Chapter 47. Tics and Tourette

  1. Robert P. Lisak MD, FAAN, FRCP Parker Webber Chair Professor Chair Neurologist-in-Chief Chief3,4,
  2. Daniel D. Truong MD, FAAN Head5,
  3. William M. Carroll MBBS, MD, FRACP, FRCP(E) Head6 and
  4. Roongroj Bhidayasiri MD, FRCP Director7,8
  1. Valerie Suski DO Fellow1 and
  2. Mark Stacy MD Associate Professor of Neurology Director2

Published Online: 18 MAY 2010

DOI: 10.1002/9781444317008.ch47

International Neurology: A Clinical Approach

International Neurology: A Clinical Approach

How to Cite

Suski, V. and Stacy, M. (2009) Tics and Tourette, in International Neurology: A Clinical Approach (eds R. P. Lisak, D. D. Truong, W. M. Carroll and R. Bhidayasiri), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444317008.ch47

Editor Information

  1. 3

    Wayne State University School of Medicine, Detroit, MI, USA

  2. 4

    Detroit Medical Center, Harper University Hospital, Detroit, MI, USA

  3. 5

    The Parkinson and Movement Disorder Institute, Memorial Neuroscience Institute, Orange Coast Memorial Medical Center, Fountain Valley, CA, USA

  4. 6

    Sir Charles Gairdner Hospital, Nedlands, Perth, Australia

  5. 7

    Chulalongkorn Comprehensive Movement Disorders Center, Chulalongkorn University Hospital, Bangkok, Thailand

  6. 8

    University of California at Los Angeles, School of Medicine, Los Angeles, CA, USA

Author Information

  1. 1

    Division of Neurology, Duke University, Durham, NC, USA

  2. 2

    Movement Disorders Program, Division of Neurology, Duke University, Durham, NC, USA

Publication History

  1. Published Online: 18 MAY 2010
  2. Published Print: 11 SEP 2009

ISBN Information

Print ISBN: 9781405157384

Online ISBN: 9781444317008



  • tics and Tourette;
  • Tourette syndrome (TS), often not recognized in many patients with mild symptoms;
  • tics, abrupt, intermittent, recurrent, and stereotypical movements or sounds - in the background of normal behavior;
  • tics, difficult to categorize as voluntary or involuntary - certain patients having the ability to suppress the tic;
  • dramatic complex vocal tics - coprolalia, palilalia, or echolalia (repeating others' words);
  • secondary causes of tics, commonly referred to as tourettism;
  • no confirmatory tests for TS - diagnosis made from clinical observation


This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Epidemiology

  • Differential diagnosis

  • Diagnostic evaluation

  • Treatment

  • Prognosis

  • Further reading