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The clinical features of Tourette's disorder with obsessive‐compulsive symptoms

Twenty‐three patients with Tourette's disorder (13 with obsessive‐compulsive symptoms [OCS] and 10 without) were comparatively investigated. In contrast to OCS‐free Tourette's disorder patients, those with OCS were found to be characterized by (i) a higher incidence of volatile temper, (ii) a higher incidence of compulsive tics, (iii) a higher incidence of perinatal disorders and brain wave abnormalities, (iv) a higher severity as rated using the Seventy Scale, and (v) a higher prevalence of complications, especially of developmental disorders. Of the subjects with OCS‐accompanied Tourette's disorder, approximately half had developed OCS by the onset of tics. These findings suggest the likelihood that OCS‐accompanied Tourette's disorder is more strongly associated with organic cerebral disorders, independently of sites of tic disorders, than is OCS‐free Tourette's disorder.