[Tourette syndrome in children. An analysis of everyday problems--neurology or emotional conflicts?].

Over a three year period, 109 children aged 5-17 were diagnosed as having Tourette syndrome. They were all evaluated by a team composed of persons with backgrounds in special education, physiotherapy or neuropsychology, and a paediatrician with experience in child neurology. All the children satisfied the criteria of several motor tics and at least one vocal tic lasting more than one year. Besides the tics the most common symptoms were attention deficit disorder and motor hyperactivity. These symptoms were present in 79 children (73%). 42 children (39%) met the criteria for minimal brain dysfunction. Problems relating to attention, activity, perception, motor control and language are generally considered to be part of a neurological dysfunction. We also investigated the children's emotional profile by looking into factors such as aggression, fluctuations of mood, peer relationships and impulsiveness. More than half of the children experienced serious problems in these areas. We believe that emotional problems of this nature are an integral part of their neurological dysfunction and that they can seldom be attributed to psychological factors in their families or to other events related to everyday life.