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Neuroimaging Studies in Tourette Syndrome

Published online by Cambridge University Press:  07 November 2014

Abstract

Tourette syndrome (TS) is a complex neurobehavioral disorder principally characterized by motor and vocal tics. However, features of obsessive-compulsive and attention-deficit/hyperactivity disorders are often present. The basal ganglia and associated brain structures have been implicated in the pathophysiology of TS, as well as in these related conditions. Specifically, it is believed that the neuroanatomically and functionally defined basal ganglia thalamocortical loops are involved in TS. These loops are composed of a sequence of connections originating in the cortex and passing in series through the striatum (caudate and putamen), globus pallidus, and thalamus before returning to the cortical areas of origin. This review concentrates on the neuroimaging findings in Ts, particularly as they relate to alterations in components of the basal ganglia thalamocortical circuits. These neuroimaging data suggest that the major abnormalities in TS involve striatal or cortical dysfunction, as well as dysfunction of dopaminergic systems that regulate basas ganglia neurotransmission.

Type
Feature Articles
Copyright
Copyright © Cambridge University Press 1999

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References

REFERENCES

1.Kurlan, R. Tourette's syndrome. In: Watts, RL, Koller, WC, eds. Movement Disorders: Neurologic Principles and Practice. New York, NY: McGraw Hill; 1997: 569575.Google Scholar
2.Leokman, JF, Walker, DE, Cohen, DJ. Premonitory urges in Tourette's syndrome. Am J Psychiatry: 1993; 150: 98102.Google Scholar
3.Scahill, LD, Leckman, JF, Marek, KL. Sensory phenomena in Tourette's syndrome. Adv Neurol. 1995: 65: 273280.Google ScholarPubMed
4.Kurlan, R, Lichter, D, Hewitt, D. Sensory tics in Tourette's syndrome. Neurology. 1989; 39(5): 731734.CrossRefGoogle ScholarPubMed
5.Frankel, M, Cummings, JL, Robertson, MM, Trimble, MR, Benson, DF. Obsessions and compulsions in Gilles de la Tourette's syndrome. Neurology. 1986; 36: 378382.CrossRefGoogle ScholarPubMed
6.Pauls, DL, Tobin, KE, Leckman, JF, et al. Tourette's syndrome and obsessive-compulsive disorder. Arch Gen Psychiatry. 1986; 43: 11801182.CrossRefGoogle ScholarPubMed
7.Como, PG. Obsesive-compulsive disorder in Tourette's syndrome. Adv Neurol. 1995: 65: 281291.Google Scholar
8.Comings, DE. Comings, BG. Tourette's syndrome and attention deficit disorder with hyperaetivity. Are they genetically related? J Am Acad Child Adol Psychiatry. 1984; 23: 138146.CrossRefGoogle ScholarPubMed
9.Pauls, DL, Leckman, JF, Cohen, DJ. Familial relationship between Gilles de la Tourette's syndrome, attention deficit disorder, learning disabilities, speech disorders, and stuttering. J Am Acad Child Adol Psychiatry. 1993; 32: 10441050.CrossRefGoogle ScholarPubMed
10.Pauls, DL, Raymons, CL, Stevenson, JM, Leckman, JF. A family study of Gilles de la Tourette syndrome. Am J Hum Genet. 1991: 48: 154163.Google ScholarPubMed
11.Pauls, DL, Towbin, KE, Leckman, JF, Zahner, GE, Cohen, DJ. Gilles de la Tourette syndrome and obsessive-compulsive disorder. Evidence supporting a genetic-relationship. Arch Gen Psychiatry. 1986: 43: 11801182.CrossRefGoogle ScholarPubMed
