Knowledge (XXG)

Causes and origins of Tourette syndrome

Source 📝

190: 321:(pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections), which proposes five criteria for diagnosis in children. PANDAS and the newer PANS (pediatric acute-onset neuropsychiatric syndrome) hypotheses are the focus of clinical and laboratory research, but remain unproven. There is also a broader hypothesis that links immune-system abnormalities and 333:
Some forms of OCD may be genetically linked to Tourette's, although the genetic factors in OCD with and without tics may differ. The genetic relationship of ADHD to Tourette syndrome, however, has not been fully established. A genetic link between autism and Tourette's has not been established as of
161:
makeup may show different levels of symptom severity. The gene(s) may express as Tourette syndrome, as a milder tic disorder (transient or chronic tics), or as obsessive compulsive symptoms with no tics at all. Only a minority of the children who inherit the gene(s) will have symptoms severe enough
46:
The exact cause of Tourette's is unknown, but it is well established that both genetic and environmental factors are involved. The overwhelming majority of cases of Tourette's are inherited, although the exact mode of inheritance is not yet known, and no gene has been identified. Tics are believed
278:
or other non-genetic factors—while not causing Tourette's—can affect the severity of TS in vulnerable individuals and influence the expression of the inherited genes. Pre-natal and peri-natal events increase the risk that a tic disorder or comorbid OCD will be expressed in those with the genetic
94:
studies have shown that Tourette's is highly heritable, and 10 to 100 times more likely to be found among close family members than in the general population. The exact mode of inheritance is not known; no single gene has been identified, and hundreds of genes are likely involved.
2244: 1207:
Peterson B, Riddle MA, Cohen DJ, et al. (May 1993). "Reduced basal ganglia volumes in Tourette's syndrome using three-dimensional reconstruction techniques from magnetic resonance images".
205:
The exact mechanism affecting the inherited vulnerability has not been established, and the precise cause of Tourette syndrome is not known. Tics are believed to result from dysfunction in the
1611:"Clinical effectiveness and patient perspectives of different treatment strategies for tics in children and adolescents with Tourette syndrome: a systematic review and qualitative analysis" 2364: 2122: 2239: 149:
appears to have a role in the expression of the genetic vulnerability, with males more likely to express tics than females. Tourette syndrome is a condition of
313:
processes may affect the onset of tics or exacerbate them. Both OCD and tic disorders are hypothesized to arise in a subset of children as a result of a post-
2229: 2084: 1882:
Denckla MB (2006). "Attention deficit hyperactivity disorder: the childhood co-morbidity that most influences the disability burden in Tourette syndrome".
583:
Fernandez TV, State MW, Pittenger C (2018). "Tourette disorder and other tic disorders". In Daniel H. Geschwind, Henry L. Paulson, Christine Klein (eds.).
79: 74:
Non-genetic factors—while not causing Tourette's—can influence the severity of the disorder. Some forms of Tourette's may be genetically linked to
2427: 1615: 675:
Baldermann JC, Schüller T, Huys D, et al. (2016). "Deep brain stimulation for Tourette syndrome: a systematic review and meta-analysis".
365: 267:
is the main input nucleus of the basal ganglia circuit in the disorder, which is linked to the involvement of the histaminergic H3-receptor.
162:
to require medical attention. There is currently no way to predict the symptoms a child may display, even if the gene(s) are inherited.
1512:
Rapanelli M, Pittenger C (July 2016). "Histamine and histamine receptors in Tourette syndrome and other neuropsychiatric conditions".
1385:
Klawans HL, Falk DK, Nausieda PA, Weiner WJ (October 1978). "Gilles de la Tourette syndrome after long-term chlorpromazine therapy".
600: 544: 413: 1911:"Genetic and phenotypic overlap of specific obsessive-compulsive and attention-deficit/hyperactive subtypes with Tourette syndrome" 1839:
Swain JE, Scahill L, Lombroso PJ, King RA, Leckman JF (August 2007). "Tourette syndrome and tic disorders: a decade of progress".
405: 2311: 2219: 2117: 2077: 90:
The exact cause of Tourette's is unknown, but it is well established that both genetic and environmental factors are involved.
2214: 2270: 1250:
Moriarty J, Varma AR, Stevens J, et al. (August 1997). "A volumetric MRI study of Gilles de la Tourette's syndrome".
1055: 96: 75: 259:(H3R), dopamine, serotonin, GABA and glutamate are involved in the etiology. After 2010, the central role of histamine ( 2413: 2234: 2112: 1428:
Butler IJ, Koslow SH, Seifert WE, Caprioli RM, Singer HS (July 1979). "Biogenic amine metabolism in Tourette syndrome".
1146: 1004:"A search for the common ground between Tic; Obsessive-compulsive and Autism Spectrum Disorders: part I, Tic disorders" 2399: 1132: 32: 1342:
Singer HS, Butler IJ, Tune LE, Seifert WE, Coyle JT (October 1982). "Dopaminergic dsyfunction in Tourette syndrome".
