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European clinical guidelines for Tourette Syndrome and other tic disorders

Authors
Journal
European Child & Adolescent Psychiatry
1018-8827
Publisher
Springer-Verlag
Publication Date
Volume
20
Issue
4
Identifiers
DOI: 10.1007/s00787-011-0165-5
Keywords
  • Editorial
Disciplines
  • Medicine

Abstract

EDITORIAL European clinical guidelines for Tourette Syndrome and other tic disorders Veit Roessner • Aribert Rothenberger • Hugh Rickards • Pieter J. Hoekstra � The Author(s) 2011. This article is published with open access at Springerlink.com After the first description by the French neurologist Georges Gilles de la Tourette in 1885 [3], Tourette Syndrome (TS) has fascinated many clinicians and researchers over the decades. But to date there are relatively few studies on tic disorders (PubMed search 29 January 2011, n = 1,283) and TS (n = 3,762) compared to other neurodevelopmental disorders with onset in childhood such as attention/deficit- hyperactivity disorder (ADHD, n = 18,572) or obsessive– compulsive disorders (OCD, n = 12,558). Thus it is not surprising that the evidence base on etiology, assessment, and treatment is still limited, although there is a high level of clinical experience, particularly in specialized centers. One of the many reasons for the small base of high- quality evidence in diagnosing and treating children and adolescents with TS could be seen in the fact that it has only recently become evident that TS and other tic disor- ders are not rare at all [10] and may negatively impact the quality of life of those affected. This underestimation, in combination with a high rate of relatively mild cases and an often favorable course, with good chance of spontane- ous remission, might explain why the necessity for study- ing TS has been neglected. The progress of methodologically sound research in the field of TS has been further hampered by the fact that tics show an extremely high variability over time in frequency, severity, complexity, localization and chronicity [5], which requires long-term observations in large samples. In addition it is not straightforward which specialty should deal with TS, a cause for further fragmentation. The core symptoms of TS (i.e., tics) could be seen as a neurologic hyperkine

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