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Tourette's Syndrome (cont.)

Surgery for Tourette's Syndrome

Stereotactic neurosurgery is very rarely indicated for the treatment of tics or the symptoms of obsession and/or compulsions.

Follow-Up

In those patients that are on mediation, follow-up care should include monitoring of the medication's side-effects and periodic taper/discontinuation under medical supervision to determine if the medications are still needed and if the dosage is effective.

Prevention

There is no known prevention of this Tourette's syndrome. However, some of the psychological complications can be secondary to the social limitations imposed by the disease. Close monitoring of the patient for the early detection of emergent emotional disorders is very important. Also, education of the persons that relate to him/her (family members, teachers, classmates, friends) may also help to create a better environment for the child and prevent emotional issues.

Outlook

Prognosis is good, as some individuals have improvement in symptoms either spontaneously or due to appropriate pharmacologic and behavioral treatment, and especially with successful management of situations that are likely to exacerbate tics (anxiety, stress).

The mortality rate is the same as in the general population.

Support Groups and Counseling

Participation in support groups can be extremely helpful for families and individuals with Tourette's syndrome. When associated symptoms such as attention deficit hyperactivity disorder, depression, or aggression occur, it is important to receive appropriate support services which include counseling to reduce stress and anxiety, as well as mental health services.

The national Tourette's Syndrome Association has chapters in most of the 50 states and also links internationally.

For individuals with associated Attention Deficit Hyperactivity Disorder the web site for CHADD.

Medically reviewed by Jon Glass, MD; American board of Psychiatry and Neurology


Medically Reviewed by a Doctor on 8/21/2014
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