1960:"Lifetime prevalence, age of risk, and genetic relationships of comorbid psychiatric disorders in Tourette syndrome" 138:
In some cases, tics may not be inherited; these cases are identified as "sporadic" Tourette syndrome (also known as
39:
and at least one phonic tic, which characteristically wax and wane. Tourette's syndrome occurs along a spectrum of
2449: 2070: 2454: 2378: 2224: 288: 189: 1663:
Robertson MM (February 2011). "Gilles de la Tourette syndrome: the complexities of phenotype and treatment".
2326: 2280: 154: 125: 2059:— 53-minute video where David Pauls discusses the results of a genetic linkage study for Tourette syndrome. 307:, are also at increased risk; in premature twins, the lower birthweight twin is more likely to develop TS. 1105:
van de Wetering BJ, Heutink P (May 1993). "The genetics of the Gilles de la Tourette syndrome: a review".
932:
van de Wetering BJ, Heutink P (May 1993). "The genetics of the Gilles de la Tourette syndrome: a review".
206: 1180:
Haber SN, Wolfer D (1992). "Basal ganglia peptidergic staining in Tourette syndrome. A follow-up study".
145:
A person with Tourette syndrome has about a 50% chance of passing the gene(s) to one of their children.
2056: 284: 260: 166: 153:, meaning not everyone who inherits the genetic vulnerability will show symptoms. Tourette's also shows 150: 68: 181:. The finding of a chromosomal abnormality appears to apply to a very small minority of cases (1–2%). 629:
Dale RC (December 2017). "Tics and Tourette: a clinical, pathophysiological and etiological review".
322: 165:
Recent research suggests that a small number of Tourette syndrome cases may be caused by a defect on
91: 2260: 2350: 2036: 1864: 1537: 1453: 1410: 1367: 1324: 1275: 1232: 984: 914: 808: 750: 700: 654: 498: 1698:
Wilbur C, Bitnun A, Kronenberg S, Laxer RM, Levy DM, Logan WJ, Shouldice M, Yeh EA (May 2019).
357: 351: 2385: 2371: 2295: 2183: 2093: 2028: 1989: 1940: 1891: 1856: 1821: 1770: 1729: 1680: 1642: 1586: 1529: 1494: 1445: 1402: 1359: 1316: 1267: 1224: 1189: 1158: 1114: 1080: 1033: 976: 941: 906: 857: 800: 742: 692: 646: 606: 596: 560: 540: 490: 448: 409: 361: 249: 25: 317:
autoimmune process. Its potential effect is described by the controversial hypothesis called
2392: 2321: 2290: 2178: 2020: 1979: 1971: 1930: 1922: 1848: 1811: 1801: 1760: 1719: 1711: 1672: 1632: 1624: 1576: 1568: 1521: 1484: 1437: 1394: 1351: 1306: 1259: 1216: 1070: 1023: 1015: 968: 896: 847: 839: 790: 782: 734: 684: 638: 588: 550: 532: 482: 438: 280: 246: 238: 226: 67:. In addition to dopamine, multiple neurotransmitters, like serotonin, GABA, glutamate, and 60: 881: 111:
do. But not everyone who inherits the genetic vulnerability will show symptoms. A few rare
2406: 2316: 2265: 300: 99:
were published in 2013 and 2015 in which no finding reached a threshold for significance.
381: 237:
Research presents considerable evidence that abnormal activity of the brain chemical, or
35:
that begins in childhood or adolescence, characterized by the presence of multiple motor
721:
Cavanna AE (November 2018). "The neuropsychiatry of Gilles de la Tourette syndrome: The
2285: 2153: 1984: 1959: 1935: 1910: 1816: 1789: 1724: 1699: 1637: 1581: 1556: 1028: 1003: 852: 827: 592: 555: 536: 520: 263:
in the basal ganglia) came into focus in the pathophysiology of Tourette syndrome. The
1489: 1472: 1295:"Tourette syndrome and other tic disorders. Diagnosis, pathophysiology, and treatment" 2443: 1975: 1572: 1525: 1311: 1294: 314: 296: 230: 214: 194: 52: 2040: 1765: 1748: 1541: 1457: 1414: 1371: 1328: 1279: 1236: 1075: 988: 972: 901: 812: 754: 704: 658: 587:(Review). Handbook of Clinical Neurology. Vol. 147. Elsevier. pp. 343–54. 2420: 2193: 918: 502: 275: 234: 222: 218: 56: 40: 2008: 1868: 119:
have been found that explain only a small number of cases in single families (the
1852: 843: 738: 642: 2143: 1676: 1610: 304: 177:(tics due to reasons other than inherited Tourette's syndrome) can be caused by 104: 1088: 2275: 2198: 2168: 2158: 2138: 1926: 959:
Paschou P (July 2013). "The genetic basis of Gilles de la Tourette Syndrome".
