Published April 25, 2022 | Version 1
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Heat induced reduction of tics for Gilles de la Tourette Syndrome

  • 1. Johns Hopkins University

Description

Patients with Gilles de la Tourette syndrome (GTS) may exhibit decrements or increments of tics with heat.

A 25 year old male presented for evaluation.
Since 7 years of age, he experienced motor and phonic tics.
At age 23 year, 5 months, he had his baseline evaluation. For the baseline evaluation please refer to Table 1 for objective assessments.
Family history: His mother had TS. His sister has obsessive-compulsive disorder. He is married with one child. At age 3 and a half years, his 5-year-old son began to display motor tics, including eye blinks and simultaneous head movements to the shoulder along with shoulder shrugs, and a phonic tic, exaggerated coughing, similar to the proband.

A 25 year-old man with TS underwent heat-induced dehydration and underwent a profound remission for 2 years. After a tetanus immunization, he had an exacerbation.

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Additional details

References

  • Brašić JR, et al. Remission of Gilles de la Tourette syndrome. . . Int J Phys Med Rehabil. 2018;6(3): 472.
  • 1st World Congress on Tourette Syndrome and Tic Disorders. London, UK, June 24-26, 2015. Brasic J, et al. Almost full remission of Tourette syndrome. . . 2015: 38-44.
  • 15th International Congress on Parkinson's Disease and Movement Disorders, Toronto, Ontario, Canada, June 5-9, 2011 Brasic JR, et al. Partial remission of Gilles de la Tourette syndrome. . . Movement Disorders. 2011; 26 (supplement 2): S368.
  • MD-Washington Regional Movement Disorders Video Meeting Durbin A, Brasic JR. Movement assessment of a young man. September 28, 2021.