Snapshot An 9-year-old boy is brought by his parents to the pediatrician due to concerns about his behavior in the past year. His teacher has complained in several parent-teacher conferences that their child has frequently disrupted quiet reading hours with episodes of grunting and getting out of his seat to jump. The parents note that these behaviors are similar to what they have observed at home as well. The boy had a period of 2 months where he did not show any of these behaviors, leading his parents to believe that he had moved past his "phase", but recently, the repetitive grunting and jumping behaviors have resurfaced. Introduction Overview login to view 3 more bullets Epidemiology login to view 5 more bullets Pathophysiology login to view 1 more bullet Genetics login to view 2 more bullets Associated conditions login to view 2 more bullets Prognosis login to view 2 more bullets Presentation Symptoms login to view 10 more bullets Studies No further workup is necessary if typical indications of Tourette syndrome are observed in the patient's history Differential Wilson disease login to view 2 more bullets Treatment Lifestyle login to view 6 more bullets Medical login to view 6 more bullets