Searching for Stillness: Tourette's Patients Become Medical Pioneers
Using deep brain stimulation to treat a medical mystery.
Sept. 17, 2007— -- "It would just really be nice to be still for, you know, any given period of time," says 31-year-old Jeff Matovic.
Imagine having a disorder so severe, so debilitating, that you would ask doctors to conduct a surgical experiment on your brain. Matovic was a man at war with his own body 24 hours a day and he did just that.
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Matovic suffers from the uncontrollable, repetitive tics of Tourette's syndrome, an inherited brain disorder that doctors still don't completely understand. For most patients, Tourette's disappears after childhood, but one in 10,000 is like Matovic. (CLICK HERE for more information about Tourette's syndrome.)
"It's like a pressure cooker with steam," he said. "That's how it always feels. I just reach a point. … It doesn't matter what's going on, it just, it's just got to go."
It began at age 3 with small tics and his doctors said it was nothing to worry about. But by the time he was 10, Matovic was having full dramatic body shudders. As a teenager, he missed days of school as he tried different doses of medications, and team sports became more and more difficult. By the time he got to college, he had so much trouble holding a textbook that a roommate had to read the words into a tape recorder. Matovic graduated, but unable to hold a job, he planned his suicide as life became unbearable.
"There were times when my bargain with God was, you know what, you let me down again. There's no reason to live," he said.
"These people are the tragedy of this disease as they become more and more disabled by these all-consuming tics that prevent them from living a useful life or even a life of dignity," said Dr. Robert Maciunas, from University Hospitals of Cleveland.
Matovic heard about a radical procedure called deep brain stimulation — or DBS — used to treat Parkinson's disease and others with debilitating tremors. It had never been tried on a Tourette's patient in the United States.
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