Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-25T11:02:19.612Z Has data issue: false hasContentIssue false

Familial Tourette's Syndrome in a Large British Pedigree

Associated Psychopathology, Severity, and Potential for Linkage Analysis

Published online by Cambridge University Press:  03 January 2018

Mary M. Robertson*
Affiliation:
Institute of Neurology, Academic Department of Psychiatry, University College and Middlesex School of Medicine, Wolfson Building, Riding House Street, London W1N 8AA
Alison Gourdie
Affiliation:
Academic Department of Psychiatry, University College and Middlesex School of Medicine
*
Correspondence

Abstract

A British pedigree multiply affected by the Gilles de la Tourette syndrome and spanning six generations is described. Of 122 members identified, 85 were individually interviewed, and 50 were diagnosed as ‘cases'. ‘Cases' consisted of 29 with definite or probable Gilles de la Tourette syndrome, 17 with definite or probable chronic multiple tics, and four with definite or probable obsessive-compulsive behaviour. Only eight of the 50 ‘cases' had consulted a doctor for their symptoms. ‘Cases' and ‘non-cases' could be distinguished on the basis of echo-phenomena, obsessive-compulsive features, self-injurious behaviour, and the trait score of the Leyton Obsessional Inventory, but did not differ significantly on any other psychopathological variables. The pattern of inheritance of the Gilles de la Tourette syndrome in this pedigree is consistent with autosomal dominant transmission.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1990 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Barabas, G., Matthews, W. S. & Ferrari, M. (1984a) Somnambulism in children with Tourette syndrome. Developmental Medicine and Child Neurology, 26, 457460.CrossRefGoogle ScholarPubMed
Barabas, G., Matthews, W. S. & Ferrari, M. (1984b) Disorders of arousal in Gilles de la Tourette's syndrome. Neurology, 34, 815817.CrossRefGoogle ScholarPubMed
Barabas, G., Matthews, W. S. & Ferrari, M. (1985) Sleep disorders in Gilles de la Tourette syndrome. Neurology, 35, 1397.CrossRefGoogle Scholar
Caine, T. M., Foulds, G. A. & Hope, K. (1967) Manual of the Hostility and Direction of Hostility Questionnaire. London: University of London Press.Google Scholar
Caine, E. D., Margolin, D. I., Brown, G. L., et al (1978) Gilles de la Tourette's syndrome, tardive dyskinesia and psychoses in an adolescent. American Journal of Psychiatry, 135, 241243.Google Scholar
Caine, E. D., McBride, M. C., Chiverton, P., et al (1988) Tourette syndrome in Monroe county school children. Neurology, 38, 472475.Google Scholar
Comings, D. E., Comings, B. G., Devor, E. J., et al (1984) Detection of a major gene for Gilles de la Tourette syndrome. American Journal of Human Genetics, 36, 586600.Google Scholar
Comings, D. E., Comings, B. G., (1985) Tourette syndrome: clinical and psychological aspects of 250 cases. American Journal of Human Genetics, 37, 435450.Google ScholarPubMed
Comings, D. E., Comings, B. G., (1987a) A controlled study of Tourette syndrome I-VII. American Journal of Human Genetics, 41, 701866.Google Scholar
Comings, D. E., Comings, B. G., (1987b) Hereditary agoraphobia and obsessive-compulsive behaviour in relatives of patients with Gilles de la Tourette's syndrome. British Journal of Psychiatry, 151, 195199.Google Scholar
