Intractable Tourette syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria are a diagnosis of TS as defined in the articles of the Tourette Syndrome Classification Study Group and in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition text revised (DSM-IV-TR), an age of 18 years or older, a Yale Global Tic Severity Scale17 (TGTSS) total tic severity score of 35/50 or more, an inadequate response to at least two dopamine receptor antagonists and other agents such as serotonergic drugs, antiepileptic drugs, and benzodiazepines, and inadequate response to any psychotherapy.
Exclusion criteria
Exclusion criteria: Exclusion criteria are a significant untreated structural brain lesion, a tic disorder due to other medical causes, no severe medical, neurological, psychiatric, or cognitive disorders that inordinately increase the risk (e.g., severe cardiovascular, pulmonary, or hematological disorders, epilepsy, a history of head injury, stroke, neurodegenerative disease, autism, schizophrenia, bipolar disorder, recent substance dependence, current pregnancy, and a recent history of suicide attempts).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Yale Global Tic Severity Scale (YGTSS) tic score | — |
Secondary
| Measure | Time frame |
|---|---|
| modified Rush Video-Based Rating Scale (mRVRS) YGTSS social impairment score Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score Short Form-36 (SF-36) Gilles de la Tourette syndrome-specific health-related -QOL scale (GTS-QOL) | — |
Countries
Japan
Contacts
National Center Hospital of Neurology and Psychiatry Department of Neurosurgery