688: 443: 426: 310: 174: 139: 112: 100: 1166: 2163: 2148: 1019: 427:"Tourette syndrome, associated conditions and the complexities of treatment" 256: 116: 108: 2032: 1993: 1944: 1895: 1860: 1825: 1806: 1774: 1733: 1684: 1646: 1590: 1533: 1398: 1162: 1084: 1037: 980: 910: 861: 804: 746: 696: 650: 610: 564: 494: 452: 356:(Fifth ed.). Arlington, VA: American Psychiatric Publishing. pp.  1498: 1441: 1363: 1355: 1320: 1271: 1228: 1193: 1118: 945: 486: 2343: 2024: 1715: 1449: 1406: 1263: 1220: 292: 264: 242: 210: 198: 178: 158: 64: 48: 29: 795: 170: 131: 121: 786: 2357: 2173: 1628: 1147:"Recognition and management of Tourette's syndrome and tic disorders" 318: 146: 2062: 59:
of the brain, involving abnormal activity of the brain chemical, or
1788:
Moretti G, Pasquini M, Mandarelli G, Tarsitani L, Biondi M (2008).
521:"Genetic susceptibility and neurotransmitters in Tourette syndrome" 2245:
Motor tic, Obsessions and compulsions, Vocal tic Evaluation Survey
188: 519:
Paschou P, Fernandez TV, Sharp F, Heiman GA, Hoekstra PJ (2013).
2066: 2007:
Robertson MM, Eapen V, Singer HS, et al. (February 2017).
773:
Efron D, Dale RC (October 2018). "Tics and Tourette syndrome".
2188: 36: 225:
models implicate failures in circuits connecting the brain's
1958:
Hirschtritt ME, Lee PC, Pauls DL, et al. (April 2015).
1790:"What every psychiatrist should know about PANDAS: a review" 1609:
Hollis C, Pennant M, Cuenca J, et al. (January 2016).
245:
is involved. Dopamine excess or supersensitivity of the
1909:
Hirschtritt ME, Darrow SM, et al. (January 2018).
283:; stress or severe nausea during pregnancy; and use of 1700:"PANDAS/PANS in childhood: Controversies and evidence" 353:
Diagnostic and Statistical Manual of Mental Disorders
252:
may be an underlying mechanism of Tourette syndrome.
78:(OCD), while the relationship between Tourette's and 229:
and subcortex, and imaging techniques implicate the
2335: 2304: 2253: 2207: 2131: 2100: 1749:"Treatment of PANDAS and PANS: a systematic review" 403:Advances in Neurology, Vol. 99, Tourette Syndrome. 43:, which includes transient tics and chronic tics. 1002:Barnhill J, Bedford J, Crowley J, Soda T (2017). 2365:I Have Tourette's but Tourette's Doesn't Have Me 1658: 1656: 473:Zinner SH (November 2000). "Tourette disorder". 209:, in the cortical and subcortical regions, the 1747:Sigra S, Hesselmark E, Bejerot S (March 2018). 1145:Bagheri MM, Kerbeshian J, Burd L (April 1999). 2057:The Genetics of Gilles de la Tourette Syndrome 1133:Tourette Syndrome: Frequently Asked Questions. 716: 714: 387:(March 22, 2006). Retrieved on June 27, 2006. 107:share a TS diagnosis, while only 10 to 23% of 2078: 8: 2230:Tourette Syndrome Clinical Global Impression 875: 873: 871: 826:Bloch M, State M, Pittenger C (April 2011). 768: 766: 764: 670: 668: 578: 576: 574: 401:Walkup JT, Mink JW, Hollenback PJ, (eds). 279:vulnerability. These include paternal age; 2085: 2071: 2063: 624: 622: 620: 397: 395: 393: 382:Tourette Syndrome and Other Tic Disorders. 2240:Autism—Tics, AD/HD, and other Comorbities 1983: 1934: 1815: 1805: 1764: 1723: 1636: 1604: 1602: 1600: 1580: 1488: 1310: 1074: 1027: 900: 851: 794: 554: 514: 512: 442: 350:American Psychiatric Association (2013). 1049: 1047: 882:"Tourette's syndrome and its borderland" 527:. International Review of Neurobiology. 