In 2011 a working group of the European Society for the Study of Tourette syndrome (ESSTS) developed the first European Guidelines for Tourette syndrome (TS) published in the ECAP journal. After a decade ESSTS now presents updated guidelines, divided into four sections: Part I: assessment, Part II: psychological interventions, Part III: pharmacological treatment and Part IV: deep brain stimulation (DBS). In this paper, we summarise new developments described in the guidelines with respect to assessment and treatment of tics. Further, summary findings from a recent survey conducted amongst TS experts on these same topics are presented, as well as the first European patient representative statement on research. Finally, an updated decision tree is introduced providing a practical algorithm for the treatment of patients with TS. Interestingly, in the last decade there has been a significant shift in assessment and treatment of tics, with more emphasis on non-pharmacological treatments.

2011 年，欧洲抽动秽语综合征研究协会 (ESSTS) 的一个工作组制定了第一个欧洲抽动秽语综合征 (TS) 指南，并在 ECAP 期刊上发表。十年后，ESSTS 现在提出了更新的指南，分为四个部分：第一部分：评估，第二部分：心理干预，第三部分：药物治疗和第四部分：深部脑刺激 (DBS)。在本文中，我们总结了指南中描述的关于抽动评估和治疗的新进展。此外，还介绍了最近在 TS 专家中就这些相同主题进行的一项调查的总结结果，以及第一个欧洲患者代表研究声明。最后，引入了更新的决策树，为 TS 患者的治疗提供了实用的算法。有趣的是，