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Tourette syndrome is a neurological condition distinguished by tics, which are recurring, abrupt, and unintentional movements or vocalizations. These tics typically emerge during childhood, and their intensity can fluctuate. For many individuals, tics diminish in severity and frequency as they reach late adolescence and adulthood.
Tourette syndrome encompasses both motor tics, defined as uncontrollable physical movements, and vocal tics, which are involuntary sounds. Simple motor tics affect only a single muscle group and may manifest as rapid blinking, shoulder shrugs, or nose twitching, often serving as initial indicators of Tourette syndrome. Complex motor tics involve multiple muscle groups and may include jumping, kicking, hopping, or spinning.
Vocal tics usually develop after motor tics and can also be classified as simple or complex. Simple vocal tics involve sounds such as grunting, sniffing, or throat clearing. Complex vocal tics might involve repeating others' words (echolalia) or one's own words (palilalia). While the involuntary use of offensive or inappropriate language (coprolalia) is a recognized symptom, it is not a common occurrence in individuals with Tourette syndrome.
Besides experiencing frequent tics, individuals with Tourette syndrome are also prone to developing associated conditions such as attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), anxiety, depression, and sleep disturbances.
The specific inheritance pattern of Tourette syndrome remains uncertain. While the condition tends to run in families, it likely involves a combination of genetic and environmental influences. Predicting which family members are at risk of developing Tourette syndrome is challenging.
Initially, Tourette syndrome was believed to follow an autosomal dominant inheritance pattern, implying that a single altered copy of a gene in each cell was enough to cause the condition. However, extensive research over the past few decades has demonstrated that this is not the case. The vast majority of Tourette syndrome cases are likely due to a complex interplay of genetic and environmental factors, rather than alterations in a single gene.
Complex