| Demographic Data |
| Relation to Proband |
father |
| Age at Sampling |
55 YR |
| Sex |
Male |
| Age of Onset(If not a control) |
12 YR |
| Age at Diagnosis(If not a control) |
No Data |
| Hispanic or Latino/Not Hispanic or Latino |
Not Hispanic/Latino |
| Racial Category |
White |
| Country |
USA |
| Diagnosed By |
No Data |
| |
| Data Elements |
| Clinical Element Type: Tourettes |
| (Baseline) |
| Primary Lifetime Clinical Diagnosis |
| Tourette’s Disorder |
present absent |
| Chronic Multiple Tics |
present absent |
| Other Tic disorder |
present absent |
| Unaffected or undiagnosed primary blood relative of proband |
yes no |
| Symptoms: Motor Tics |
present absent |
| Symptoms: Vocal/Verbal Tics |
present absent |
| Age at Tic onset |
12 YEARS OLD |
| Genetic Data of Subject |
| Mutation/s in subject's DNA (if present, describe) |
present absent unknown |
| Secondary Lifetime Clinical Diagnosis |
| Obsessive compulsive disorder |
present absent |
| Attention Deficit/Hyperactivity Disorder |
present absent |
| Other (specify) |
present absent
Notes: GENERALIZED ANXIETY DISORDER, DEPRESSION |
| Optional data |
| Handedness |
Right Left Ambidextrous |
| smoking history |
never former smoker current smoker |
| years smoking |
No Data |
| Other family members |
| Other family members of this person in NINDS repository |
yes no
Notes: FATHER ND27916 |
| Family History of TS and related disorders in first degree relatives of subject |
| Tourette Syndrome or tic disorders |
present absent
Notes: FATHER ND27916, MATERNAL AUNT |
| Obsessive Compulsive Disorder (OCD) |
present absent
Notes: FATHER ND27916, SONS, MATERNAL AUNTS |
| Attention Deficit Hyperactivity Disorder (ADHD) |
present absent
Notes: SON |
| List all first degree relatives and diagnosis (TS, tic disorder, OCD, ADHD) |
FATHER ND27916- TS, OCD; SONS- OCD,ADHA; MATERNAL AUNTS- TS, OCD |
| Family History of Neurological Disease in first degree relatives |
| Motor Neuron Disorders, including ALS |
present absent |
| Parkinson’s disease |
present absent |
| Epilepsy |
present absent |
| Cerebrovascular Disorders, including stroke and aneurysm |
present absent |