Abstract

Neurocognitive functioning in Tourette syndrome (TS) has been the subject of intensive research in the past 30 years. A variety of impairments, presumably related to frontal and frontostriatal dysfunctions, have been observed. These impairments were found in various domains, such as attention, memory, executive functions, language, motor and visuomotor functions, among others. In line with contemporary research, other neurocognitive domains have recently been explored in TS, bringing evidence of altered social reasoning, for instance. Therefore, the aims of this review are to give an overview of the neuropsychological dimensions of TS, to report how neuropsychological functions evolve from childhood to adulthood, and to explain how various confounding factors can affect TS patients’ performance in neuropsychological tasks. Finally, an important contribution of this review is to show how recent research has confirmed or changed our beliefs about neuropsychological functioning in TS.

Highlights

  • Tourette syndrome (TS) [11,12], but attention deficit hyperactivity disorder (ADHD) and obsessive–compulsive disorder (OCD) are the most common psychiatric comorbidities reported among TS patients and have multiple social and behavioral consequences that add up to those of TS itself [11,13]

  • While comorbid OCD does not seem to be associated with divided attentions deficits, the presence of ADHD could be at the source of such impairment, rather than TS itself

  • These findings could arguably be related to other collateral processes such as the visuospatial and visuomotor impairments sometimes found in patients with tics, which could interfere with recall performances at the ROCF

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Summary

A Review of the Neuropsychological Dimensions of Tourette Syndrome

Simon Morand-Beaulieu 1,2 ID , Julie B. Leclerc 1,3, *,† , Philippe Valois 1,3 , Marc E. Département de neurosciences, Université de Montréal, 2960 Chemin de la Tour, Montréal, QC H3T 1J4, Canada. Département de psychologie, Université du Québec à Montréal, 100, rue Sherbrooke Ouest, Montréal, QC H2X 3P2, Canada. Département de psychiatrie, Université de Montréal, 2900, boulevard Édouard-Montpetit, Montréal, QC H3T 1J4, Canada. Département de psychologie, Université de Montréal, Campus Laval, 1700 rue Jacques-Tétreault, Laval, QC H7N 0B6, Canada.

Clinical Features of Tourette Syndrome
Neurobiological Origins of TS
Toward a Distinctive Neuropsychological Profile of TS
Intellectual Abilities
Attention
Orienting and Shifting of Attention
Selective Attention
Divided Attention
Sustained Attention
Attentional Capacities of TS Patients
Memory
Working Memory
Long-Term Verbal and Nonverbal Memory
Recognition Memory
Implicit Memory
Memory in TS Patients
Motor Functions and Spatial Cognition
Motor Skills
Visual Motor Integration and Visuoconstructive Abilities
Expressive Language and Speech
Language Comprehension
Executive Functions
Inhibition
Cognitive Flexibility
Planning Skills
Decision-Making
Extent of Executive Functioning Impairment in TS
Social Cognition
Learning Difficulties and Disabilities
Conclusions
Recent Advances
Summary of Main Findings
Limitations
Clinical Implications
Findings
Future Directions
Full Text
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