Türk Nöroşirürji Dergisi
2021 , Vol 31 , Num 3
Deep Brain Stimulation in Tourette's Syndrome
1Hacettepe Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye
Tourette"s syndrome is a child-onset neuro-psychiatric disorder characterized by sudden, rapid, repetitive, non-rhythmic, and
stereotyped movements and/or vocalizations. It is frequently associated with comorbid psychiatric disorders. The treatment
includes behavioral interventions and pharmacotherapy; ?2 adrenergic agonists, dopamine antagonists, dopamine depleters,
benzodiazepines, antiepileptic drugs, and botulinum toxin injections are the mainstay of pharmacotherapy. Deep brain stimulation
is considered in severe and refractory cases that do not respond to conventional approaches. The medial thalamus and GPi are
especially promising among the many anatomic target locations that have been explored. The Yale Global Tic Severity Scale
scores have improved around 50% on average in the select patients in whom GPi was stimulated. Nevertheless, the disorder
is a heterogenous one and selection of the responsive patient population and decision making as regards targeting the various
anatomical structures in different clinical pictures require further research.
Anahtar Kelimeler :
Tourette's syndrome, Deep brain stimulation, Neuro-psychiatric disorder