Tuesday, August 26, 2014

Neurological disorder: Tic disorder and Tourette's disorder(TS)


Tourette's and tic disorders as motor disorders. Not all tics means Tourette's disorder.



  • Transient tic disorders consist of multiple motor and/or phonic tics with a duration of at least 4 weeks, but less than 12 months.
  • Chronic tic disorders are either single or multiple motor or phonic tics, but not both, and are typically present for more than a year.
  • Tourette's syndrome is diagnosed when both motor and phonic tics were present for more than a year.

  • Treatment of tic disorders, although usually unnecessary, is similar to treatment of Tourette's syndrome.

    Tourette syndrome (also Tourette's syndrome or TS) is an inherited neuropsychiatric disorder with onset in childhood, characterized by the presence of motor and phonic tics. Treatment of Tourette's syndrome has the goal of managing symptoms to achieve optimum functioning, rather than eliminating symptoms; not all persons with Tourette's require treatment, and there is no cure or universally effective medication that does not come with other effects.

    Although the defining cause of Tourette's syndrome is still unknown, it has been shown that genetics and environmental factors play a role in it's development. The majority of cases involve genetics and non-genetic influences include autoimmune processes and obsessive compulsive disorder in children according to the US National Institute of Mental Health.

    There is currently no medication that is specifically designed to target tics, although some antipsychotics (for example, pimozide) have been FDA-approved for treating Tourette's.

    In addition to Acupuncture, Chinese Herbal Medicine is also very helpful in controlling the situation.
    Pao Hua Lin's research involving 302 Tourette's cases observed the treatment of releasing heat and resolving toxins. Using the "Huang Lian Du Decoction" to treat the root cause and administering other herbs to target secondary specialized symptoms, Lin reported a total efficacy ratio of 94.7%, which suggests the efficacy of Chinese herbal medicine when treating Tourette's. According to the Beijing University of Traditional Chinese Medicene, the "Jian Pi Zhi Dong Decoction" also reduced abnormal behaviors and could be a potential treatment.

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