Can the doctors please help me?
Dear Doctor,
My 14-year-old cousin has been diagnosed with Tourette syndrome.
After undergoing medication treatment, his condition has not improved and seems to be worsening.
I came across information online about the so-called "Yale University immunoglobulin injection and plasmapheresis" treatment.
Is this effective? My uncle is on the verge of a breakdown, and we hope you can help us.
Thank you very much.
Baodao Mi Chong, 20~29 year old female. Ask Date: 2004/11/06
Dr. Jian Yingxiu reply Rare Disease
The treatment for Tourette syndrome primarily relies on medication.
If the medication is not effective, other new drugs may be considered, as well as surgical options or electrical stimulation methods.
Regarding the injection of immunoglobulin, recent placebo-controlled double-blind clinical trials do not seem to show particularly good results.
The above information is for reference only; please consult the clinical physician for the most appropriate treatment for the individual case.
Thank you.
Reply Date: 2004/11/06
More Info
Tourette Syndrome (TS) is a neurodevelopmental disorder characterized by repetitive, involuntary movements and vocalizations called tics. It typically manifests in childhood, and while the exact cause remains unclear, it is believed to involve a combination of genetic and environmental factors. Your cousin's situation, where medication has not yielded positive results and may have even exacerbated the symptoms, is not uncommon.
When it comes to treatment options for Tourette Syndrome, there are several avenues to explore. The first line of treatment often includes behavioral therapies, particularly Comprehensive Behavioral Intervention for Tics (CBIT). This therapy focuses on teaching individuals to become more aware of their tics and to develop strategies to manage them. It has been shown to be effective in reducing tic severity and improving overall functioning.
Pharmacological treatments are also available. Medications such as haloperidol, pimozide, and more recently, atypical antipsychotics like aripiprazole and risperidone, are commonly prescribed. However, as you've noted, these medications can have varying effects on individuals, and some may experience worsening symptoms or side effects that outweigh the benefits. It's crucial for your cousin's healthcare provider to closely monitor his response to any medication and adjust the treatment plan accordingly.
Regarding the mention of "Yale University's immunoglobulin injection" and "plasmapheresis," these are not standard treatments for Tourette Syndrome. Plasmapheresis, or blood exchange therapy, is typically reserved for severe autoimmune conditions and is not widely recognized as a treatment for TS. Immunoglobulin therapy has been explored in various neurological disorders, but its efficacy specifically for Tourette Syndrome is not well-established in clinical practice.
If your cousin's symptoms are severe and significantly impact his quality of life, it may be worth discussing with his healthcare provider the possibility of referral to a specialist in movement disorders or a neurologist with experience in treating Tourette Syndrome. They may have access to more advanced treatment options, including deep brain stimulation (DBS), which has shown promise in treatment-resistant cases, although this is generally considered only after other treatments have been exhausted.
In addition to medical and behavioral interventions, support from family and peers is vital. Encouraging open communication about his experiences and feelings can help alleviate some of the emotional burden associated with TS. Support groups, whether in-person or online, can also provide a sense of community and shared understanding for both your cousin and your family.
In summary, while medication is a common approach to managing Tourette Syndrome, it is not the only option, and its effectiveness can vary widely. Behavioral therapies, specialist consultations, and supportive measures should all be considered as part of a comprehensive treatment plan. It is essential to maintain open communication with healthcare providers to find the most effective strategies for your cousin's unique situation.
Similar Q&A
Effective Treatment Options for Tourette Syndrome: A Comprehensive Guide
Treatment methods for Tourette syndrome.
Dr. Zhu Shaoying reply Rare Disease
Hello: First, family members, friends, teachers, and colleagues of patients with Tourette syndrome must have a correct understanding of the condition, as the symptoms of Tourette syndrome are involuntary and cannot be controlled. When it comes to pharmacological treatment for Tou...[Read More] Effective Treatment Options for Tourette Syndrome: A Comprehensive Guide
Understanding Tourette Syndrome: Seeking the Right Specialist for Treatment
Hello Dr. Lin, My brother is a patient with Tourette syndrome. He is currently a 24-year-old male facing military service issues. Our family has only gradually realized over the past 20 years that this is a medical condition. My father is concerned that my brother does not have ...
Dr. Lin Guanglin reply Rare Disease
You can visit the adult neurology department at major hospitals or consult Dr. Wang Hui-Hsiung at Chang Gung Children's Hospital.[Read More] Understanding Tourette Syndrome: Seeking the Right Specialist for Treatment
Effective Treatments for Tourette Syndrome in Children: A Guide
Is there a medical remedy for Tourette syndrome? My child is 13 years old, and I would like to know how to help with symptoms such as facial tics, shoulder shrugging, and vocalizations.
Dr. Lin Guanglin reply Rare Disease
Considering the severity of the condition, most medication treatments only require an understanding of the illness and providing psychological support. For any questions, please call the Tourette Syndrome Association at 03-3281200 ext 8246.[Read More] Effective Treatments for Tourette Syndrome in Children: A Guide
Managing Uncontrollable Body Tremors in Children with Anxiety Disorders
My daughter, who is in the ninth grade, has been diagnosed by a psychologist with Asperger's syndrome combined with anxiety, irritability, and emotional instability. She has been taking Buspirone for nearly a year. Three weeks ago, one night, she experienced involuntary shak...
Dr. Wang Yazhen reply Psychiatry
Hello, Afun's mom: I understand that your child's condition must be very concerning for you, and I appreciate your efforts. Regarding the issue of tics, the pediatric neurologist should have initially ruled out neurological disorders after examination; tics may be a phy...[Read More] Managing Uncontrollable Body Tremors in Children with Anxiety Disorders
Related FAQ
Tourette Syndrome
(Rare Disease)
Rare Disease Treatment(Rare Disease)
Epilepsy(Rare Disease)
Other(Rare Disease)
Ichthyosis(Rare Disease)
Congenital Metabolic Disorders(Rare Disease)
Kawasaki Disease(Rare Disease)
Whole Exome Sequencing(Rare Disease)
Height(Rare Disease)
Involuntary Psychiatric Treatment(Psychiatry)