brandenburg Reviewed 06/2022

BASICS

DESCRIPTION

Tourette syndrome (TS) is a childhood-onset neurobehavioral disorder characterized by the presence of multiple motor and at least one phonic tic.

Tics are sudden, brief, repetitive, ...

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

Goal of treatment should be to improve social functioning, self-esteem, and quality of life. Patients should play an active role in treatment decisions and be educated that t...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Observe for associated psychiatric disorders and inquire about suicidal thoughts (1).

PATIENT EDUCATION

Reassurance that many patients with tics...

REFERENCES

Pringsheim T, Okun MS, Müller-Vahl K, et al. Practice guideline recommendations summary: Treatment of tics in people with Tourette syndrome and chronic tic disorders. Neurology. 2019 May 7...

CODES

ICD10

F95.2 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.
Many patients require no treatment; patient should play an active role in treatm...

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