Crown, S. & Crisp, A. H. (1966) A short clinical diagnostic self-rating scale for psychoneurotic patients: the Middlesex Hospital Questionnaire (MHQ). British Journal of Psychiatry, 112, 917923.Google Scholar
Devor, E. J. (1984) Brief communication - complex segregation analysis of Gilles de la Tourette syndrome: further evidence for a major locus mode of transmission. American Journal of Human Genetics, 36, 704709.Google Scholar
Eldridge, R., Sweet, R., Lake, C. R., et al (1977) Gilles de la Tourette's syndrome: clinical, genetic, psychologic, and biochemical aspects in 21 selected families. Neurology, 27, 115124.Google Scholar
Endicott, J. (1978) A diagnostic interview: the Schedule for Affective Disorders and Schizophenia. Archives of General Psychiatry, 35, 837844.Google Scholar
Erenberg, G. (1985) Sleep disorders in Gilles de la Tourette's syndrome. Neurology, 35, 1397.Google Scholar
Erenberg, G., Cruse, R. P. & Rothner, A. D. (1986) Tourette syndrome: an analysis of 200 pediatric and adolescent cases. Cleveland Clinic Quarterly, 53, 127131.CrossRefGoogle ScholarPubMed
Escalar, G., Majeron, M. A., Finavera, L., et al (1972) Contributo alla conoscenza della sindrome Gilles de la Tourette. Minerva Medica, 63, 35173522.Google Scholar
Frankel, M., Cummings, J. L., Robertson, M. M., et al (1986) Obsessions and compulsions in Gilles de la Tourette's syndrome. Neurology, 36, 378382.Google Scholar
Gilles de la Tourette, G. (1885) Etude sur une affection nerveuse caracterisee par de l'incordination motrice accompagnee d'echolalie et de copralalie. Archives of Neurology, 9, 1942, 158–200.Google Scholar
Glaze, D. G., Jamnkovic, J. & Frost, J. D. (1982) Sleep in Gilles de la Tourette syndrome: disorder of arousal. Neurology, 32, 586592.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. Maudsley Monographs, no. 21. London: Oxford University Press.Google Scholar
Golden, G. S. (1978) Tics and Tourette's: a continuum of symptoms. Annals of Neurology, 4, 145148.Google Scholar
Green, R. C. & Pitman, R. K. (1986) Tourette syndrome and obsessive–compulsive disorder. In Obsessive–Compulsive Disorders: Theory and Management (ed. Jenike, M. A., Baer, L. & Minichiello, W. O.), pp. 147164. Littleton, MA: PSGP Publishing Co. Inc.Google Scholar
Guggenheim, M. A. (1979) Familial Tourette syndrome. Annals of Neurology, 5, 104.Google Scholar
Hagin, R. A., Beecher, R., Pagano, G., et al (1982) Effects of Tourette syndrome on learning. Gilles de la Tourette syndrome (ed. Friedhoff, A. J. & Chase, T. N.), pp. 323328. Advances in Neurology, vol. 35. New York: Raven press.Google Scholar
Jagger, J., Prusoff, B. A., Cohen, D. J., et al (1982) The epidemiology of Tourette's syndrome: a pilot study. Schizophrenia Bulletin, 8, 267278.Google Scholar
Jenkins, R. L. & Ashby, H. B. (1983) Gilles de la Tourette syndrome in identical twins. Archives of Neurology, 40, 249251.CrossRefGoogle ScholarPubMed
Kendell, R. E. & Zealley, A. K. (1983) Companion to Psychiatric Studies. Edinburgh: Churchill Livingstone.Google Scholar
Kidd, K. K., Prusoff, B. A. & Cohen, D. J. (1980) Familial pattern of Gilles de la Tourette syndrome: Archives of General Psychiatry, 37, 13361347.Google Scholar
Kurlan, R., Behr, J., Medved, L., et al (1986) Familial Tourette's syndrome: report of a large pedigree and potential for linkage analysis. Neurology, 36, 772776.Google Scholar
Kurlan, R., Behr, J., Medved, L., et al (1987) Severity of Tourette's syndrome in one large kindred. Implication for determination of disease prevalence rate. Archives of Neurology, 44, 268269.CrossRefGoogle ScholarPubMed
