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Cheryl Richards edited Pathophysiology.md
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GABA involvement was studied in 23 TS children, aged 8-12, and 67 controls using a battery of vibrotactile tasks with a subset of the children (i.e., 19 with TS, 25 controls) also undergoing GABA-edited magnetic resonance spectroscopy (MRS) \citep{26041822}. Lower GABA concentration in the right sensorimotor cortex was associated with greater motor tic severity (r=-0.55). There were no significant differences between groups on reaction time and baseline amplitude discrimination threshold. However, TS children showed impaired tactile adaptation. The authors suggest that MRS GABA and tactile measures might useful as biomarkers of treatment response.
A detailed review
discusses focuses on histaminergic modulation of striatal function
by the tuberomamillary nucleus of the hypothalamus \citep{26275849}. Histamine suppresses both the thalamic and cortical drive to medium-spiny projection neurons (MSNs), modulates thalamostriatal synapses resulting its possible role in
a facilitation of thalamic input, and suppresses lateral feedback inhibition. TS \citep{26275849}. The authors suggest that, during wakefulness and increased attention,
histaminergic neurons will be more active with the result that the striatum will be more responsive to thalamostriatal input and
consequently and feed-forward inhibition will
predominate. The dominate. Several lines of evidence related to the role of histamine in TS
was discussed in terms of were discussed. A family linkage study identified a rare mutation
involving histamine synthesizing enzyme, histidine decarboxylase, in
one TS human adult, the gene encoding histidine decarboxylase. HDC transgenic mice exhibit decreased pre-pulse inhibition of startle
responses, responses and
in a rodent model an increase in a variety of amphetamine-induced stereotypies
which decreased in response to that were prevented by pretreatment with histamine infusion or use of haloperidol.
These effects were thought Reduced histamine production was suggested to
occur as a result of the histaminergic control produce dopaminergic disregulation of the
lateral GABAergic inhibitory connections between MSNs. The authors also discussed ongoing research on histaminergic treatments for basal ganglia and sympotoms similar to those seen in TS.
### Clinical and neuropsychological studies