12.Alexander, GE, Crutcher, MD, DeLong, MR. Basal ganglia-thalamoeortical circuits: parallel substrates for motor, oculomotor, “prefrontal” and “limbic” functions. Prog Brain Res. 1990; 85: 119146.CrossRefGoogle ScholarPubMed
13.Alexander, GE, Crutcher, MD. Functional architecture of basal ganglia circuits, neural substrates of parallel processing. Trends Neurosci. 1990; 13: 266271.CrossRefGoogle ScholarPubMed
14.Alexander, GE, DeLong, MR, Strick, PL. Parallel organization of functionally segregated circuits linking basal ganglia and cortex. Annu Rev Neurosci. 1986; 9: 357381.CrossRefGoogle ScholarPubMed
15.Voorn, P, Jorrilsma-Byham, B, van Dijk, C, Buijs, RM. The dopaminergic innervation of the ventral striatum in the rat: a light and eleetnmmicroscopial study of with antibodies against dopamine. J Comp Neurol. 1986: 251: 8494.CrossRefGoogle Scholar
16.Gerfen, CR, Herkenham, M, Thibault, J. The neostriatal mosaic: II. Patch- and matrix-directed mesostriatal dopaminergic and non-dopaminergic systems. J Neurosci. 1987; 7: 39153934.CrossRefGoogle ScholarPubMed
17.Albin, RL, Young, AB, Penny, JB. The functional anatomy of disorders of the basal ganglia. Trends Neurosci. 1989; 12: 366375.CrossRefGoogle Scholar
18.DeKeyser, J, Herregmlts, P, Ebinger, G. The mesoneocortical dopamine neuron system. Neurology. 1990: 40: 16601662.Google Scholar
19.Parent, A. Extrinsic connections of the basal ganglia. Trends Neurosci. 1990: 13: 254258.CrossRefGoogle ScholarPubMed
20.Ragsdale, CW, Graybiel, AM. Fibers from the basolateral nucleus of the amygdala selectively innervate striosomes in the caudate nucleus of the cat. J Comp Neurol. 1988; 269: 506522.CrossRefGoogle ScholarPubMed
21.Groenewegen, HJ, Berendse, HW, Wolters, JG, I. Lohman, AHM. The anatomic relationship of the prefrontal cortex with the striatopallidal system, the thalamus and the amygdala: evidence for parallel organization. Prog Brain Res. 1990: 85: 95118.CrossRefGoogle ScholarPubMed
22.Graybiel, A, Ragsdale, CW Jr. Histochemically distinct compartments in the striatum of the human, monkey, and cat demonstrated by acelylcholinesterase staining. Proc Natl Acad Sci USA. 1978; 75: 57235726.CrossRefGoogle ScholarPubMed
23.Gerfen, CR. The neostriatal mosaic: multiple levels of compartmental organization. Trends Neurosci. 1992: 15: 133139.CrossRefGoogle ScholarPubMed
24.Parent, A, Hazrati, LN. Functional anatomy of the basal ganglia. I The cortico-basal ganglia-thalamo cortical loop. Brain Res Brain Res Rev. 1995; 20: 91127.CrossRefGoogle ScholarPubMed
25.Parent, A, Hazrati, LN. Functional anatomy of the basal ganglia. II Place of the subthalamic nucleus and external pallidum in basal ganglia circuitry. Brain Res Rev. 1995; 20: 128154.CrossRefGoogle ScholarPubMed
26.Haber, SN, Kowall, NW, Vonsattel, JC, et al. Gilles de la Tourette's syndrome: a postmortem neuropathological and immunohistochemical study. J Neurol Sci. 1986; 75: 225241.CrossRefGoogle ScholarPubMed
27.Kooistra, CA, Heilman, KM. Motor dominance and lateral asymmerty of the globus pallidus. Neurology. 1988; 38: 388390.CrossRefGoogle Scholar
