Table1: Range of Symptoms of TS

• Simple motor tics: fast, darting and meaningless
  
  
• Complex motor tics: may be slower or may consist of stereotyped series of movements and may appear purposeful (includes copropraxia and echopraxia)

• Simple vocal tics: meaningless sounds and noises
  
  
• Complex vocal tics: linguistically meaningful utterances such as words and phrases (including coprolalia, echolalia and palilalia), interruptions in the flow of speech, sudden alterations in pitch or volume.
  
  

• Often associated with attention deficit hyperactivity disorder, obsessions and compulsions, emotional lability, irritability, impulsivity, aggressivity and self-injurious behaviors; various learning disabilities, social difficulties including peer rejection.