468: 466: 464: 462: 80:attention-deficit hyperactivity disorder 28:(abbreviated as Tourette's or TS) is an 2428:Tic Talk: Living with Tourette Syndrome 342: 22:Causes and origins of Tourette syndrome 828:"Recent advances in Tourette syndrome" 295:during pregnancy. Babies who are born 1293:Singer HS, Walkup JT (January 1991). 142:) because a genetic link is missing. 7: 201:are implicated in Tourette syndrome. 82:(ADHD) is not yet fully understood. 1555:Bolam JP, Ellender TJ (July 2016). 1473:"Neurobiology of Tourette syndrome" 1054:Mejia NI, Jankovic J (March 2005). 157:—even family members with the same 1841:J Am Acad Child Adolesc Psychiatry 593:10.1016/B978-0-444-63233-3.00023-3 537:10.1016/B978-0-12-411546-0.00006-8 47:to result from dysfunction in the 14: 408:, Philadelphia, PA, 2006, p. xv. 406:Lippincott Williams & Wilkins 255:Multiple neurotransmitters, like 24:have not been fully elucidated. 2009:"Gilles de la Tourette syndrome" 1976:10.1001/jamapsychiatry.2014.2650 1794:Clin Pract Epidemiol Ment Health 1573:10.1016/j.neuropharm.2015.08.013 1526:10.1016/j.neuropharm.2015.08.019 1312:10.1097/00005792-199101000-00002 2312:Tourette Association of America 2220:Premonitory Urge for Tics Scale 1766:10.1016/j.neubiorev.2018.01.001 1131:Tourette Syndrome Association. 1076:10.1590/s1516-44462005000100006 1056:"Secondary tics and tourettism" 973:10.1016/j.neubiorev.2013.01.016 902:10.1136/practneurol-2017-001755 97:Genome-wide association studies 2215:Yale Global Tic Severity Scale 1135:Retrieved on February 8, 2005. 1: 2271:Georges Gilles de la Tourette 2123:Societal and cultural aspects 1490:10.1016/s0733-8619(05)70318-2 76:obsessive-compulsive disorder 18:Causes of Tourette's syndrome 2414:The Secret Life of Lele Pons 1853:10.1097/chi.0b013e318068fbcc 1557:"Histamine and the striatum" 844:10.1097/WCO.0b013e328344648c 739:10.1016/j.neurol.2018.06.006 643:10.1097/MOP.0000000000000546 1677:10.12968/hmed.2011.72.2.100 425:Robertson MM (March 2000). 33:neurodevelopmental disorder 2471: 329:Relation with OCD and ADHD 2235:Tourette's Disorder Scale 2225:Shapiro TS Severity Scale 1927:10.1017/S0033291717001672 689:10.1016/j.brs.2015.11.005 880:Stern JS (August 2018). 2327:Yale Child Study Center 2281:Jean Marc Gaspard Itard 1020:10.3934/genet.2017.1.32 775:J Paediatr Child Health 444:10.1093/brain/123.3.425 103:show that 50 to 77% of 69:histamine (H3-receptor) 1807:10.1186/1745-0179-4-13 1623:(4): 1–450, vii–viii. 1471:Singer HS (May 1997). 1399:10.1212/wnl.28.10.1064 271:Non-genetic influences 207:central nervous system 202: 1753:Neurosci Biobehav Rev 1704:Paediatr Child Health 1616:Health Technol Assess 1442:10.1002/ana.410060109 1356:10.1002/ana.410120408 961:Neurosci Biobehav Rev 891:(Historical review). 585:Neurogenetics, Part I 487:10.1542/pir.21-11-372 192: 151:incomplete penetrance 2025:10.1038/nrdp.2016.97 1665:Br J Hosp Med (Lond) 1299:Medicine (Baltimore) 1264:10.1212/wnl.49.2.410 1221:10.1212/wnl.43.5.941 1157:(8): 2263–72, 2274. 727:Rev. Neurol. (Paris) 631:Curr. Opin. Pediatr. 323:immune dysregulation 92:Genetic epidemiology 2400:Motherless Brooklyn 2261:Jean-Martin Charcot 2013:Nat Rev Dis Primers 832:Curr. Opin. Neurol. 525:Int. Rev. Neurobiol 155:variable expression 2351:Front of the Class 2108:Causes and origins 1716:10.1093/pch/pxy145 1169:on March 31, 2005. 934:J. Lab. Clin. Med. 303:, or who have low 250:dopamine receptors 203: 2450:Tourette syndrome 2437: 2436: 2386:Le Petit Tourette 2296:Arthur K. Shapiro 2184:Sensory phenomena 2094:Tourette syndrome 1561:Neuropharmacology 1514:Neuropharmacology 1107:J. Lab. Clin. Med 1094:on June 28, 2007. 