Journal of Psychosomatic Research
Volume 67, Issue 6 , Pages 503-513, December 2009

Neuropsychological aspects of Tourette syndrome: A review

  • Clare M. Eddy

      Affiliations

    • Department of Psychology, University of Birmingham, Birmingham, UK
  • ,
  • Renata Rizzo

      Affiliations

    • Section of Child Neuropsychiatry, Department of Pediatrics, University of Catania, Catania, Italy
  • ,
  • Andrea E. Cavanna

      Affiliations

    • Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UK
    • Sobell Department of Movement Disorders, Institute of Neurology, London, UK
    • Corresponding Author InformationCorresponding author. Department of Neuropsychiatry, University of Birmingham and BSMHFT, Barberry Building, 25 Vincent Drive, Birmingham B15 2FG, UK. Tel.: +44 0121 301 2317.

Received 24 March 2009; received in revised form 8 July 2009; accepted 6 August 2009.

Abstract 

Tourette syndrome (TS) is assumed to result from frontostriatal dysfunction, which would be expected to result in impairments in neuropsychological functions. This possibility has been explored in a number of studies that have assessed the performance of patients with TS within major cognitive domains and on tests involving executive functioning. We aim to summarize the main findings of these studies while evaluating the influence of task limitations and potentially critical confounding factors such as the presence of comorbidity. Although there is clearly a need for improved study design, we tentatively suggest that there is considerable evidence for cognitive impairment in a subgroup of patients, and that some difficulties seem to be intrinsic to TS. These impairments may reflect dysfunction of the anterior cingulate network within the frontostriatal pathway.

Keywords: Tourette syndrome, Neuropsychology, Executive functions, Cognition

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PII: S0022-3999(09)00324-9

doi:10.1016/j.jpsychores.2009.08.001

Journal of Psychosomatic Research
Volume 67, Issue 6 , Pages 503-513, December 2009