The clinical features of Tourette's disorder with obsessive-compulsive symptoms.
Twenty-three patients with Tourette's disorder (13 with obsessive-compulsive symptoms [OCS] and 10 without) were comparatively investigated. In contrast to OCS-free Tourette's disorder patients, those with OCS were found to be characterized by (i) a higher incidence of volatile temper, (ii) a higher incidence of compulsive tics, (iii) a higher incidence of perinatal disorders and brain wave abnormalities, (iv) a higher severity as rated using the Severity Scale, and (v) a higher prevalence of complications, especially of developmental disorders. Of the subjects with OCS-accompanied Tourette's disorder, approximately half had developed OCS by the onset of tics. These findings suggest the likelihood that OCS-accompanied Tourette's disorder is more strongly associated with organic cerebral disorders, independently of sites of tic disorders, than is OCS-free Tourette's disorder.
Iida
J
J
Department of Psychiatry, Nara Medical University, Japan.
Sakiyama
S
S
Iwasaka
H
H
Hirao
F
F
Hashino
K
K
Kawabata
Y
Y
Ikawa
G
G
D000293:Adolescent; D002648:Child; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D013981:Tic Disorders / Q000145:classification; D005879:Tourette Syndrome / Q000150:complications* / Q000175:diagnosis*