1063:Braz J Psychiatry 787:10.1111/jpc.14165 367:978-0-89042-555-8 173:. Some cases of 26:Tourette syndrome 2462: 2455:Cause (medicine) 2322:Tourettes Action 2291:James F. Leckman 2208:Assessment tools 2179:Premonitory urge 2087: 2080: 2073: 2064: 2045: 2044: 2004: 1998: 1997: 1987: 1955: 1949: 1948: 1938: 1906: 1900: 1899: 1879: 1873: 1872: 1836: 1830: 1829: 1819: 1809: 1785: 1779: 1778: 1768: 1744: 1738: 1737: 1727: 1695: 1689: 1688: 1660: 1651: 1650: 1640: 1629:10.3310/hta20040 1606: 1595: 1594: 1584: 1552: 1546: 1545: 1509: 1503: 1502: 1492: 1468: 1462: 1461: 1425: 1419: 1418: 1382: 1376: 1375: 1339: 1333: 1332: 1314: 1290: 1284: 1283: 1247: 1241: 1240: 1204: 1198: 1197: 1177: 1171: 1170: 1165:. Archived from 1151:Am Fam Physician 1142: 1136: 1129: 1123: 1122: 1102: 1096: 1095: 1093: 1087:. Archived from 1078: 1060: 1051: 1042: 1041: 1031: 999: 993: 992: 956: 950: 949: 929: 923: 922: 904: 886: 877: 866: 865: 855: 823: 817: 816: 798: 770: 759: 758: 718: 709: 708: 672: 663: 662: 626: 615: 614: 580: 569: 568: 558: 516: 507: 506: 470: 457: 456: 446: 422: 416: 399: 388: 378: 372: 371: 347: 281:forceps delivery 239:neurotransmitter 113:highly penetrant 71:, are involved. 61:neurotransmitter 2470: 2469: 2465: 2464: 2463: 2461: 2460: 2459: 2440: 2439: 2438: 2433: 2331: 2317:Tourette Canada 2300: 2266:Donald J. Cohen 2249: 2203: 2127: 2096: 2091: 2053: 2048: 2006: 2005: 2001: 1964:JAMA Psychiatry 1957: 1956: 1952: 1908: 1907: 1903: 1881: 1880: 1876: 1838: 1837: 1833: 1787: 1786: 1782: 1746: 1745: 1741: 1697: 1696: 1692: 1662: 1661: 1654: 1608: 1607: 1598: 1554: 1553: 1549: 1511: 1510: 1506: 1470: 1469: 1465: 1427: 1426: 1422: 1384: 1383: 1379: 1341: 1340: 1336: 1292: 1291: 1287: 1249: 1248: 1244: 1206: 1205: 1201: 1179: 1178: 1174: 1144: 1143: 1139: 1130: 1126: 1104: 1103: 1099: 1091: 1058: 1053: 1052: 1045: 1001: 1000: 996: 958: 957: 953: 931: 930: 926: 884: 879: 878: 869: 825: 824: 820: 781:(10): 1148–53. 772: 771: 762: 720: 719: 712: 674: 673: 666: 628: 627: 618: 603: 582: 581: 572: 547: 518: 517: 510: 472: 471: 460: 424: 423: 419: 400: 391: 379: 375: 368: 349: 348: 344: 340: 331: 301:low birthweight 273: 235:frontal cortex. 187: 185:Pathophysiology 109:fraternal twins 105:identical twins 88: 86:Genetic factors 19: 12: 11: 5: 2468: 2466: 2458: 2457: 2452: 2442: 2441: 2435: 2434: 2432: 2431: 2424: 2417: 2410: 2403: 2396: 2389: 2382: 2375: 2372:John's Not Mad 2368: 2361: 2354: 2347: 2339: 2337: 2333: 2332: 2330: 2329: 2324: 2319: 2314: 2308: 2306: 2302: 2301: 2299: 2298: 2293: 2288: 2286:Samuel Johnson 2283: 2278: 2273: 2268: 2263: 2257: 2255: 2251: 2250: 2248: 2247: 2242: 2237: 2232: 2227: 2222: 2217: 2211: 2209: 2205: 2204: 2202: 2201: 2196: 2191: 2186: 2181: 2176: 2171: 2166: 2161: 2156: 2154:Echophenomenon 2151: 2146: 2141: 2135: 2133: 2129: 2128: 2126: 2125: 2120: 2115: 2110: 2104: 2102: 2098: 2097: 2092: 2090: 2089: 2082: 2075: 2067: 2061: 2060: 2052: 2051:External links 2049: 2047: 2046: 1999: 1950: 1901: 1874: 1831: 1780: 1739: 1690: 1652: 1596: 1547: 1504: 1463: 1420: 1393:(10): 1064–6. 1377: 1334: 1285: 1242: 1199: 1172: 1137: 1124: 1097: 1043: 994: 967:(6): 1026–39. 951: 924: 867: 818: 760: 710: 683:(2): 296–304. 664: 616: 601: 570: 545: 508: 481:(11): 372–83. 458: 417: 389: 373: 366: 341: 339: 336: 330: 327: 272: 269: 221:of the brain. 