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topic: Treatment

People with TS often have other conditions, such as OCD and ADHD. It is important to know about the risks of medications used to treat these conditions and ways to monitor and prevent side effects of these medications. This article is intended for physicians and other health providers who work with children with TS. Key highlights from the article include: · Many individuals may be prescribed medications to help manage their symptoms, but these can have side-effects such as weight gain and metabolic dysfunction (conditions related to increased blood pressure, high blood sugar, increased body fat and/or high cholesterol levels that can increase risk of heart disease, stroke, and diabetes). Therefore, it is important that physicians carefully follow patients while they are taking medication. · Doctors should teach patients about the side effects and how to monitor their physical health, while taking medication. In some instances they may want to provide referrals to a dietician or exercise professional for further guidance and support. · Parents and caregivers can play a crucial role in helping their child with healthy eating and taking part in regular physical activity that can be used at home and in school.
Deep brain stimulation (DBS) may improve disabling tics in severely affected medication and behaviorally resistant Tourette syndrome (TS). Here we review all reported cases of TS DBS and provide updated recommendations for selection, assessment, and management of potential TS DBS cases based on the literature and implantation experience. Candidates should have a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V) diagnosis of TS with severe motor and vocal tics, which despite exhaustive medical and behavioral treatment trials result in significant impairment. Deep brain stimulation should be offered to patients only by experienced DBS centers after evaluation by a multidisciplinary team. Rigorous preoperative and postoperative outcome measures of tics and associated comorbidities should be used. Tics and comorbid neuropsychiatric conditions should be optimally treated per current expert standards, and tics should be the major cause of disability. Psychogenic tics, embellishment, and malingering should be recognized and addressed.