Lacey, D. J. (1986) Diagnosis of Tourette syndrome in childhood: the need for heightened awareness. Clinical Pediatrics, 25, 433435.Google Scholar
Montgomery, M. A., Clayton, P. J. & Friedhoff, A. J. (1982) Psychiatric illness in Tourette syndrome patients and first-degree relatives. In Gilles de la Tourette Syndrome (ed. Friedhoff, A. J. & Chase, T. N.), pp. 335339. Advances in Neurology, vol. 35. New York: Raven Press.Google Scholar
Nee, L. E., Caine, E. D., Polinsky, R. J., et al (1980) Gilles de la Tourette syndrome: clinical and family study of 50 cases. Annals of Neurology, 7, 4149.CrossRefGoogle ScholarPubMed
Pauls, D. L., Cohen, D. J., Heimbuch, R., et al (1981) Familial pattern and transmission of Gilles de la Tourette syndrome and multiple tics. Archives of General Psychiatry, 38, 10911093.Google Scholar
Pauls, D. L., & Leckman, J. F. (1986) The inheritance of Gilles de la Tourette's syndrome and associated behaviors. New England Journal of Medicine, 315, 993997.CrossRefGoogle ScholarPubMed
Pauls, D. L., Leckman, J. F. & Towbin, K. E., et al (1986a) A possible genetic relationship exists between Tourette's syndrome and obsessive-compulsive disorder. Psychopharmacology Bulletin, 22, 730733.Google Scholar
Pauls, D. L., Towbin, K. E., Zahner, G. E. P., et al (1986b) Gilles de la Tourette's syndrome and obsessive-compulsive disorder. Archives of General Psychiatry, 43, 11801182.CrossRefGoogle ScholarPubMed
Price, R. A., Pauls, D. L. & Caine, E. D. (1984) Pedigree and segregation analysis of clinically defined subgroups of Tourette syndrome. American Journal of Human Genetics, 36, 178.Google Scholar
Price, R. A., Kidd, K. K., Cohen, D. J., et al (1985) A twin study of Tourette syndrome. Archives of General Psychiatry, 42, 815820.Google Scholar
Robertson, M. M. (1989) The Gilles de la Tourette syndrome – the current status. British Journal of Psychiatry, 154, 147169.Google Scholar
Robertson, M. M., Trimble, M. R. & Lees, A. J. (1988) The psychopathology of the Gilles de la Tourette syndrome: a phenomenological analysis. British Journal of Psychiatry, 152, 383390.CrossRefGoogle ScholarPubMed
Robertson, M. M., Trimble, M. R. & Lees, A. J. (1989) Self-injurious behaviour and the Gilles de la Tourette syndrome. A clinical study and review of the literature. Psychological Medicine, 19, 611625.Google Scholar
Shapiro, A. K., Shapiro, E. S., Bruun, R. D., et al (1978) Gilles de la Tourette Syndrome. New York: Raven Press.Google Scholar
Snowdon, J. (1980) A comparison of written and postbox forms of the Leyton Obsessional Inventory. Psychological Medicine, 10, 165170.Google Scholar
Van Der Wetering, B. J. M., Cohen, A. P., Minderaa, R. B., et al (1988) Het syndroom van Gilles de la Tourette - klinsche bevindingen. Nederlands Tijdschrifte voor Geneeskinde, 132, 2125.Google Scholar
Vieregge, P. (1987) Gilles de la Tourette's syndrome in monozygotic twins. Journal of Neurology, Neurosurgery and Psychiatry, 50, 15541556.CrossRefGoogle ScholarPubMed
Wasman, E. R., Eldridge, R., Abuzzahab, S., et al (1978) Gilles de la Tourette syndrome: clinical and genetic studies in a midwestern city. Neurology, 28, 304307.Google Scholar
Waserman, J., Lal, S. & Gauthier, S. (1983) Gilles de la Tourette's syndrome in monozygotic twins. Journal of Neurology, Neurosurgery and Psychiatry, 46, 7577.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.