219:frontal cortex 186: 183: 87: 84: 57:frontal cortex 17: 13: 10: 9: 6: 4: 3: 2: 2467: 2456: 2453: 2451: 2448: 2447: 2445: 2430: 2429: 2425: 2423: 2422: 2418: 2416: 2415: 2411: 2409: 2408: 2404: 2402: 2401: 2397: 2395: 2394: 2390: 2387: 2383: 2381: 2380: 2379:Las Estrellas 2376: 2374: 2373: 2369: 2367: 2366: 2362: 2360: 2359: 2355: 2353: 2352: 2348: 2346: 2345: 2341: 2340: 2338: 2334: 2328: 2325: 2323: 2320: 2318: 2315: 2313: 2310: 2309: 2307: 2305:Organizations 2303: 2297: 2294: 2292: 2289: 2287: 2284: 2282: 2279: 2277: 2274: 2272: 2269: 2267: 2264: 2262: 2259: 2258: 2256: 2252: 2246: 2243: 2241: 2238: 2236: 2233: 2231: 2228: 2226: 2223: 2221: 2218: 2216: 2213: 2212: 2210: 2206: 2200: 2197: 2195: 2192: 2190: 2187: 2185: 2182: 2180: 2177: 2175: 2172: 2170: 2167: 2165: 2162: 2160: 2157: 2155: 2152: 2150: 2147: 2145: 2142: 2140: 2137: 2136: 2134: 2130: 2124: 2121: 2119: 2116: 2114: 2111: 2109: 2106: 2105: 2103: 2099: 2095: 2088: 2083: 2081: 2076: 2074: 2069: 2068: 2065: 2058: 2055: 2054: 2050: 2042: 2038: 2034: 2030: 2026: 2022: 2018: 2014: 2010: 2003: 2000: 1995: 1991: 1986: 1981: 1977: 1973: 1970:(4): 325–33. 1969: 1965: 1961: 1954: 1951: 1946: 1942: 1937: 1932: 1928: 1924: 1921:(2): 279–93. 1920: 1916: 1912: 1905: 1902: 1897: 1893: 1889: 1885: 1878: 1875: 1870: 1866: 1862: 1858: 1854: 1850: 1847:(8): 947–68. 1846: 1842: 1835: 1832: 1827: 1823: 1818: 1813: 1808: 1803: 1799: 1795: 1791: 1784: 1781: 1776: 1772: 1767: 1762: 1758: 1754: 1750: 1743: 1740: 1735: 1731: 1726: 1721: 1717: 1713: 1709: 1705: 1701: 1694: 1691: 1686: 1682: 1678: 1674: 1671:(2): 100–07. 1670: 1666: 1659: 1657: 1653: 1648: 1644: 1639: 1634: 1630: 1626: 1622: 1618: 1617: 1612: 1605: 1603: 1601: 1597: 1592: 1588: 1583: 1578: 1574: 1570: 1566: 1562: 1558: 1551: 1548: 1543: 1539: 1535: 1531: 1527: 1523: 1519: 1515: 1508: 1505: 1500: 1496: 1491: 1486: 1483:(2): 357–79. 1482: 1478: 1474: 1467: 1464: 1459: 1455: 1451: 1447: 1443: 1439: 1435: 1431: 1424: 1421: 1416: 1412: 1408: 1404: 1400: 1396: 1392: 1388: 1381: 1378: 1373: 1369: 1365: 1361: 1357: 1353: 1349: 1345: 1338: 1335: 1330: 1326: 1322: 1318: 1313: 1308: 1304: 1300: 1296: 1289: 1286: 1281: 1277: 1273: 1269: 1265: 1261: 1257: 1253: 1246: 1243: 1238: 1234: 1230: 1226: 1222: 1218: 1214: 1210: 1203: 1200: 1195: 1191: 1187: 1183: 1176: 1173: 1168: 1164: 1160: 1156: 1152: 1148: 1141: 1138: 1134: 1128: 1125: 1120: 1116: 1113:(5): 638–45. 1112: 1108: 1101: 1098: 1090: 1086: 1082: 1077: 1072: 1068: 1064: 1057: 1050: 1048: 1044: 1039: 1035: 1030: 1025: 1021: 1017: 1013: 1009: 1005: 998: 995: 990: 986: 982: 978: 974: 970: 966: 962: 955: 952: 947: 943: 940:(5): 638–45. 939: 935: 928: 925: 920: 916: 912: 908: 903: 898: 895:(4): 262–70. 894: 890: 883: 876: 874: 872: 868: 863: 859: 854: 849: 845: 841: 838:(2): 119–25. 837: 833: 829: 822: 819: 814: 810: 806: 802: 797: 792: 788: 784: 780: 776: 769: 767: 765: 761: 756: 752: 748: 744: 740: 736: 733:(9): 621–27. 732: 728: 724: 723:état de l'art 717: 715: 711: 706: 702: 698: 694: 690: 686: 682: 678: 671: 669: 665: 660: 656: 652: 648: 644: 640: 637:(6): 665–73. 636: 632: 625: 623: 621: 617: 612: 608: 604: 602:9780444632333 598: 594: 590: 586: 579: 577: 575: 571: 566: 562: 557: 552: 548: 546:9780124115460 542: 538: 534: 530: 526: 522: 515: 513: 509: 504: 500: 496: 492: 488: 484: 480: 476: 469: 467: 465: 463: 459: 454: 450: 445: 440: 437:(3): 425–62. 