Tourette's

Question 1

Tourette Definition

Answer 1

Inherited, neurological disorder characterized by repeated involuntary movements and uncontrollable vocal sounds called tics (can also include inappropriate words and phrases)

Question 2

Sex difference

Answer 2

Males 3-4X more

Question 3

Ratio of people expressing tourette like symptoms

Answer 3

1 in 200

Question 4

How similar is TS course in patients?

Answer 4

Very varied

Question 5

First symptoms of TS?

Answer 5

Facial tics (Eye blinking, nose twitching, grimaces)

Question 6

What is the term for shouting obscenities?

Answer 6

Coprolalia

Question 7

What is term for constantly repeating words of other people?

Answer 7

Echolalia

Question 8

Do tics change in frequency, number, type and location?

Answer 8

Yes

Question 9

Two categories of tics?

Answer 9

Simple

Complex

Question 10

Simple tics definition

Answer 10

Sudden, brief movements by limited number of muscle groups

Question 11

Simple tics examples

Answer 11

Eye blinking, shoulder shrugging, facial grimacing, head jerking, yelping, and sniffing

Question 12

Complex tics definition

Answer 12

Distinct, coordinated patterns of successive movements involving several muscle groups

Question 13

Complex tics exmaples

Answer 13

Jumping, smelling objects, touching nose, touching other people, coprolalia, echolalia, self-harming behaviors

Question 14

Can TS patients suppress tics?

Answer 14

Yes, but its difficult

Question 15

Tic frequency worsens when?

Answer 15

Stress

Question 16

One mechanism for why TS happens?

Answer 16

Mutation in gene controlling brain’s metabolism of NT’s

Question 17

5 associated TS disorders

Answer 17

1. OCD
2. ADD
3. Learning disability
4. Impulse control
5. Sleep disorders

Question 18

First step in treating TS?

Answer 18

Determine which set of symptoms to treat

Question 19

How to diagnose TS?

Answer 19

Observe symptoms and evaluate family history (1 year)

Question 20

Why is TS diagnosing hard?

Answer 20

Misinterpret symptoms and often times tics go away when seeing a doctor

Question 21

Do most TS patients need medication?

Answer 21

NO

Question 22

Drug type to reduce tics?

Answer 22

Neuroleptic drugs

Question 23

Anti-psychotic used in TS?

Symptoms treated

Answer 23

Clonidine

Great with motor tics

Question 24

Stimulants use in TS?

Answer 24

Might treat associated behavioral, but has been shown to increase tics

Question 25

Drug for OCD in TS?

Answer 25

SSRI’s or clomipramine

Question 26

Will psychotherapy help in TS?

Answer 26

Help patient cope

Question 27

Two ways to alleviate stress in TS?

Answer 27

Relaxation techniques

Biofeedback

Question 28

Mode of TS inheritance?

Answer 28

Dominant

Question 29

Will a person with a TS gene have full-blown TS?

Answer 29

No, might be milder or another associated disease

Question 30

Can TS improve over time?

Answer 30

Yes, but for some they will always have

Question 31

What parts of TS decrease with age?

What parts increase?

Answer 31

Tic symptoms decrease

Neuropsychiatric disorders increase