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Published Online: 1 January 2012

Impulse-Control Disorders in Gilles de la Tourette Syndrome

Publication: The Journal of Neuropsychiatry and Clinical Neurosciences

Abstract

This review article provides extensive and in-depth reporting of research on studies assessing impulse-control disorder in its many forms, as it relates to Tourette's syndrome. Findings are presented in terms of varying patient samples and demographics: by age, gender, symptom profile, type of treatment, and result.

Abstract

Impulse-control disorders (ICDs) are more common in clinic populations with Gilles de la Tourette syndrome (GTS) than in the general population. The clinical phenomenology of ICDs differ between men with GTS (who tend to be externally impulsive) and women with GTS (who tend to be internally impulsive). This article reviews the relevant literature to-date on impulsivity in GTS, with special focus on intermittent, explosive disorder, self-injurious behavior, trichotillomania, and impulsive-compulsive sexual behavior. The medical and legal community should be aware of the full spectrum of organically-based behaviors that may predispose patients with GTS to unwanted legal disciplinary action.

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Published In

Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Pages: 16 - 27
PubMed: 22450610

History

Received: 31 January 2010
Revision requested: 18 April 2010
Accepted: 29 December 2010
Published online: 1 January 2012
Published in print: Winter 2012

Keywords

  1. Impulse-Control Disorders
  2. Tourette Syndrome
  3. Tics
  4. OCD

Authors

Details

Anna Wright
From the Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UK; University of Birmingham Medical School, Birmingham, UK; Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and UCL, London, U.K.
Hugh Rickards, M.D., FRCP
From the Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UK; University of Birmingham Medical School, Birmingham, UK; Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and UCL, London, U.K.
Andrea Eugenio Cavanna, M.D., Ph.D.
From the Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UK; University of Birmingham Medical School, Birmingham, UK; Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and UCL, London, U.K.

Notes

Correspondence: Andrea E. Cavanna, M.D., Ph.D.; [email protected] (e-mail).

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