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In agreement with the DSM-IV-R, the criteria diagnoses of the upheaval of Tourette Syndrome are the following ones:
At some moment throughout the disease there has been multiple motor tics and one or more vocal tics, although not necessarily at same time.
The tics appear several times to the day (habitually in swelling) daily or intermittently throughout a period of more of a year. During this time never there is a free period of tics superior to more than three months consecutive.
The upheaval causes a remarkable familiar malaise or scholastic, social or labor deterioration.
The beginning is previous to the 18 years of age.
The alteration is not due to the direct physiological effects of a drug (p.ej., a stimulant) or of a medical disease.
It must be done differential diagnosis with other abnormal movements (by example: distonia , disquinesia, cocriminals, atetosis, mioclonias and hemi-balismo) and the neurological diseases in which these movements are characteristic like Korea of Huntington, the Korea of Sydenham, the disease of Parkinson and the disease of Wilson. Also compulsions, stereotyped mannerisms and movements must be distinguished of. It is differenced of the movements stereotyped by the voluntary nature of these and because they do not cause subjective malaise like the tics. |