Comprehensive care for the treatment of Tourette syndrome and tic disorders.

Tourette syndrome is a neurological disorder characterized by repetitive, involuntary movements and vocalizations called tics.

Tics may be preceded by an urge to do a movement or vocalization, followed by a sense of relief afterwards. Tics are called “involuntary,” meaning that you can often suppress them, but it causes tremendous stress and discomfort to do so.

Tics can be simple or complex. Simple motor tics are brief movements such as eye blinking, facial grimacing, shoulder shrugging, or head or limb jerks. Simple vocal tics include throat-clearing, grunting, coughing or sniffing.

Tics can be more complex, such as touching objects or other people, hopping or twirling, or saying words or phrases. Tics sometimes involve saying obscene words, or even result in self-harm such as a tic of hitting oneself or doing severe neck jerks.

Tourette syndrome often occurs with other problems, such as:

  • Attention deficit hyperactivity disorder (ADHD)
  • Obsessive compulsive disorder (OCD)
  • Anxiety
  • Depression

The cause of Tourette syndrome is unknown. We do know that tics tend to run in families, and we know of two genes that can cause Tourette syndrome in a minority of cases. Tics are more common in boys than girls. In Tourette syndrome, tics usually start in childhood and may be worst in the early teens. Many people eventually outgrow them.

No treatment is needed unless the tics interfere with everyday life. Excitement or worry can make tics worse. Medicines can reduce tics. Behavioral therapy, in which patients are taught by psychologists to manage the tics by changing certain behaviors, may help.

Source: NIH: National Institute of Neurological Disorders and Stroke

Why Choose Ohio State

Why choose Ohio State for treatment of Tourette syndrome and tic disorders?

Comprehensive Care: We diagnose, manage and treat tics and Tourette syndrome through our Tic and Obsessive Compulsive Disorders Program. This center offers medical, behavioral and surgical therapies to patients with these disorders. Our team at the Center for Neuromodulation can provide surgical care for patients with Tourette syndrome.

Multidisciplinary Team: Our experts include:

  • Neurologists with fellowship training in Tourette syndrome and tic disorders
  • Psychiatrists with training in depression, anxiety and obsessive compulsive behaviors
  • Neurosurgeons who are among the most experienced in the nation in performing surgical therapies for Tourette syndrome
  • Psychologists
  • Social workers
  • Physical therapists 

Diagnosis

Diagnosing Tourette Syndrome and Tic Disorders

To make a diagnosis of Tourette syndrome, we will verify that you have both motor and vocal tics for at least one year. Our movement disorders specialist also may ask about other neurological or psychiatric conditions such as OCD or ADHD.

No laboratory or imaging studies are necessary for diagnosis, as these are typically normal if you have Tourette syndrome. However, we may order certain blood tests or neuroimaging studies, such as magnetic resonance imaging (MRI) or computerized tomography (CT), to rule out other conditions that cause tics besides Tourette syndrome.

Our physicians may do this if your symptoms or history of tics are not typical of Tourette (e.g., onset of symptoms in adulthood, abnormal findings on your neurological exam). We would look for other causes of tics, such as reaction to certain medications, infection or brain injury.  

Treatment

Treating Tourette Syndrome and Tic Disorders

Current treatment strategies include:

Medical and Behavorial Therapies

When tics are impairing you physically or socially, we may prescribe a medication to suppress the tic. More than one drug may be used to limit side effects from higher doses and to achieve best results.

Medications include neuroleptics, guanfacine and tetrabenazine.

We also may recommend behavioral therapy by a trained specialist in habit reversal therapy.  


Physical, Occupational and Speech Therapies

Our physical therapists who specialize in movement disorders can help you manage motor, cognitive and psychiatric impairments that affect your ability to move.

We will assess you through a variety of tests and recommend the best therapies for your needs. These may include:

  • Training you to walk with regular steps and working to improve balance to improve safety and prevent falls
  • Assessing you to recommend appropriate walking or assistive devices if needed
  • Teaching you exercises to improve strength, flexibility, coordination and balance, and maintain fitness and health

Our movement disorders speech therapists can help you with difficulties swallowing and with speech and help you identify strategies to adjust and cope with tics that affect your ability to communicate.

Our occupational therapists assist you in performing work and leisure activities, as well as activities of daily living such as cooking, grooming and eating. 


Deep Brain Stimulation

When medical treatments fail to provide relief, a surgery called deep brain stimulation (DBS) in the Center for Neuromodulation may be considered. This is a brain surgery in which a tiny wire is placed in the brain to act as a “brain pacemaker.” The implanted wire stimulates the brain to regulate its firing patterns and suppress the tics.  


Research

Research

Our participation in national and international clinical trials for movement disorders provides you with access to the latest options in medications and treatments, often long before they come to market. The Tic and Obsessive Compulsive Disorders Program is involved in clinical research for both medical and surgical therapies.  

Enroll in a clinical trial

Our Doctors

Additional Information

Please bring your medical records from all prior neurology visits, along with reports from brain and spine imaging such as MRIs and CT scans. Bring a list of your medications, including the dose of the pills and how many pills you take throughout the day. Please also try to obtain records of prior medications you have taken to treat the tics and write down what happened when you took these. Also bring results of any genetic testing you have had done.

Preparing for your visit 


Share this Page