Abstract
ᅟ
Tourette syndrome and tic disorders are characterized by Tics—both motor and vocal. They are of childhood onset and considered to be neurodevelopmental disorders. Tics are preceded by premonitory urges with subsequent relief. These disorders often result in lower quality of life for patients, especially when presentation is severe.
Purpose of This Review
The purpose of this review is to understand recent definitions of tic disorders and Tourette syndromes, diagnostic criteria, pathophysiology, and treatments.
Recent Findings
Most recent definitions are part of the DSM V. The mechanism of tics is thought to be related to excitatory and inhibitory imbalances of the dopaminergic system, within the cortico-striato-thalamo-cortical circuit. The mainstay of treatments are pharmacologic, with more recent treatments including behavioral modification therapies.
Summary
Understanding the mechanism of tics and Tourette syndrome and most effective treatments can help in finding prevention strategies, and optimal management, thereby improve quality of life in the affected patients.
Similar content being viewed by others
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
• Ganos C, Martino D. Tics and Tourette syndrome. Neurol Clin. 2015;33:115–36. Thorough descriptions of tic disorders, Tourette syndrome, and recent treatments
• Tic PK. Disoders and Tourette’s syndrome. Eur Child Adolesc Psychiatry. 2013;22(Suppl 1):S55–60. Thorough descriptions of tic disorders, Tourette syndrome, and recent treatments
• Tourette HM. Syndrome: update. Brain Dev. 2015;37:651–5. Thorough descriptions of tic disorders, Tourette syndrome, and recent treatments
•• Serajee F, Huq A. Pediatric, advances in Tourette syndrome. Clin N Am. 2015;62:687–701. Gives most recent updated mechanisms for Tourette syndrome
•• Hashemiyoon R, Kuhn J, Visser-Vandewalle V, Putting the pieces together in Gilles de la Tourette syndrome: exploring the link between clinical observations and the biological basis of dysfunction. Brain Topogr, 2016. Gives most recent updated mechanisms for Tourette syndrome.
• Leclerc J, O’connor K, J-Nolin G, Valois P, Lavoie M. The effect of a new therapy for children with tics targeting underlying cognitive, behavioral and physiological processes. Fronteirs in Psychiatry. 2016;7:Article 135. Thorough descriptions of tic disorders, Tourette syndrome, and recent treatments
Schrock LE, Mink JW, Woods DW, et al. Tourette syndrome deep brain stimulation: a review and updated recommendations. Mov Disord. 2015;30:448.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Kripa Sundararajan declares no potential conflicts of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Additional information
This article is part of the Topical Collection on Neurology
Rights and permissions
About this article
Cite this article
Sundararajan, K. Tics, Tourette’s Syndrome, and Current Therapies Review—Current Pediatric Report. Curr Pediatr Rep 5, 73–76 (2017). https://doi.org/10.1007/s40124-017-0129-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40124-017-0129-4