28.Peterson, BS, Riddle, MA, Cohen, DJ, et al. Human basal ganglia volume asymmetries on magnetic resonance images. Magn Reson Imaging. 1993; 11: 493498.CrossRefGoogle ScholarPubMed
29.Peterson, BS, Riddle, MA, Cohen, DJ, et al. Reduced basal ganglia volumes in Tourette's syndrome using three-dimensional reconstruction techniques from magentic resonance images. Neurology. 1993; 43: 941949.CrossRefGoogle Scholar
30.Singer, HS, Reiss, AL, Brown, JE, et al. Volumetric MRI changes in basal ganglia of children with Tourette's syndrome. Neurology. 1993; 43: 950956.CrossRefGoogle ScholarPubMed
31.Hyde, TM, Aaronson, BA, Randolph, C, et al. Cerebral morphomethric abnormalities in Tourette's syndrome: a quantitative MRI study of monozygotic twins. Neurology. 1995; 45: 11761182.CrossRefGoogle Scholar
32.Peterson, BS, Leckman, JF, Duncan, JS, et al. Corpus callosum morphology from magnetic resonance images in Tourette's syndrome. Psychiatry Res Neuroimaging. 1994; 55: 8599.CrossRefGoogle ScholarPubMed
33.Baumgardner, TL, Singer, HS, Denckla, MB, et al. Corpus callosum morphology in children with Tourette's syndrome and attention deficit hyperactivity disorder. Neurology. 1996; 47: 477482.CrossRefGoogle ScholarPubMed
34.Peterson, BS, Klein, BA. Neuroimaging of Tourette's syndrome neurobiologic substrate. Child Adolesc Psychiatr Clin N Am. 1997; 6: 343364.CrossRefGoogle Scholar
35.Eidelberg, D, Moeller, JR, Antonini, A, et al. The metabolic anatomy of Tourette's syndrome. Neurology. 1997; 48: 927934.CrossRefGoogle ScholarPubMed
36.George, E, Trimble, MR, Costa, DC, Robertson, MM, Ring, HA, Ell, PJ. Elevated frontal cerebral blood flow in Gilles de la Tourette syndrome. Psychiatry Res. 1992; 45: 143151.CrossRefGoogle ScholarPubMed
37.Chase, TN, Geoffey, V, Gillespie, M, Burrows, GH. Structural and functional studies of Gilles de la Tourette syndrome. Rev Neurol (Paris). 1986; 142: 851855.Google ScholarPubMed
38.Stoetter, B, Braun, AR, Randolph, C, et al. Functional neuroanatomy of Tourette's syndrome. Limbic-motor interactions studies with FDG PET. Adv Neurol. 1992; 58: 213226.Google Scholar
39.Braun, AR, Stoetter, B, Randolf, C, et al. The functional neuroanatomy of Tourette's syndrome: an FDG-PET study. I. Regional changes in cerebral glucose metabolism. Neuropsychopharmacology. 1993; 9: 277291.CrossRefGoogle Scholar
40.Riddle, MA, Rasmusson, AM, Woods, SW, et al. SPECT imaging of cerebral blood flow in Tourette's syndrome. Adv Neurol. 1992; 58: 207211.Google Scholar
41.Hall, M, Costa, DC, Shields, J, Heavens, J, Robertson, M, Ell, PJ. Brain perfusion patterns with Tc-(99)m-HMPAO/SPECT in patients with Gilles de la Tourette's syndrome. Eur J Nucl Med. 1990; 16: 18.Google Scholar
42.Sieg, KG, Buckingham, D, Gaffney, GR, Preston, DF, Sieg, KG. Tc-99m HMPAO SPECT brain imaging of Gilles de la Tourette's syndrome. Clin Nucl Med. 1992; 18: 255.CrossRefGoogle Scholar
43.Moriarty, J, Costa, DC, Schmitz, B, Trimble, M, Ell, PJ, Robertson, MM. Brain perfusion abnormalities in Gilles de la Tourette syndrome. Br J Psychiatry. 1995; 167: 249254.CrossRefGoogle Scholar
44.Moriarty, J, Eapen, V, Costa, DC, et al. HMPAO SPECT does not distinguish obsessive-compulsive and tic syndromes in families multiple affected with Gilles de la Tourette syndrome. Psychol Med. 1997; 27: 737740.CrossRefGoogle ScholarPubMed
