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Re: RLS and Tourette's

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Whoa!!

Let's stop the RLS/Tourett's link before it gets any further and scares

people to death. Talk shows are perhaps the worst source of medical

information available, followed closely by TV news and newspapers.

Tourette's Syndrome (TS) is an hereditary disease of the brain manifest

in childhood and expressed more frequently in males than females. It

appears to be an autosomal dominant type of genetic disease with varying

degrees of expression. TS is characterized by motor and vocal tics of an

involuntary nature with no obvious purpose. The vocal tics are often of

a profane nature (coprolalia) and of a repetitive type (echolalia) of

someone elses words or the patient's words. TS tends to get better after

puberty. It is very frequently associated with obsessive-compulsive

disorder (OCD) and/or attention deficit disorder (ADD). Abnormalities of

the caudate nucleus of the basal ganglia of the brain have been

demonstrated on PET scanning. Specifically, there appears to be

HYPER-activity of the D2 dopamine binding sites in this area resulting

in excess expression of dopamine activity. Dopamine suppressor drugs are

used to treat TS. These drugs aggravate RLS and Parkinson's disease.

RLS and TS are at the opposite ends of the spectrum of dopamine

activity, if you believe that RLS is due to low dopamine levels.

Most neurologists feel that there is no clinical relationship between

RLS, Parkinson's disease, dystonia and Tourette's Syndrome.

There are several sites on the Web dealing with TS that go into it much

more deeply than the above, if interested. Any search engine will get

you there.

Dr. Levin

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