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Tourette syndrome (TS), sometimes called Tourette disorder (TD), is a neurological medical disorder featured by multiple repeated tics.
Tics are sudden, purposeless, and involuntary vocal sounds or muscular jerks.
Tourette syndrome is a disorder that causes a person to make repeated, quick movements or sounds that they cannot control.
Symptoms of TS normally start between the ages of 5 and 10 years, and normally start with mild, simple tics involving the face, head, or arms.
With time, tics may occur more often and add to differences.
They may also affect more body parts, such
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Produktbeschreibung
Tourette syndrome (TS), sometimes called Tourette disorder (TD), is a neurological medical disorder featured by multiple repeated tics.
Tics are sudden, purposeless, and involuntary vocal sounds or muscular jerks.
Tourette syndrome is a disorder that causes a person to make repeated, quick movements or sounds that they cannot control.
Symptoms of TS normally start between the ages of 5 and 10 years, and normally start with mild, simple tics involving the face, head, or arms.
With time, tics may occur more often and add to differences.
They may also affect more body parts, such as the trunk or legs, and often become more disturbing to activities of daily living (ADLs).
Causes
Genetics
Tourette syndrome tends to be passed down through families.
The syndrome may be linked to problems in certain areas of the brain.
It may be related with chemical substances (dopamine, serotonin, and norepinephrine) that assist nerve cells signal one another.
Tourette syndrome is an autosomal dominant disorder.
Autosomal indicates that both males and females are affected and dominant indicates that one copy of the gene is essential to have the disorder.
This indicates that a parent with TS or a parent who has the gene for TS has a 50/50 chance, with each pregnancy, to pass the gene on.
Childhood infection
Another theory is TS formation may be linked to a childhood infection by streptococcal bacteria (bacteria that normally produce a sore throat).
Trying to fight off the infection, the immune system forms antibodies (proteins).
The antibodies may react with brain tissue, involving the brain's functioning.
Following a throat infection, some children have developed the symptoms of TS, and the symptoms of obsessive compulsive disorder (OCD).
Symptoms of Tourette syndrome is often first observed during childhood, between ages 7 and 10.
The most frequent first symptom is a tic of the face.
There are many types of tics.
Some affect body movement (motor tics) and others result in a sound (vocal or phonic tics).
Tics can be:
1. Vocal (sounds) such as grunting, coughing or shouting out words
2. Physical (movements) such as jerking of the head or jumping up and down
They can also be:
1. Simple making a small movement or uttering a single sound
2. Complex making a series of physical movements or speaking a long phrase
Most people diagnosed with TS have a combination of physical and vocal tics, which can be both simple and complex.
The tics do not normally pose a serious threat to a person's overall health condition, even though physical tics, such as jerking of the head, can often be painful.
To be diagnosed with Tourette syndrome, a person must:
1. Have had many motor tics and 1 or more vocal tics, even though these tics may not have happened at the same time.
2. Have tics that happen many times a day, nearly every day or on and off, for a period of more than 1 year.
3. During this duration, there must not have been a tic-free period of more than 3 months in a row.
4. Have begun the tics before age 18.
5. Have no other brain disorder that could be a likely reason of the symptoms
People who have mild symptoms are not medically treated.
The main treatments for TS are:
Behavioral therapy is a widely used non-medical treatment for tics.
1. Habit reversal therapy
2. Exposure with response prevention (ERP)
3. Medicines
Dopamine antagonists
Muscle relaxants
Alpha2-adrenergic agonists
4. Surgery and deep brain stimulation (DBS) are last resort treatments for TS
DBS requires permanent implantation of electrodes
By stimulating certain areas of the brain the symptoms of TS can often be regulated

TABLE OF CONTENT
Introduction
Chapter 1 Tourette Syndrome
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment...


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...