Article Translations: (Spanish)
Tourette syndrome is a condition that causes uncontrolled sudden, repetitive muscle movements and sounds known as tics.
Two types of tics are associated with Tourette syndrome:
Tics can be simple or complex:
At certain times, like when someone is under stress, the tics can become more severe, happen more often, or last longer. Or the type of tic may change.
Some kids can hold back their tics for a short time. But as tension builds, eventually it must be released as a tic. And if a person is concentrating on controlling the tic, it may be hard to focus on anything else. This can make it hard for kids with Tourette syndrome to have a conversation or pay attention in class.
The tics associated with Tourette syndrome tend to get milder or go away entirely as kids grow into adulthood. Until that happens, though, parents can help their child cope with the condition.
Tourette syndrome is a genetic disorder, which means it's the result of a change in genes that's either inherited (passed on from parent to child) or happens during development in the womb. Tourette symptoms typically appear in childhood, usually when kids are between 5–9 years old. It's not very common, and boys are more likely to be affected than girls.
The exact cause of Tourette syndrome isn't known, but some research points to changes in the brain and problems with how nerve cells communicate. An upset in the balance of neurotransmitters (chemicals in the brain that carry nerve signals from cell to cell) might play a role.
Many kids and teens with Tourette syndrome have other behavioral conditions like ADHD, obsessive-compulsive disorder (OCD), learning problems, or anxiety.
To be diagnosed with Tourette syndrome, a child must have several different types of tics — specifically, multiple motor tics and at least one vocal tic for at least a year. They may happen every day or from time to time throughout the year.
A child with Tourette symptoms may need to see a neurologist, a doctor who specializes in problems with the nervous system. The neurologist may ask the child's parents to keep track of the kinds of tics involved and how often they happen.
There isn't a specific diagnostic test for Tourette syndrome. Instead, the health care provider diagnoses it after taking a family history, medical history, looking at the symptoms, and doing an exam. Sometimes, imaging tests like magnetic resonance imaging tests (MRIs), computerized tomography (CT) scans, electroencephalograms (EEGs), or blood tests can rule out other conditions that might cause symptoms similar to Tourette syndrome.
Just as Tourette syndrome is different for every person, treatment can be different too. There isn't a cure for Tourette syndrome, but most tics don't get in the way of day-to-day life. If they do, doctors may suggest medicines to help control symptoms.
Tourette syndrome is not a psychological condition, but doctors sometimes refer kids and teens to a psychologist or psychiatrist. Seeing a therapist won't stop the tics, but it can help to talk to someone about their problems, cope with stress better, and learn relaxation techniques. A therapist also can help them with any other problems, like ADHD, OCD, and/or anxiety.
Tics usually are most severe before the mid-teen years. Most people see great improvement in their late teens to early adulthood, though some will have their tics continue into adulthood.
Many people don't understand what Tourette syndrome is or what causes it, so they might not know how to act around someone who has tics. If people stare or comment, kids and teens can feel embarrassed and frustrated. Someone who has it might have to explain the condition to others or deal with teasing or gawking.
These tips can help kids with Tourette syndrome cope:
Each person with Tourette syndrome will cope differently with its physical, emotional, and social challenges. Tourette syndrome doesn't have to disrupt everyday life, though, and kids who have it can enjoy doing the same things as other kids.
Note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
© 1995-2024 KidsHealth ® All rights reserved. Images provided by iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart.com