Gilles de la Tourette syndrome as a paradigmatic neuropsychiatric disorder

Research output: Contribution to journalReview articlepeer-review

Colleges, School and Institutes

External organisations

  • Department of Neuropsychiatry, BSMHFT and University of Birmingham, Birmingham, UK.

Abstract

Gilles de la Tourette syndrome is a chronic and complex tic disorder accompanied by specific behavioral problems in the majority of patients. With its multifaceted interplay between motion and emotion, this condition is a paradigmatic example of the science and art of clinical neuropsychiatry. This review article encompasses the clinical phenomenology of motor and vocal tics and associated sensory experiences (premonitory urges), as well as the behavioral spectrum of the most common comorbidities, including obsessive-compulsive disorder, attention-deficit and hyperactivity disorder, affective symptoms, and impulsivity. Knowledge of the contributions of both tics and behavioral problems to patients' health-related quality of life across the lifespan should assist treating clinicians in formulating a targeted management plan. Although the exact pathophysiology of Gilles de la Tourette syndrome remains elusive, research into therapeutic interventions has expanded the range of available interventions across multiple domains. A thorough understanding of the neurology and psychiatry of this condition is of key importance to meet the needs of this patient population, from the formulation of an accurate diagnosis to the implementation of effective treatment strategies.

Details

Original languageEnglish
Pages (from-to)213-218
Number of pages6
JournalCNS spectrums
Volume23
Issue number3
Publication statusPublished - Jun 2018

Keywords

  • Attention Deficit Disorder with Hyperactivity/etiology, Compulsive Behavior/etiology, History, 19th Century, History, 20th Century, History, 21st Century, Humans, Neuropsychiatry/history, Tics/etiology, Tourette Syndrome/complications