436: 432: 428: 421: 418: 415: 414:0-7817-9970-8 411: 407: 404: 398: 396: 394: 390: 386: 383: 377: 374: 369: 363: 359: 355: 354: 346: 343: 337: 335: 328: 326: 324: 320: 316: 315:streptococcal 312: 308: 306: 302: 298: 294: 290: 286: 282: 277: 270: 268: 266: 262: 258: 253: 251: 248: 244: 240: 236: 232: 231:basal ganglia 228: 224: 223:Neuroanatomic 220: 216: 215:basal ganglia 212: 208: 200: 196: 195:basal ganglia 191: 184: 182: 180: 176: 172: 168: 167:chromosome 13 163: 160: 156: 152: 148: 143: 141: 136: 134: 133: 128: 127: 123: 118: 114: 110: 106: 102: 98: 93: 85: 83: 81: 77: 72: 70: 66: 62: 58: 54: 53:basal ganglia 50: 44: 42: 41:tic disorders 38: 34: 31: 27: 23: 16: 2426: 2421:The Tic Code 2419: 2412: 2405: 2398: 2391: 2377: 2370: 2363: 2356: 2349: 2342: 2194:Tic disorder 2107: 2016: 2012: 2002: 1967: 1963: 1953: 1918: 1914: 1904: 1887: 1883: 1877: 1844: 1840: 1834: 1797: 1793: 1783: 1756: 1752: 1742: 1710:(2): 85–91. 1707: 1703: 1693: 1668: 1664: 1620: 1614: 1564: 1560: 1550: 1517: 1513: 1507: 1480: 1476: 1466: 1433: 1429: 1423: 1390: 1386: 1380: 1350:(4): 361–6. 1347: 1343: 1337: 1305:(1): 15–32. 1302: 1298: 1288: 1258:(2): 410–5. 1255: 1251: 1245: 1215:(5): 941–9. 1212: 1208: 1202: 1185: 1181: 1175: 1167:the original 1154: 1150: 1140: 1127: 1110: 1106: 1100: 1089:the original 1066: 1062: 1014:(1): 32–46. 1011: 1007: 997: 964: 960: 954: 937: 933: 927: 892: 889:Pract Neurol 888: 835: 831: 821: 796:11343/284621 778: 774: 730: 726: 722: 680: 677:Brain Stimul 676: 634: 630: 584: 528: 524: 478: 474: 434: 430: 420: 402: 384: 376: 352: 345: 332: 309: 305:Apgar scores 287:, caffeine, 276:Psychosocial 274: 254: 247:postsynaptic 204: 164: 144: 137: 130: 120: 101:Twin studies 89: 73: 45: 21: 20: 15: 2144:Copropraxia 1915:Psychol Med 1477:Neurol Clin 1436:(1): 37–9. 1430:Ann. Neurol 1344:Ann. Neurol 1069:(1): 11–7. 475:Pediatr Rev 380:Black, KJ. 261:H3-receptor 2444:Categories 2276:Tim Howard 2199:Tourettism 2169:Palipraxia 2159:Echopraxia 2139:Coprolalia 2118:Management 2015:(Review). 1886:(Review). 1884:Adv Neurol 1843:(Review). 1188:: 145–50. 1182:Adv Neurol 1153:(Review). 1010:(Review). 1008:AIMS Genet 963:(Review). 936:(Review). 834:(Review). 777:(Review). 729:(Review). 679:(Review). 633:(Review). 531:: 155–77. 477:(Review). 311:Autoimmune 175:tourettism 140:tourettism 2164:Palilalia 2149:Echolalia 2019:: 16097. 1890:: 17–21. 1800:(1): 13. 1759:: 51–65. 1567:: 74–84. 1520:: 85–90. 1387:Neurology 1252:Neurology 1209:Neurology 385:eMedicine 325:with TS. 297:premature 257:histamine 117:mutations 30:inherited 2344:75 Watts 2041:38518566 2033:28150698 1994:25671412 1945:28651666 1896:16536349 1861:17667475 1826:18495013 1775:29309797 1734:30996598 1685:21378617 1647:26786936 1591:26275849 1542:20574808 1534:26282120 1458:12142634 1415:38781188 1372:71299547 1329:22623671 1280:26958522 1237:11641251 1163:10221310 1085:15867978 1038:31435502 989:10515751 981:23333760 911:29636375 862:21386676 813:52934981 805:30294996 755:51966823 747:30098800 705:22929403 697:26827109 659:13654194 651:28915150 611:29325623 565:24295621 495:11077021 453:10686169 293:cannabis 265:striatum 243:dopamine 211:thalamus 199:thalamus 179:mutation 169:of gene 135:genes). 115:genetic 65:dopamine 49:thalamus 2407:Quit It 2113:History 1985:4446055 1936:7909616 1817:2413218 1725:6462125 1638:4781241 1582:4917894 1499:9115467 1364:6184010 1321:1988764 1272:9270569 1229:8492950 1194:1414617 1119:8478592 1029:6690237 946:8478592 919:4709096 853:4065550 556:4471172 503:7774922 289:alcohol 285:tobacco 171:SLITRK1 159:genetic 132:CNTNAP2 122:SLITRK1 2358:Hichki 2254:People 2174:PANDAS 2039:  2031:  1992:  1982:  1943:  1933:  1894:  1869:343916 1867:  1859:  1824:  1814:  1773:  1732:  1722:  1683:  1645:  1635:  1589:  1579:  1540:  1532:  1497:  1456:  1450:292354 1448:  1413:  1407:284201 1405:  1370:  1362:  1327:  1319:  1278:  1270:  1235:  1227:  1192:  1161:  1117:  1083:  1036:  1026:  987:  979:  944:  917:  909:  860:  850:  811:  803:  753:  745:  703:  695:  657:  649:  609:  599:  563:  553:  543:  501:  493:  451:  412:  364:  334:2017. 