Neck extensions (whiplash tics), shoulder shrugging, abdominal patting, back tensing and arching, head beating, snorting, throat clearing, right foot inversion In the current case series, we aim to draw attention to the possibility that tics and other TS‐related symptoms may interfere with driving and to characterize driving impairment in patients with TS. In this survey of 228 adults with TS, 183 (87.7%) of whom had a driver's license, 9% reported that it was difficult to pass the driving test because their tics interfered with driving. Specifically, the effects of Tourette syndrome (TS) on driving have not been yet studied except in 1 recent study. Multiple motor, cognitive and visual limitations, coupled with excessive daytime sleepiness or attention deficit disorders, account for majority of the reported conditions that impair driving abilities in patients with movement disorders, but hyperkinetic disorders such as tremors, dystonia, tics, chorea, and myoclonus have not been specifically addressed in studies of driving and movement disorders. There have been many reports of the impact of various, mostly parkinsonian, movement disorders on driving performance as a result of decreased reaction time, reduced ability to respond to perceived visual cues, tremors, and other motor abnormalities. Driving is a complex activity that requires fully coordinated body movements in conjunction with appropriate motor activation, proprioception, and vision, along with higher integrative functions such as selective and divided attention, visuospatial interpretation, visual‐motor integration, and decision making. Most individuals start driving as soon as it is permitted by law, and although they are able to obtain their license, their driving abilities may be impaired as a result of physical or mental conditions. Driving is one of the most critical skills required by our society for mobility and productivity.
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