Literature DB >> 22278950

Echoes from childhood--imitation in Gilles de la Tourette Syndrome.

Jennifer Finis1, Agnes Moczydlowski, Bettina Pollok, Katja Biermann-Ruben, Götz Thomalla, Martin Heil, Holger Krause, Melanie Jonas, Alfons Schnitzler, Alexander Münchau.   

Abstract

BACKGROUND: Tourette syndrome patients are reported to show automatic imitation (echopraxia), but this has not yet been proven experimentally.
METHODS: Video clips showing either tics of other Tourette patients or spontaneous movements of healthy subjects were presented to Tourette patients and healthy subjects. Participants' responses were assessed using blinded review of video recordings by 2 independent raters and related to stimuli presented.
RESULTS: Both raters detected more echoes in patients. In a permutation analysis, no healthy subject had echoes above chance level. In contrast, 6 and 5 patients were classified as echoers according to rater 1 and rater 2, respectively, in 1 analysis, and 9 patients were so classified in a second analysis (according to rater 2 only). Concordance between raters was high. Patients echoed both following stimuli showing tics and following stimuli showing spontaneous movements. Most echoes were part of patients' individual tic repertoire.
CONCLUSIONS: Echopraxia is a hallmark of Tourette syndrome.
Copyright © 2012 Movement Disorder Society.

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Year:  2012        PMID: 22278950     DOI: 10.1002/mds.24913

Source DB:  PubMed          Journal:  Mov Disord        ISSN: 0885-3185            Impact factor:   10.338


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