319:PANDAS 291:, and 227:cortex 217:, and 147:Gender 129:, and 55:, and 2336:Media 2132:Terms 2037:S2CID 1865:S2CID 1538:S2CID 1454:S2CID 1411:S2CID 1368:S2CID 1325:S2CID 1276:S2CID 1233:S2CID 1092:(PDF) 1059:(PDF) 985:S2CID 915:S2CID 885:(PDF) 809:S2CID 751:S2CID 701:S2CID 655:S2CID 499:S2CID 431:Brain 358:81–85 338:Notes 299:with 2393:Maze 2101:Main 2029:PMID 1990:PMID 1941:PMID 1892:PMID 1857:PMID 1822:PMID 1771:PMID 1730:PMID 1681:PMID 1643:PMID 1587:PMID 1530:PMID 1495:PMID 1446:PMID 1403:PMID 1360:PMID 1317:PMID 1268:PMID 1225:PMID 1190:PMID 1159:PMID 1115:PMID 1081:PMID 1034:PMID 977:PMID 942:PMID 907:PMID 858:PMID 801:PMID 743:PMID 693:PMID 647:PMID 607:PMID 597:ISBN 561:PMID 541:ISBN 491:PMID 449:PMID 410:ISBN 362:ISBN 233:and 197:and 193:The 37:tics 2189:Tic 2021:doi 1980:PMC 1972:doi 1931:PMC 1923:doi 1849:doi 1812:PMC 1802:doi 1761:doi 1720:PMC 1712:doi 1673:doi 1633:PMC 1625:doi 1577:PMC 1569:doi 1565:106 1522:doi 1518:106 1485:doi 1438:doi 1395:doi 1352:doi 1307:doi 1260:doi 1217:doi 1111:121 1071:doi 1024:PMC 1016:doi 969:doi 938:121 897:doi 848:PMC 840:doi 791:hdl 783:doi 735:doi 731:174 725:". 685:doi 639:doi 589:doi 551:PMC 533:doi 529:112 483:doi 439:doi 435:123 126:HDC 2446:: 2035:. 2027:. 2011:. 1988:. 1978:. 1968:72 1966:. 1962:. 1939:. 1929:. 1919:48 1917:. 1913:. 1888:99 1863:. 1855:. 1845:46 1820:. 1810:. 1796:. 1792:. 1769:. 1757:86 1755:. 1751:. 1728:. 1718:. 1708:24 1706:. 1702:. 1679:. 1669:72 1667:. 1655:^ 1641:. 1631:. 1621:20 1619:. 1613:. 1599:^ 1585:. 1575:. 1563:. 1559:. 1536:. 1528:. 1516:. 1493:. 1481:15 1479:. 1475:. 1452:. 1444:. 1432:. 1409:. 1401:. 1391:28 1389:. 1366:. 1358:. 1348:12 1346:. 1323:. 1315:. 1303:70 1301:. 1297:. 1274:. 1266:. 1256:49 1254:. 1231:. 1223:. 1213:43 1211:. 1186:58 1184:. 1155:59 1149:. 1109:. 1079:. 1067:27 1065:. 1061:. 1046:^ 1032:. 1022:. 1006:. 983:. 975:. 965:37 913:. 905:. 893:18 887:. 870:^ 856:. 846:. 836:24 830:. 807:. 799:. 789:. 779:54 763:^ 749:. 741:. 713:^ 699:. 691:. 667:^ 653:. 645:. 635:29 619:^ 605:. 595:. 573:^ 559:. 549:. 539:. 523:. 511:^ 497:. 489:. 479:21 461:^ 447:. 433:. 429:. 392:^ 360:. 241:, 213:, 124:, 63:, 51:, 2388:" 2384:" 2086:e 2079:t 2072:v 2043:. 2023:: 2017:3 1996:. 1974:: 1947:. 1925:: 1898:. 1871:. 1851:: 1828:. 1804:: 1798:4 1777:. 1763:: 1736:. 1714:: 1687:. 1675:: 1649:. 1627:: 1593:. 1571:: 1544:. 1524:: 1501:. 1487:: 1460:. 1440:: 1434:6 1417:. 1397:: 1374:. 1354:: 1331:. 1309:: 1282:. 1262:: 1239:. 1219:: 1196:. 1121:. 1073:: 1040:. 1018:: 1012:4 991:. 971:: 948:. 921:. 899:: 864:. 842:: 815:. 793:: 785:: 757:. 737:: 707:. 687:: 681:9 661:. 641:: 613:. 591:: 567:. 535:: 505:. 485:: 455:. 441:: 370:.

Index

Tourette syndrome
inherited
neurodevelopmental disorder
tics
tic disorders
thalamus
basal ganglia
frontal cortex
neurotransmitter
dopamine
histamine (H3-receptor)
obsessive-compulsive disorder
attention-deficit hyperactivity disorder
Genetic epidemiology
Genome-wide association studies
Twin studies
identical twins
fraternal twins
highly penetrant
mutations
SLITRK1
HDC
CNTNAP2
tourettism
Gender
incomplete penetrance
variable expression
genetic
chromosome 13
SLITRK1

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.