45.Klieger, PS, Fett, KA, Dimitsopulos, T, Kurlan, R. Asymmetry of basal ganglia perfusion in Tourette's syndrome shown by Technetium-99m-HMPAO SPECT. J Nucl Med. 1997; 38: 188191.Google ScholarPubMed
46.Rauch, SL, Jenike, MA, Alpert, NM, et al. Regional cerebral blood flow measured during symptom provocation in obsessive-compulsive disorder using oxygen 15-labeled carbon dioxide and positron emission tomography. Arch Gen Psychiatry. 1994; 51: 6270.CrossRefGoogle ScholarPubMed
47.Breiter, HC, Rauch, SL, Kwong, KK, et al. Functional magnetic resonance imaging of symptom provocation in obsessive-compulsive disorder. Arch Gen Psychiatry. 1996; 53: 595606.CrossRefGoogle ScholarPubMed
48.Peterson, BS, Skudlarski, P, Anderson, AW, et al. A functional magnetic resonance imaging study of tic suppression in Tourette syndrome. Arch Gen Psychiatry. 1998; 55: 326333.CrossRefGoogle ScholarPubMed
49.Rauch, SL, Savage, CR, Brown, HP, et al. A PET investigation of implicit and explicit sequence learning. Human Brain Mapping. 1995; 3: 271286.CrossRefGoogle Scholar
50.Rauch, SL, Whalen, P, Savage, CR, et al. Striatal recruitment during an implicit sequence learning task as measured by functional magnetic resonance imaging. Human Brain Mapping. 1997; 5: 124132.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
51.Rauch, SL, Savage, CR, Alpert, NM, et al. Probing striatal function in obsessive compulsive disorder: a PET study of implicit sequence learning. J Neuropsychiatry Clin Neurosci. 1997; 9: 568573.Google ScholarPubMed
52.Singer, HS, Hahn, IH, Moran, TH. Abnormal dopamine uptake sites in postmortem striatum from patients with Tourette's syndrome. Ann Neurol. 1991; 30: 558562.CrossRefGoogle ScholarPubMed
53.Malison, RT, McDougle, CJ, van Dyck, CH, et al. 123Ibeta-CIT SPECT imaging demonstrates increased striatal dopamine transporter binding in Tourette's syndrome. Am J Psychiatry. 1995; 152: 13591361.Google Scholar
54.Brooks, DJ, Turjanski, N, Sawle, GV, Playford, ED, Lees, AJ. PET studies on the integrity of the pre and postsynaptic dopaminergic system in Tourette syndrome. Adv Neurol. 1992; 58: 227231.Google ScholarPubMed
55.Turjanski, N, Sawle, GV, Playford, ED, et al. PET studies of the presynaptic and postsynaptic dopaminergic system in Tourette's syndrome. J Neurol Neurosurg Psychiatry. 1994; 57: 688692.CrossRefGoogle ScholarPubMed
56.Wong, DF, Singer, HS, Brandt, J, et al. D2-like dopamine receptor density in Tourette syndrome measured by PET. J Nucl Med. 1997; 38: 12431247.Google ScholarPubMed
57.Singer, HS, Wong, DF, Brown, JE, et al. Positron emission tomography evaluation of dopamine D2 receptors in adults with Tourette's syndrome. Adv Neurol. 1992; 58: 233239.Google Scholar
58.Wolf, SS, Jones, DW, Knable, MB, et al. Tourette syndrome: prediction of phenotypic variation in monozygotic twins by caudate nucleus D2 receptor binding. Science. 1996; 273: 12251227.CrossRefGoogle ScholarPubMed
59.Peterson, BS, Prakash, T. Functional brain imaging in Tourette's syndrome: what are we really imaging? In: Ernst, M, Rumsey, J, eds. The Foundation of Functional Neuroimaging in Child Psychiatry. Cambridge, MA: Cambridge Univerity Press. In press.Google Scholar