Tourette's disorder, also known as tic disorder, is a neurological condition characterized by involuntary, rapid, repetitive motor and vocal tics. It most commonly develops in males between the ages of 2 and 21. The causes can be psychogenic due to stress, neurogenic due to encephalitis, familial due to Tourette's syndrome, or physiological due to fatigue or medical illness. Tics are classified as either motor tics involving muscle contractions or vocal tics involving sounds. Complex tics involve gestures or words. Diagnosis involves EEG or CT brain scans. Treatment options include drug therapy with haloperidol, pimozide, or clonidine as well as behavior modification and counseling.

1. TIC
DISORDER
Jitendra singh chouhan
Ph.D Nursing Scholar, T.M.U

2. Definition :-
Abnormal, involuntary, rapid, repetitive and
purposeless contraction of a group of muscles
involving face ,throat and shoulder

3. Incidence & Prevalence
• Appear chronic as early 2 year to 21 year age
• Common in Male
✔Prevalence rate is 0.5/1000 population

4. Causes :
• Psychogenic - stress , tension producing behaviour
• Neurogenic - complication of encephalitis
• Family - tourette's disorder
• Physiological - fatigue due to illness
• Medical chronic disease

5. Classification
1. Motor tics
2. Vocal tics
3. complex tics

6. Motor tics
a. Simple motor tics : as Eye
blinking ,Grimace Throat
cleaning
a. Complex motor tics :
gesture ,obscene acts

7. Vocal tics
a. Simple vocal tics : Coughing,barking,throat
cleaning
b. Complex vocal tics : Echolalia,coprolalia

8. Complex tics
• Gilles De la Tourette's syndrome : both motor and
vocal tics present
• Causes due to autosomal dominant disorder
• Occur before age of 13 years

9. Diagnosis
• E.E.G - abnormal evoked potential
• Abnormal CT brain finding

10. Treatment
• Drug therapy : Haloperidol ( 0.5 mg OD )
Pimozide ( 1- 10 mg OD )
Clonidine. (0.05 - 0.25mg OD)
• Behaviour modification therapy
• Individual and family counselling as adjunct therapy

11. .
Thank you