Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T08:04:55.338Z Has data issue: false hasContentIssue false

Evidence for Autosomal Dominant Transmission in Tourette's Syndrome

United Kingdom Cohort Study

Published online by Cambridge University Press:  02 January 2018

V. Eapen
Affiliation:
The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, Academic Department of Psychiatry, University College London Medical School, Middlesex Hospital, Mortimer Street, London W1N 8AA
D. L. Pauls
Affiliation:
Yale Child Study Centre, 230 South Frontage Road, PO Box 3333, New Haven, Connecticut 06510-8009, USA
M. M. Robertson*
Affiliation:
The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, Academic Department of Psychiatry, University College London Medical School, Middlesex Hospital, Mortimer Street, London W1N 8AA
*
Correspondence

Abstract

Complex segregation analyses were performed on families ascertained through 40 unselected consecutive patients with Tourette's syndrome to examine the hypothesis that its transmission is consistent with genetic inheritance. Analyses were done using several diagnostic classifications. All results were consistent with an autosomal dominant gene with high penetrance. The penetrances ranged from 0.882 to 1.000 for males and 0.452 to 0.980 for females, depending upon the specific classification scheme incorporated into the analyses.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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 (1987) Diagnostic and Statistical Manual of Menial Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Apter, A., Pauls, D. L., Bleich, A., et al (1992) A population based epidemiological study of Tourette's syndrome among adolescents in Israel. In Gilles de la Tourette syndrome (2nd edn) (eds Chase, T. N., Friedhoff, A. J. & Cohen, D. J.), pp. 6165. New York: Raven Press.Google Scholar
Baron, M., Shapiro, E., Shapiro, A., et al (1981) Genetic analysis of Tourette syndrome suggesting major gene effect. American Journal of Human Genetics, 33, 767775.Google ScholarPubMed
Bruun, R. D. (1984) Gilles de la Tourette syndrome: an overview of clinical experience. Journal of the American Academy of Child Psychiatry, 23, 126133.CrossRefGoogle ScholarPubMed
Comings, D. E., Comings, B. G., Devor, E. J., et al (1984) Detection of major gene for Gilles de la Tourette syndrome. American Journal of Human Genetics, 36, 586600.Google ScholarPubMed
Curtis, D., Robertson, M. M. & Gurling, H. M. D. (1992) Autosomal dominant gene transmission in a large kindred with Gilles de la Tourette's syndrome. British Journal of Psychiatry, 160, 845849.Google Scholar
Devor, E. J. (1984) Complex segregation analysis of Gilles de la Tourette syndrome: further evidence for a major locus of transmission. American Journal of Human Genetics, 36, 704709.Google Scholar
Fernando, S. J. M. (1967) Gilles de la Tourette's syndrome: a report on four cases and a review of published case reports. British Journal of Psychiatry, 113, 607617.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 CrossRefGoogle ScholarPubMed
Kidd, K. K. & Pauls, D. L. (1982) Genetic hypothesis for Tourette syndrome. In Gilles de la Tourette Syndrome (eds Chase, T. N. & Friedhoff, A. J.), pp. 243249. New York: Raven Press.Google Scholar
Lalouel, J. M. & Morton, N. E. (1981) Complex segregation analysis with pointers. Human Heredity, 31, 312321.Google Scholar
Lalouel, J. M. & Morton, N. E., Rao, D. C., Morton, N. E., et al (1983) A unified model for segregation analysis. American Journal of Human Genetics, 35, 816826.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 (eds Chase, T. N. & Friedhoff, A. J.), pp. 335339. New York: Raven Press.Google Scholar
Nee, L. E., Polinsky, R. J. & Ebert, M. H. (1982) Tourette syndrome: clinical and family studies. In Gilles de la Tourette syndrome (eds Chase, T. N. & Friedhoff, A. J.), pp. 291295. New York: Raven Press.Google Scholar
Pauls, D. L. & Leckman, J. F. (1986) The inheritance of Gilles de la Tourette syndrome and associated behaviors: evidence for autosomal dominant transmission. New England Journal of Medicine, 315, 993997.CrossRefGoogle ScholarPubMed
Pauls, D. L., Towbin, K. E. & Leckman, J. F. (1986) Gilles de la Tourette syndrome and obsessive-compulsive disorder: evidence supporting a genetic relationship. Archives of General Psychiatry, 43, 11801182.Google Scholar
Pauls, D. L., Towbin, K. E. & Leckman, J. F., Pakstis, A. J., Kurlan, R., et al (1990) Segregation and linkage analysis of Tourette's syndrome and related disorders. Journal of the American Academy of Child Psychiatry, 29, 195203.CrossRefGoogle ScholarPubMed
Pauls, D. L., Towbin, K. E. & Leckman, J. F., Pakstis, A. J., Kurlan, R., Raymond, C. L., Stevenson, J. M., et al (1991) A family study of Gilles de la Tourette syndrome. American Journal of Human Genetics, 48, 154163.Google Scholar
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 (suppl. 4), 1785.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. & Gourdie, A. (1990) Familial Tourette's syndrome in a large British pedigree. Associated psychopathology, severity, and potential for linkage analysis. British Journal of Psychiatry, 156, 515521.Google Scholar
Yaryura Tobias, J. A., Neziroglu, F., Howard, S., et al (1981) Clinical aspects of Gilles de la Tourette syndrome. Orthomolecular Psychiatry, 10, 263268.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.