Patients with severe involuntary movement in Tourette syndrome
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with Dystonic tic who are to undergo DBS covered by national Health Care Insurance System 2.Patients over 12 years old. If patients under 12 years old are applicable to the surgery of severe involuntary movement, medical ethical committee will deliberate it. 3.Patients signed an informed consent document. 4.Patient's legal representatives sign an informed consent document if patients are minor. 5.Patients meet DSM-4 for clinical diagnose criteria of Tourette syndrome 6.Patients with severe involuntary movement meet over 35/50 in YGTSS. 7.More than 6 months medication or psychological therapy failed to improve the symptoms or those were intolerant because of side effects. 8.If patients are life-threatening condition by involuntary movements even though YGTSS sore or treatment period or so don't meet inclusion criteria, they are to undergo the surgery after approval by medical ethical committees.
Exclusion criteria
Exclusion criteria: 1.High risk patients with physical or mental complications (severe cardiovascular disorder, severe respiratory dysfunction, severe blood diseases, epilepsy, medical history of severe head injuries, severe stroke, severe neurodegenerative diseases, autism, schizophrenic, manic depression, drug addictions, pregnant, breast-feeding, female patients of child-bearing potential 2.Patients ineligible to the study based on investigator's decision.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| YGTSS(Yale Global Tic Severity Scale) | — |
Secondary
| Measure | Time frame |
|---|---|
| Modified Rush Tic Rating Scale, Yale-Brown Obsessive-Compulsive Score, neuropsychological test(WAIS-3,WMS-R,BD1-2,MMPI), Cortical activities measured by NIRS | — |
Countries
Japan
Contacts
Fukuoka University Hospital Department of Neurosurgery