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Tics and Tourette syndrome

Syndroma Tourette · Tiky a Tourettův syndrom

What it is

Involuntary movements and sounds that can be held back briefly at the cost of rising tension.

Symptoms & signs

  • Blinking, shrugging, throat-clearing
  • vocal tics
  • premonitory urge
  • waxing and waning
  • often with ADHD or OCD

🚩 Get help if…

  • call 112 / 911 now Thoughts of self-harm or suicide
  • see a doctor soon Tics that cause injury, such as neck jerks with pain or numbness
  • see a doctor soon Tics that start suddenly with a sore throat or new anxiety in a child
  • see a doctor soon Tics or urges that stop school, work or sleep

Where it strikes

Medical treatment

  • Comprehensive behavioural intervention for tics (CBIT)
  • clonidine or guanfacine
  • aripiprazole
  • deep brain stimulation in severe cases

Natural & lifestyle

  • Education of school and family
  • stress and sleep management
  • do not punish tics
  • exercise

Emerging & experimental

  • Cannabidiol trials
  • non-invasive median nerve stimulation

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Cannabis (THC) — small trials reduced tics mixed evidence
  • Magnesium with vitamin B6 — a small trial early / small studies
  • Elimination diets — anecdotal anecdotal / traditional

ICD codes